Clinically Backed. UK Delivered.
The Original De Simone Probiotic Proven Across the UK
❄️ Cold Chain Delivery ❄️
CDS22-formula is a high-strength live bacteria supplement: 450 billion CFU across 8 strains in every sachet. It's made in Italy, comes to us refrigerated, and leaves our Lancashire unit in a cold pack on a next-day service. Every pack sold in the UK and Ireland comes through us, including the ones on pharmacy shelves.
CDS22-Formula: The Original 450 Billion CFU 8-Strain Formulation
CDS22-Formula | Original De Simone Formulation UK Probiotic (450 Billion CFU) | Larger 12 Sachet Pack
£19.95
Regular price
£23.95
CDS22-Formula 112 Billion CFU Probiotic | 20 Capsules
£17.90
CDS22-Formula Infant Drops | 8 Strains | 2 x 5ml
£13.55
Regular price
£14.95
Clinical Heritage & About Probiotic.co.uk
A Statement from the Managing Director: Clarity on Formulation Identity
At Probiotic.co.uk our job is to make sure UK and Irish customers can identify and get hold of one specific 8-strain formulation, the De Simone Formulation, developed by Professor Claudio De Simone. Changes to branding since 2016 have made that harder than it should be, so here is the position in plain terms, sourced.
The Official Clinical Position:
- What ECCO stated. In October 2023 the European Crohn's and Colitis Organisation published an official statement clarifying that the De Simone Formulation was sold under the VSL#3 brand until 2016, and that after 2016 "the VSL#3® product no longer contains DSF". ECCO states that the VSL#3 references in its 2017 guidelines should be read as relating to the De Simone Formulation. Read the ECCO statement in full.
- 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.
The research literature on this formulation is extensive and we publish the reference list rather than summarising it. CDS22-formula is a food supplement, not a medicine, and no health claim is made for it here.
Darren Grant
Managing Director, Probiotic.co.uk & Probiotic.ie
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Blogs
Shmalberg et al. (University of Florida, Frontiers in Veterinary Science, 2019;6:163, PMID 31275948) randomised 60 dogs with acute diarrhoea and found no statistically significant difference between a probiotic, metronidazole and placebo (3.5 vs 4.6 vs 4.8 days to acceptable faecal consistency, p = 0.17), while the ACVIM-endorsed consensus statement on canine chronic inflammatory enteropathy (Heilmann, Jergens et al., J Vet Intern Med 2026;40(1):aalaf017, PMID 41742497) places dietary trials first and describes probiotics as having a limited role. This UK evidence guide covers what canine research shows across acute diarrhoea and chronic enteropathy, which strains have been studied including Enterococcus faecium SF68 and the eight-strain De Simone Formulation, the trials that found no benefit, safety in higher-risk dogs, and why a human food supplement is not a licensed veterinary product.
Read moreThe ISAPP consensus definition (Hill et al., Nature Reviews Gastroenterology & Hepatology, 2014, PMID 24912386) emphasises that probiotic benefits should be read in relation to the specific strains and the studied dose, so a headline CFU number alone does not define a probiotic's strength. This UK evidence guide covers what CFU means, CFU at manufacture versus expiry, strain identity versus strain count, refrigerated versus shelf-stable storage, higher-dose safety, and how 50, 100 and 450 billion products compare, including CDS22-formula, the original 8-strain De Simone Formulation (450 billion CFU per sachet, £19.95) with UK cold-chain delivery.
Read moreBarnes et al. (American Gastroenterological Association, Gastroenterology 2024;166(1):59-85, PMID 38128971) state that the evidence favouring probiotics for preventing recurrent pouchitis is limited to the De Simone Formulation, based on three randomised trials showing an 87% lower relapse risk over 12 months (RR 0.17; 95% CI 0.09-0.34; low certainty of evidence). This UK reference guide explains exactly what the AGA guideline says and does not say, the verified PMIDs, why product names in older papers are unreliable, and how the formulation is supplied today as CDS22-formula (8 NCIMB strains, 450 billion CFU), a food supplement under FSA rules, not a medicine..
Read moreExpert Guide: High-Strength Probiotics & The De Simone Formulation in the UK.
CDS22-formula is the original De Simone Formulation, a high-potency probiotic containing 8 specific strains of live bacteria. It is the most clinically studied probiotic formulation in the world, with over 200 peer-reviewed publications, and is widely used in the UK for managing complex gut issues like IBS, UC, and Pouchitis.
High-strength probiotics like CDS22 are live cultures. To guarantee the 450 billion CFU (Colony Forming Units) potency through the expiry date, the product must be kept between 2-8°C. Probiotic.co.uk uses specialised temperature-controlled packaging and next-day UK delivery to ensure the bacteria remain live and effective.
While CDS22-formula is a food supplement, the De Simone Formulation it contains is recognized by many UK health professionals. We provide specialized wholesale portals for practitioners and offer high-potency options that meet the standards often recommended in clinical settings.
Specialist Supplier of High-Potency Probiotic Supplements
450 Billion CFU per Sachet · 112 Billion CFU per Capsule
CDS22-formula is an 8-strain live bacteria food supplement manufactured by EOS2021 S.r.l., supplying 450 billion CFU per sachet and 112 billion CFU per capsule. The eight strains are identified on the current UK label by their NCIMB deposit codes, NCIMB 30435 to NCIMB 30442. CFU count describes the number of live bacteria per serving. It is one measure of a formulation and is not on its own a measure of how well a product works.
The 8-Strain De Simone Formulation
The formulation was developed by Professor Claudio De Simone and is referred to in the published scientific literature as the De Simone Formulation. EOS2021 S.r.l. states that CDS22-formula contains the De Simone Formulation. That is a manufacturer statement and Probiotic.co.uk has not independently verified it.
The formulation has been the subject of more than 200 scientific publications, including more than 80 clinical studies. Published research relates to the formulation as studied. It is not a claim about what any retail product does.
TenX Tech Ltd is the sole exclusive distributor of CDS22-formula for the United Kingdom and Ireland under written agreement with the manufacturer.
Refrigerated Storage and UK Dispatch
CDS22-formula is stored refrigerated at +2 to +8°C at our Lancashire-based facility and dispatched in temperature-controlled packaging on a tracked UK service. The manufacturer's storage leaflet states the product is shelf-stable for up to 7 days at 25°C or below, which covers normal transit. Refrigerate on arrival.
- An 8-strain live bacteria food supplement manufactured by EOS2021 S.r.l.
- 450 billion CFU per sachet. 112 billion CFU per capsule.
- Strains are identified on the current UK label by NCIMB deposit codes, NCIMB 30435 to NCIMB 30442.
- Developed by Professor Claudio De Simone and referred to in the literature as the De Simone Formulation.
- EOS2021 S.r.l. states that CDS22-formula contains the De Simone Formulation. This is a manufacturer statement, not an independent finding.
- Gluten free. Stored refrigerated at +2 to +8°C. Shelf-stable up to 7 days at 25°C or below per the manufacturer's leaflet.
- Distributed in the United Kingdom and Ireland by TenX Tech Ltd, sole exclusive distributor under written agreement with the manufacturer.
- Regulated in the UK as a food supplement under FSA food supplement rules. It is not a medicine.
CDS22-formula is a food supplement, not a medicine. It is not intended to diagnose, treat, cure or prevent any disease. No authorised UK or EU health claim is made for this product. Food supplements should not replace a varied and balanced diet or a healthy lifestyle. If you have persistent or worsening symptoms, or you are taking prescribed medication, speak to your GP or pharmacist. The NHS advises seeing a GP about persistent digestive symptoms.
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