I cannot live without this product. I have tried and my gut went to h-e-double hockey sticks. My terrible gas came back, I would wake up in the morning with an aching belly and I would crave sugar and junk food all day/binge eat. When I take this probiotic, I don’t have the painful/loud gas, I don’t have the aching belly, I don’t have the sugar cravings and moodiness. Just make sure you open the package immediately when it arrives to you and get it in the fridge. The package says that the ice packs can melt en route and the product will still be fine for a day or two without ice, but the one time I arrived home late and the package had been delivered and was sitting on my porch in the sun for a few hours, the probiotic did not work like it regularly does. So make sure you get it into the cold and take one a day. You won’t regret it!!!The product arrived warm; due to the nature of the product, we request a replacementThe product was warm upon arrival, and quickly put in refrigerator. Must be kept below 46 degrees. After a few days of use, it is obvious it had lost its potency. There was no effect, even with double dosage.I bought this thinking that it will be great to make me more regular, as per all the reviews sounded really good- but it didn’t work for me didn’t feel any difference and it was kind of pricey,didn’t work at all.I used to experience gas like nobody's business until I started taking probiotics. This brand was recommended by the doctor because it did not need to be refrigerated, and suitable for travel. To it's credit, it did solve my gas issues, but atAbout $1.21/capsule, it is not the most affordable probiotic on the market. I have severe stomach stress issues so found myself needing 2-3 capsules a day. Because I don't swallow pills very well, I opened the capsules and added the product directly into my water bottle which worked out fine. I have since found Cultrelle probiotics to be just as effective. Granted, they are 1/3 the potency of this probiotic, but they are also 1/3 the price. And if I use the same amount of capsules, 2-3, the savings are decent enough for me to continue its use,These were delivered hot! The ice packs they were mailed in were completely dry. Awful. And I can’t return them.This is a product that my naturopath has prescribed for me to take. I order it on amazon for ease but the research shows that, probiotics should be refrigerated and this one in particular can be found through companies that do send it in a cooling bag. The shelf life of the live bacteria is 30 days so the best way to know that the product has not expired is to ship in a cooling mechanism. Other than that, I have only positive remarks.This is a great product, and is the only probiotic I like. The seller is excellent.Have been taking this probiotic for almost 2 years now. I am realatively symptom free from all my digestive issues. It's definitely of superior quality for the price. Very satisfied with the product and quick shipping you get with amazon prime.Came w/o icepack. Returned.The product itself is great. It didn’t come with any freezer pack though which is disappointing. I won’t be ordering again from Amazon due to this.They change your moodReally helped clean my gut in just close to 14+ weeks. This was recommended by my nutritionist and will continue to order