Visbiome High Potency Probiotic is a high probiotic medical food, containg 8 strains of live bacteria in concentration of 112.5 billion bacteria per capsule. Dietery management of dysbiosis associated with irratable bowel syndrome (IBS), Ulcerative colitis (UC), pouchitis, and hepatic encephalopathy (HE). Contains highly concentrated natural yogurt bacteria some of which are grown using dairy ingredients to ensure their health and vitality. Trace levels of dairy may be present. The lactose level in all Visbiome products is well below the National Institutes of Health.