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UriRoyal is an oral over-the-counter dietary supplement from PharmaS for urinary tract health and prevention of recurrent uncomplicated urinary tract infections, particularly those associated with *Escherichia coli*. The marketed product is a combination formulation containing D-mannose together with probiotic cultures including *Saccharomyces boulardii* and *Streptococcus thermophilus*. Its proposed mechanism is primarily non-antibiotic: D-mannose can bind mannose-sensitive adhesins on uropathogenic *E. coli*, reducing bacterial adherence to the urothelium and facilitating washout during urination, while the probiotic components are positioned to support gastrointestinal and microbiome balance during or after antibiotic use. PharmaS presents UriRoyal as a consumer health product rather than an investigational prescription medicine.
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