A complete 4 in 1 woman's wellness formula, that is specifically designed for the unique needs of today's women. 4x action: Prebiotic + Probiotic + Cranberry Extract + Folic Acid First women's probiotic formula to combine all 4 ingredients Stress, excessive lifestyle, poor diet, all may cause a depletion of probiotics in the gut and vagina. With 20 Billion live cultures + Cranberry Extract + Folic Acid all in one capsule, Flora Fem is a high-potency formula with 5 scientifically studied probiotic strains to target the unique needs of a woman's body so you are always feeling at your best. Refrigeration is not required. Potency, quality and purity guaranteed through expiration.