Utiva D-Mannose delivers pharmaceutical-grade D-Mannose — the natural monosaccharide sugar with the most compelling mechanism and clinical evidence for UTI prevention — at a therapeutic dose for ongoing urinary tract health and bladder support. 120 capsules.D-Mannose (a naturally occurring simple sugar found in cranberries, peaches, and blueberries) works through a different but complementary mechanism to Cranberry PACs: D-Mannose binds directly to the Type-1 fimbriae (mannose-sensitive adhesins) of E. coli bacteria — acting as a decoy mannose receptor that saturates the bacteria's binding sites before they can adhere to the uroepithelial cells of the bladder and urinary tract. The D-Mannose-E. coli complex is then flushed out with the next urination. A 2013 landmark clinical trial showed D-Mannose was as effective as antibiotics for UTI prevention over 6 months, with significantly fewer side effects. Utiva is a Canadian urinary health supplement brand developed by urologists — built around clinically studied Cranberry PACs (proanthocyanidins) and D-Mannose for UTI prevention and bladder health. Available at Beauty Riche with same-day shipping.