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Lactoral is a probiotic dietary supplement developed and manufactured by the Polish company Biomed (Instytut Biotechnologii Surowic i Szczepionek BIOMED Spółka Akcyjna). [1, 8] It is a biologic product consisting of three patented live bacterial strains: *Lactobacillus plantarum* PL02, *Lactobacillus rhamnosus* KL53A, and *Bifidobacterium longum* PL03. [1, 5] The product does not have a traditional single molecular target; instead, it works by colonizing the intestinal tract to regenerate and maintain the balance of the gut microbiome. [1] Its mechanisms include adhering to the intestinal epithelium, producing antimicrobial organic acids, inhibiting the growth of pathogenic bacteria and fungi, and enhancing the integrity of the intestinal barrier. [7, 8] Lactoral is intended for adults and children over 3 years old to restore the microbiome during and after antibiotic therapy, during periods of chronic stress, or with diet changes that cause dysbiosis. [1, 2] A variant, Lactoral IBD, is formulated for the dietary management of inflammatory bowel disease (IBD), particularly ulcerative colitis. [6, 12] The standard product is available in capsules containing approximately 2.8 billion colony-forming units (CFU), while Lactoral IBD contains 10 billion CFU. [3, 7]
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