It depends on the specific supplement, but typically yes – refrigeration is recommended for best results. However, certain probiotics (such as our FloraSMART line, for example) are shelf-stable and therefore do not require refrigeration. This page may help you determine which probiotic is right for you, though you would likely benefit from a high-Bifido critical care formula such as Ultimate Flora Critical Colon 80 Billion or Ultimate Flora Critical Care 50 Billion, especially given your recent diagnoses and antibiotic treatment.
Typically we recommend a 3-step cleansing program that begins with a General Total-body Cleanse, followed by an Enhanced Cleansing/Detox Formula and then followed by a Microbial Cleanse. However, you may certainly benefit from beginning with ParaGONE because of the h. pylori and histolytica. Be sure to consult your physician before beginning any cleansing program.
If you have any more questions or would like to discuss your symptoms further, our Customer Support team is also available by phone at 1-800-830-1800.