CDS22-formula sachet being poured into a glass beside a 12-sachet box.

CDS22-FORMULA · SOLE UK DISTRIBUTOR

The Original
De Simone
Formulation

High-strength probiotic sachets. 450 billion live bacteria.

Created by Professor De Simone. 8 strains, 80+ clinical studies, 12 sachets per box.

Kept refrigerated in Lancashire, shipped chilled to your door

COLD-CHAIN DELIVERED Ice packs + insulated liner.

TRY ONE BOX

£22.95

£2.58 per sachet, delivered

12 sachets · £7.95 chilled delivery · £30.90 total

One-time purchase. Nothing to cancel.

Buy one box →

OUR LOWEST PRICE

£19.74 per box

£1.65 per sachet, delivered

3 boxes · 36 sachets · every 5 weeks · £59.22 per delivery

FREE chilled UK delivery. No minimum term. Skip, pause or cancel anytime.

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THE DAILY ROUTINE

Simple to take. Pleasant to drink.

Authentic CDS22-formula 450 billion, 12-sachet pack.

01 / HOW IT TASTES

Mild, slightly milky, easy to like.

It's the question we're asked most, and the answer people are most relieved by. A light, neutral flavour with a soft, slightly milky texture. Nothing to swallow, nothing to get used to.

02 / HOW TO TAKE IT

Open. Stir. Drink.

Tear the sachet, stir into a glass of cool water, fruit juice or yoghurt, and drink straight away. A few lumps are normal at this concentration. Press them with the back of a spoon and they're gone.

03 / WHEN TO TAKE IT

Any time. The pack sets no clock.

Morning or evening, whichever you'll remember. The manufacturer gives no time-of-day instruction, so build it into a routine you already have.

04 / HOW MUCH

Adults and children from 7: 1 to 2 sachets a day.

Children aged 3 to 6: up to half a sachet a day, stirred into yoghurt or fruit compote. Do not exceed the recommended daily dose. If you're pregnant, breastfeeding or on medication, check with your doctor first.

05 / WHAT'S IN IT

8 strains. Gluten free.

Streptococcus thermophilus, four Bifidobacteria and three Lactobacilli, each identified on the pack by NCIMB number. Gluten free. May contain traces of milk.

  • Keep refrigerated (2–8°C)
  • Mix into a cool drink
  • Suitable from age 3

THE DE SIMONE FORMULATION

The science behind the formulation.

  • Created by Professor Claudio De Simone

    Eight strains selected and combined by the professor whose name the formulation carries. The pack calls it the original formula of Prof. De Simone.

  • Named in clinical guidelines

    The American Gastroenterological Association's 2024 pouchitis guideline identifies the De Simone Formulation by name. The European Crohn's and Colitis Organisation has done the same.

  • Over 80 clinical studies

    More than 200 scientific publications and 80 clinical studies on the formulation, published over 20 years. We publish the reference list rather than summarise it.

years of research
20+
selected bacterial strains
8
scientific publications
200+
clinical studies
80+

What ECCO stated. The European Crohn's and Colitis Organisation has published a formal correction notice in its Journal of Crohn's and Colitis, amended January 2024, stating that until 2016 the De Simone Formulation was sold as VSL#3®, that after 2016 "the VSL#3® product no longer contains DSF", and that the VSL#3 references in the ECCO Guidelines 2017 exclusively endorse the De Simone Formulation. → Read the ECCO correction notice.


What the AGA guideline says.
The American Gastroenterological Association's 2024 clinical practice guideline on pouchitis (Barnes et al., Gastroenterology 2024;166(1):59-85, PMID 38128971) identifies the De Simone Formulation by name as the probiotic used in the trials it reviewed. → Read the guideline on PubMed.

What the UEG Journal confirms. A January 2026 correction in the United European Gastroenterology Journal states that studies previously attributed to VSL#3 assessed the De Simone Formulation, that the current VSL#3 product is not the same formulation, and that the De Simone Formulation is available in Europe under the brand name CDS22-formula. → Read the correction.

One formulation. Twenty years of research. The same eight strains, in every sachet.

CDS22-formula is a food supplement, not a medicine. The research above describes the De Simone Formulation as it was studied.

CUSTOMER REVIEWS

Rated 4.8 by 200+ UK customers.

Verified Trustpilot reviews. Independent, unedited, all of them.

ARRIVES COLD? EASY TO TAKE? CAN I TRUST YOU? THREE CUSTOMERS ANSWER.

Verified on Trustpilot

“Excellent quick service. This company always keeps you updated on the progress of your order and the probiotics arrive cool in secure packaging.”

Mrs Jane Deacon Read on Trustpilot
Verified on Trustpilot

“Packed well to keep cold. Easy to take and easy on stomach. Highly recommend.”

Brigid Kent Read on Trustpilot

“The service was excellent and most important to me was it came packaged with a cold pack, very important for the product, that shows a reputable company. They will now be my permanent supplier.”

Lesley West Read on Trustpilot

Quotes shortened for space. Read each one in full on Trustpilot.

Read all reviews on Trustpilot

READY TO TRY CDS22-FORMULA?

Two ways to start.

Try one box with no subscription, or Subscribe & Save for our lowest price. Either way it ships chilled from Lancashire.

CDS22-formula 450 billion, original 12-sachet box.

£7.95 chilled delivery
£30.90 total · One-time purchase

OUR LOWEST PRICE

£19.74 per pack
3 packs · £59.22 every 5 weeks
Free chilled UK delivery

No minimum term. Skip, pause or cancel. How it works

UK delivery. See delivery areas and full details.

Packed chilled with ice packs + insulated liner. Stable up to 25°C for 7 days.

GOOD TO KNOW

A few useful answers.

How is my order kept chilled in transit?

Every order is packed from refrigerated stock in an insulated foil liner with medical-grade Easi-Chill ice packs, rated by the manufacturer to keep the contents cool for up to 73 hours. We dispatch Monday to Thursday only, by tracked Royal Mail 24 or DPD, so the parcel never sits in a depot over a weekend.

Does CDS22-formula need to stay refrigerated during delivery?

No. The manufacturer's leaflet states the product keeps its quality for up to a week at room temperature, up to 25°C. The cold-chain packaging keeps it cool on the way, and a day or two in transit is well within that window.

My ice pack had melted when the order arrived. Is it still fine?

Yes. The ice packs do their job on the journey, and finding them melted on arrival is normal, especially in summer. CDS22-formula is stable for up to 7 days at up to 25°C, so a melted pack does not mean the product has been affected. Put it straight in the fridge and carry on.

How should I store it when it arrives?

In the fridge, between 2 and 8°C, and keep it there. If you're travelling, it can be out of the fridge for up to a week at up to 25°C. Avoid leaving it anywhere hotter than that.

What if the weather is hot when my order ships?

We check the forecast before dispatch. In a heatwave we may hold an order for a day or send it by courier rather than Royal Mail so it spends less time in transit. If we do, we'll email you.

How quickly will my order arrive?

Order by 1pm Monday to Thursday and it's dispatched the same day, chilled and tracked, by Royal Mail 24 or DPD. Most orders arrive the next working day. We don't dispatch Friday to Sunday. We deliver everywhere in the UK, including Northern Ireland.

What does the best-before date mean?

It's a quality date, not a safety date. The manufacturer guarantees the stated bacterial count up to that date when the product is kept refrigerated. Every box of CDS22-formula sachets we send has at least six months to its best-before date, and most have well over a year. If your sachets arrive with less than six months, email us and we'll replace them.

Can I take it every day?

Yes. It's designed for daily use. The manufacturer's directions are one to two sachets a day for adults and children aged 7 and over, and up to half a sachet a day for children aged 3 to 6. Most customers take one sachet at the same time each day, which is the easiest routine to keep. Follow the directions on the pack and don't exceed the recommended daily amount.

Why does it cost more than other probiotics?

Because it's live, it's concentrated, and it has to be kept cold. One sachet of CDS22-formula contains 450 billion live bacteria. A popular high-street probiotic, Optibac Every Day, contains 5 billion per capsule*, so one CDS22-formula serving carries 90 times the live bacteria. Work it out per billion and the picture flips: Optibac costs around 10p per billion, CDS22-formula under 1p. At that concentration the bacteria stay alive if the product is refrigerated from the factory to your fridge, which is why every order ships from cold storage with medical-grade ice packs, an insulated liner and tracked chilled delivery. It's the original formulation created by Professor De Simone, studied in more than 80 clinical trials, and we're its sole distributor for the UK and Ireland. On Subscribe & Save it's £1.65 a sachet, delivered.

*Optibac Every Day, 5 billion live cultures per capsule, 30 capsules, £14.99 RRP, checked September 2026. CDS22-formula £1.65 per sachet on Subscribe & Save, £2.58 delivered as a single box.

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THE JOURNAL

The evidence, explained.

Research, practical guidance and plain answers on probiotics, gut health and CDS22-formula.

Explore all articles

CDS22-formula is a food supplement, not a medicine. It is not intended to diagnose, treat, cure or prevent any disease. Food supplements should not be used as a substitute for a varied, balanced diet and a healthy lifestyle. Always follow the directions for use and do not exceed the recommended daily amount. Keep out of reach of young children. If you are pregnant or breastfeeding, have a medical condition, take prescribed medication, or have persistent or worsening symptoms, speak to your GP, pharmacist or another qualified healthcare professional. All third-party trademarks are the property of their respective owners. Probiotic.co.uk is not affiliated with, endorsed by or connected to any other probiotic brand or its trademark holders.

Probiotic.co.uk is operated by TenX Tech Limited, a company registered in Ireland, CRO No. 638628, and is the sole exclusive distributor of CDS22-formula for the United Kingdom and Ireland. UK VAT No. 474869726. EORI GB474869726000. Orders are dispatched from our temperature-controlled facility in Chorley, Lancashire.

Republic of Ireland customers: visit Probiotic.ie, our dedicated Irish store with fulfilment inside Ireland.