Developed with Bariatric Doctors and Dietitians, our Capsule Multivitamins are a great and affordable solution to get the nutrients the body needs! Our Bariatric Multivitamin with Probiotics supplement is designed to meet the health needs of those who have specifically undergone bariatric surgery such as Gastric Bypass, Vertical Sleeve, Roux-en-y, and Duodenal Switch; helping you to avoid malnutrition and vitamin deficiency.   The vegetable based capsule is fast dissolving and will even break down in water, so limited stomach acid is no problem.  Trust and Transparency - All of our Multivitamins are independently third-party tested to make sure they meet the potency we list on our label. We are the only company that makes these results available to you. You can feel confident you are getting the important supplementation your body needs to stay healthy and energized. Why should I add a Probiotic to my vitamin regime?Stanford study shows the presence of a Probiotic may increase weight loss in bariatric surgery patients.[1]This study also shows higher B12 levels in control group were present when taking Probiotics.[1]Probiotics increase good bacteria to aid in digestion and reduce gastrointestinal issues.[1] **Item will ship with an ice pack if temperatures require, but Probiotic is shelf-stable at normal room temperatures**  [1]Woodard GA, Encarnacion B, Downey JR, et al. Probiotics improve outcomes after Roux-en-Y gastric bypass surgery: a prospective randomized trial. J Gastrointestinal Surg 2009 Jul;13(7):1198-1204.