Free Shipping! on all orders within the contiguous United States. 900 billion bacteria per packet available in 30-count boxes. Visbiome Extra Strength GI Care is a high potency probiotic medical food intended for the dietary management of dysbiosis associated with Advanced Ulcerative Colitis (UC) and Ileal Pouch Dietary Management. Visbiome Extra Strength GI Care is a non-drug therapy that address the distinct nutritional requirements to promote microbial balance in people that cannot be addressed by modification of the diet alone. Visbiome Extra Strength GI Care is a medical food to be used under physician supervision. 900 billion CFUs per packet. Inactive ingredients: Maltose. Visbiome Extra Strength GI Care may contain trace amounts of milk. Visbiome Extra Strength GI Care is lactose-free. When using the most sensitive analytical method available, no lactose was found in Visbiome Extra Strength GI Care. Lactose was not detectable in amounts greater than 50 parts per million (PPM). Visbiome is made in the U.S.A.