All Bio-K+ specialized wellness capsule supplements, including Women's Health Probiotic Capsules, are vegan, gluten-free, and shelf-stable; no refrigeration is required. CFU potency on all capsule formats is guaranteed until the expiration date. The Women's Health Probiotic Capsules use CSP vial technology to support stability at room temperature. The Elderberry Extra Drinkable must be refrigerated and, once opened, kept in the fridge for up to 7 days with the bottle properly closed.

The vaginal microbiome and gut health are part of an interconnected system. A healthy gut microbiome supports the broader microbial balance throughout the body, while disruptions from antibiotic use, poor diet, or stress can contribute to changes in vaginal flora. Lactobacillus species are central to both ecosystems: they are the predominant bacteria in a healthy vaginal microbiome and are also among the most important beneficial bacteria in the gut. Supporting both through targeted daily probiotic use is part of a holistic approach to women's microbiome health.* Consult your healthcare provider for guidance specific to your situation.

* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.