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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: Product is sealed within blisters. Do not use if any part of the blister is torn, open or damaged. 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 known immune-compromised condition.