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Tamper evident: Product is sealed within blisters. Do not use if any part of the blister is torn, open or damaged. Keep out of reach of children. Inform a healthcare professional before starting any dietary supplement, particularly if there is a known immune-compromised condition. When first taking a probiotic, your gut microbiome adjusts. You may experience minor bloating, gas or intestinal gurgling which should subside with continued use. Consult your healthcare professional if symptoms continue after two weeks. For questions, concerns or to report an adverse event please call (800) 722-3476.