Sivomixx 800 is a highly concentrated specific formulation of 8 bacteria which has been tested in clinically vulnerable patients.Invented by Professor De Simone who has 30 years experience in high load multi-strain formulations Sivomixx® 800 contains a high concentration of bacteria, 800 billion per sachet, to assist the colonisation and restoration of the gut barrier in specific health conditions. Sivomixx® 800 contains the microbiotic mix known as Slab51®, 8 different strains of lactic acid bacteria and bifidobacteria. This product should be stored in a fridge. If stored outside of a fridge it will maintain its potency for up to a week if the temperature does not exceed 25 degrees Celsius.This product must remain at a temperature below 25C. If the outside temperature exceeds this we will ship your order as soon as the weather is more suitable. If you still wish us to dispatch your order please email our customer service team, quoting your order number. We apologise for any inconvenience caused!IngredientsSlab51® is made up of the following strains S. thermophilus DSM32245, L. acidophilus DSM32241, L. plantarum DSM32244, L. paracasei DSM32243, L. helveticus DSM32242, L. brevis DSM27961, B. lactis DSM32246, B. lactis DSM32247 Directions For Use1 a day for 14 days in the evening before bedtime .Dilute in non-carbonated water, cold or at room temperature or sprinkled over yoghurt or cereal Refrigerate to maintain quality -Cold chain is maintained during the entire manufacturing process to ensure the viability and vitality of the bacteria. However Sivomixx® 800 can be stored at room temperature for a week without altering its quality.