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Evivo with medium-chain triglyceride (MCT) oil is a live biotherapeutic product developed by Evolve BioSystems, Inc. It consists of activated *Bifidobacterium infantis* EVC001 (ActiBif) formulated in MCT oil as a delivery vehicle. Designed for use in hospital settings, particularly Neonatal Intensive Care Units (NICUs), the product aims to restore the infant gut microbiome to its natural state. When administered alongside breast milk, *B. infantis* EVC001 utilizes human milk oligosaccharides (HMOs) to dominate the gut environment, thereby reducing the prevalence of potentially pathogenic bacteria such as *Escherichia coli*, *Clostridia*, *Staphylococcus*, and *Streptococcus*. This intervention is primarily indicated for the treatment and prevention of infant gut dysbiosis.
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