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While there are no dairy-derived ingredients in the product, it is produced in a facility that also handles dairy ingredients. Tamper Evident: Do not use this product if safety seal bearing "SEALED for YOUR PROTECTION" under cap is missing or torn. When first taking Culturelle, you may experience minor bloating, gas or intestinal gurgling which should subside with continued use. Consult your physician if symptoms persist after two weeks. For questions, concerns or to report an adverse event, please call (800) 722-3476. Keep out of reach of children. Inform a healthcare professional before starting any dietary supplement, particularly if there is a know immune-compromised condition. Consult your physician before using this product if you are taking medications such as anticoagulants or blood thinners, have a bleeding disorder, or anticipate surgery. Contains fish (tuna)