Are these live cultures or shelf stable?

Dr. Formulated Immune+ Probiotics product contains 90 Billion live cultures from 12 probiotic strains. This product is in a shelf stable, desiccant-lined bottle that ensures your probiotics Arrive Alive and Stay Alive. I hope this helps! Thanks, Erin M. Garden of Life

How does Amazon store this product? Are they refrigerated or do they sit in the hot warehouses for a while before shipping?

O don't know how Amazon stores it but it was delivered to the complex office by DHL or some other 3rd party and the front office misplaced it and said there were no packages for me. I was initially only told it was delivered....but to where? Prior to receiving, i had to order a similar product from Whole Foods because even though I'm a prime member and initially thought I would get it in 2 days the third party shipping pushed the order out 2 weeks. I can't really speak about refrigeration of the product since the delivery obviously dropped the ball by delivering to the complex office and not to my door as Amazon usually does. Disappointed in general. It did look like a good product and have not yet used it since I got the other product.

Does it ship with an ice pack ?

No, this product does not ship with a cold pack. Our Dr. Formulated Immune+ Probiotics is labeled as: Best if refrigerated. May also be stored in a cool, dry place. Please rest assured that even if the product is warm for a few days during shipment, our potency promise remains intact. "Best if refrigerated" simply ensures an even more powerful probiotic formula. I hope this helps. In Health, Erin M. Garden of Life

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🛡️ Elevate your immunity with science-backed gut power!

PREBIOTIC BOOST - Includes organic potato starch & acacia fiber to nourish and sustain probiotic effectiveness
CLEAN CERTIFIED - Vegan, Non-GMO, Gluten-Free, Dairy & Soy-Free with third-party certification for peace of mind
IMMUNE POWERHOUSE - 90 Billion CFU from 12 clinically studied probiotic strains for unmatched immune support
GUT IMMUNE SYNERGY - Targets 70% of your immune system in the gut to promote digestive balance and comfort
ON THE GO WELLNESS - Convenient once-daily capsule designed for busy professionals and frequent travelers

Garden of Life's Dr. Formulated Platinum Immune+ delivers 90 billion CFU from 12 clinically studied probiotic strains, including L. acidophilus NCFM and L. rhamnosus GG, to support immune and digestive health. This once-daily vegan capsule combines probiotics with organic prebiotics for enhanced gut balance, designed for busy lifestyles and travel convenience. Third-party certified Non-GMO, gluten-free, dairy and soy-free, it’s a premium formula trusted by experts.