Game-changer for IBS-D. The only product that has given back my daughter's life after years of IBS symptoms likely due to overgrowth of toxins/bacteria. Enterosgel has literally been the only 'supplement' she takes for her IBS along with enteric peppermint capsules. It's now been 3 years. No more medications unless there is a major flare which is quite rare now. She only takes one dose a day and sometimes we skip some days. Unfortunately, it is not sold in the US which is aggravating for reorders and also disappointing. Enterosgel has been amazing for her quality of life. So much so, that I showed her Gastroenterologist the tube at a major children's hospital in Boston where she is a patient and he was intrigued and has started to pass along its information for his other patients. He was amazed and thrilled that a simple product such as this has turned her life around when no amount of antibiotics, stomach relievers, and antispasmodics could not. With Enterosgel she is no longer 'lactose intolerant' or has difficulty processing food. Please push for clearance in the US. I believe those who suffer with IBS-D, mixed or Post-infectious IBS would be incredibly relieved.