Our BALANCE Probiotic + Prebiotic for bariatric surgery and weight loss patients contains 28.5 billion CFUs at time of manufacturing with 15 billion CFUs guaranteed at expiration. This probiotic is made up of 5 strains that have been selected for their potential to aid in weight loss, fat tissue mass reduction, maintenance of intestinal health, and more. Celebrate BALANCE does not require refrigeration and is available as a once-daily capsule.