Align® FAQ: Frequently
Asked Questions
Find answers to the most frequently asked questions regarding Align.
General Information Questions
- What is Align?
- Is Align a laxative?
- Is Align an antacid?
- What is normal, healthy bowel function?
- Why do I need Align?
- Who should take Align?
- How does Align help maintain digestive health?
- What is Bifantis®?
- What is a probiotic?
- Is Align a drug or medicine?
- I've always heard bacteria are bad. Why is taking bacteria good?
- Why does Align have a statement that it has not been reviewed by the FDA?
Taking Align Questions
- What form does Align come in?
- How often do I need to take Align?
- What happens if I stop taking Align for a few days?
- Can I take two Align capsules daily?
- When is the best time of day to take Align?
- Are there any special instructions for how to take Align?
- What should I do if I forget to take Align for a day or two?
- Can I take Align with my vitamins/supplements?
- Can I take Align with my prescription medications?
- Can I take Align with antibiotics?
- Should I stop my digestive medications when I start Align?
- Are there any restrictions on how to take Align?
- Can my child take Align?
- Where do I store Align? Can I put Align into my pill keeper? Is it OK to store it in the bathroom or kitchen? Can I keep Align in my purse?
- Does Align need to be refrigerated?
- Why doesn't Align need to be refrigerated?
- Can I open the capsule and sprinkle the contents into my food or drink?
- How many bacteria are in each capsule of Align?
- Is Align like yogurt? How is it different from probiotic yogurts?
Health/Safety Questions
- What are the side effects of Align?
- Is Align habit forming?
- Can I take Align if I am pregnant/breastfeeding/trying to become pregnant?
- Is it safe to take Align every day?
- Can I take Align if I am severely ill or immunocompromised?
- I have lactose intolerance. Can I use Align?
- Is there anybody who should not use Align?
- The Align label says it contains milk. Can you explain?
Where-to-Buy Questions
Miscellaneous Questions
- My friend's doctor gave her a sample. How can I get a sample?
- Why are there 28 capsules instead of 30 in a box?
- Did the color of the printing on the capsule change? When?
- How should I store Align? Will cooler temperatures affect the stability of Align? Will warmer temperatures affect the stability of Align?
- After eating too much of my favorite foods, I occasionally have an upset stomach. Which product might be right for me?
- I know I need more fiber in my diet. Which product might be right for me?
Ingredients Questions
- When did you remove the language "this product does not contain lactose, soy, or gluten" from the Align label? Has Align changed?
- Does Align contain soy?
- What are the purposes of the other ingredients in Align?
General Information Questions
What is Align?
Align is a daily probiotic supplement that helps promote a healthy digestive system.* When taken daily, Align works by supplementing your digestive system with healthy bacteria 24/7*§ to help support your digestive balance.*
BACK TO TOP ^Align is a daily probiotic supplement that helps promote a healthy digestive system.* When taken daily, Align works by supplementing your digestive system with healthy bacteria 24/7*§ to help support your digestive balance.*
Is Align a laxative?
No, Align is a daily probiotic supplement that works naturally to help build and maintain a strong, healthy digestive system.*
No, Align is a daily probiotic supplement that works naturally to help build and maintain a strong, healthy digestive system.*
Is Align an antacid?
No, Align is a daily probiotic supplement that works naturally to help build and maintain a strong, healthy digestive system.*
No, Align is a daily probiotic supplement that works naturally to help build and maintain a strong, healthy digestive system.*
What is normal, healthy bowel function?
Gastroenterologists say that healthy, normal bowel function can range from three bowel movements per day to three bowel movements per week. Because the definition of normal bowel function varies from person to person, you may want to talk to your doctor about what is normal for you. Align is intended for people who are interested in building and maintaining a healthy digestive system.*
Gastroenterologists say that healthy, normal bowel function can range from three bowel movements per day to three bowel movements per week. Because the definition of normal bowel function varies from person to person, you may want to talk to your doctor about what is normal for you. Align is intended for people who are interested in building and maintaining a healthy digestive system.*
Why do I need Align?
Your body needs good bacteria ("probiotics") for a number of things, including healthy digestion. But these bacteria are fragile. When you were very young, most of the bacteria in your digestive system were good Bifidobacteria. Common issues such as changes in diet and schedule, stress, and travel can disrupt your natural balance of good bacteria. Bifantis, the unique patented probiotic ingredient found only in Align, supplements your system with natural good bacteria.* When taken daily, Align helps promote a healthy digestive system.*
Your body needs good bacteria ("probiotics") for a number of things, including healthy digestion. But these bacteria are fragile. When you were very young, most of the bacteria in your digestive system were good Bifidobacteria. Common issues such as changes in diet and schedule, stress, and travel can disrupt your natural balance of good bacteria. Bifantis, the unique patented probiotic ingredient found only in Align, supplements your system with natural good bacteria.* When taken daily, Align helps promote a healthy digestive system.*
Who should take Align?
Healthy people who are interested in promoting their digestive wellness would benefit from taking Align.* With continued daily use, taking Align supplements will fortify your digestive system with healthy bacteria 24/7*§ support a healthy digestive system and maintain digestive balance.
Healthy people who are interested in promoting their digestive wellness would benefit from taking Align.* With continued daily use, taking Align supplements will fortify your digestive system with healthy bacteria 24/7*§ support a healthy digestive system and maintain digestive balance.
How does Align help maintain digestive health?
Align supplements your digestive system with good bacteria to help build and support a healthy digestive system and maintain digestive balance.*
BACK TO TOP ^Align supplements your digestive system with good bacteria to help build and support a healthy digestive system and maintain digestive balance.*
What is Bifantis®?
Bifantis is the trademarked name for a unique, patented strain of beneficial bacteria, Bifidobacterium infantis 35624. Bifantis is the natural probiotic ingredient found only in Align. The specific and pure strain of Bifantis found in Align helps build and maintain a strong, healthy digestive system.* Align is the only probiotic supplement that contains Bifantis.
Bifantis is the trademarked name for a unique, patented strain of beneficial bacteria, Bifidobacterium infantis 35624. Bifantis is the natural probiotic ingredient found only in Align. The specific and pure strain of Bifantis found in Align helps build and maintain a strong, healthy digestive system.* Align is the only probiotic supplement that contains Bifantis.
What is a probiotic?
The word "probiotic" means "for life." Probiotics are good bacteria that provide a health benefit and are essential for many vital body functions, including healthy digestion. Probiotics are increasingly being used and evaluated in the management of digestive health. When you were very young, most of the bacteria in your digestive system were good Bifidobacteria. Your body needs beneficial bacteria like Bifidobacteria for a number of things, including healthy digestion. But they're fragile. Common issues such as diet and stress can disrupt your natural balance of good bacteria. Align contains the unique, patented, pur-strain probiotic Bifastis (Bifidobacterium infantis 35624), which helps maintain your digestive system's natural balance.*
The word "probiotic" means "for life." Probiotics are good bacteria that provide a health benefit and are essential for many vital body functions, including healthy digestion. Probiotics are increasingly being used and evaluated in the management of digestive health. When you were very young, most of the bacteria in your digestive system were good Bifidobacteria. Your body needs beneficial bacteria like Bifidobacteria for a number of things, including healthy digestion. But they're fragile. Common issues such as diet and stress can disrupt your natural balance of good bacteria. Align contains the unique, patented, pur-strain probiotic Bifastis (Bifidobacterium infantis 35624), which helps maintain your digestive system's natural balance.*
Is Align a drug or medicine?
No, Align is a daily probiotic dietary supplement—it is not a drug or a medicine.
No, Align is a daily probiotic dietary supplement—it is not a drug or a medicine.
I've always heard bacteria are bad. Why is taking bacteria good?
When you were very young, most of the bacteria in your digestive system were good Bifidobacteria. Align delivers Bifantis, a unique good Bifidobacteria that helps support and maintain your digestive balance.* Your body needs beneficial bacteria for a number of things, including healthy digestion. These essential bacteria are sensitive to things such as changes in diet and schedule, stress, and travel. Taking Align once a day, each day, supplements your system with Bifantis bacteria to help promote a healthy digestive system and to support your digestive balance.*
When you were very young, most of the bacteria in your digestive system were good Bifidobacteria. Align delivers Bifantis, a unique good Bifidobacteria that helps support and maintain your digestive balance.* Your body needs beneficial bacteria for a number of things, including healthy digestion. These essential bacteria are sensitive to things such as changes in diet and schedule, stress, and travel. Taking Align once a day, each day, supplements your system with Bifantis bacteria to help promote a healthy digestive system and to support your digestive balance.*
Why does Align have a statement that it has not been reviewed by the FDA?
Align is a dietary supplement. With few exceptions, most dietary supplements that make claims to benefit structures or functions of the human body (such as gastrointestinal health) are required by the FDA to carry this statement, which is called the "Dietary Supplement Health and Education Act (DSHEA) Disclaimer."
Align is a dietary supplement. With few exceptions, most dietary supplements that make claims to benefit structures or functions of the human body (such as gastrointestinal health) are required by the FDA to carry this statement, which is called the "Dietary Supplement Health and Education Act (DSHEA) Disclaimer."
Taking Align Questions
What form does Align come in?
Align comes in a capsule that you take once a day, each day.
BACK TO TOP ^Align comes in a capsule that you take once a day, each day.
How often do I need to take Align?
We recommend that you take Align once a day, each day.
We recommend that you take Align once a day, each day.
What happens if I stop taking Align for a few days?
Align is most effective when taken daily. If you miss a day, there's no need to take two Align capsules in one day to make up for the capsule you missed. Just start again the next day to stay on track for healthy digestive balance.*
Align is most effective when taken daily. If you miss a day, there's no need to take two Align capsules in one day to make up for the capsule you missed. Just start again the next day to stay on track for healthy digestive balance.*
Can I take two Align capsules daily?
We recommend that you follow the usage instructions and take one capsule daily. You should review the labeling to ensure Align is right for you and consult your healthcare professional if you have severe or chronic digestive problems or if you have questions.
We recommend that you follow the usage instructions and take one capsule daily. You should review the labeling to ensure Align is right for you and consult your healthcare professional if you have severe or chronic digestive problems or if you have questions.
When is the best time of day to take Align?
It doesn't matter what time of day you take Align. We recommend that you take Align as part of your daily routine, at a time that will be easy to remember—such as when you take your usual vitamins or medications.
It doesn't matter what time of day you take Align. We recommend that you take Align as part of your daily routine, at a time that will be easy to remember—such as when you take your usual vitamins or medications.
Are there any special instructions for how to take Align?
No. You can take Align at any time of the day, with food or without. We recommend that you take Align as part of your daily routine, at a time of day that will be easy to remember—such as when you take your usual vitamins or medications.
No. You can take Align at any time of the day, with food or without. We recommend that you take Align as part of your daily routine, at a time of day that will be easy to remember—such as when you take your usual vitamins or medications.
What should I do if I forget to take Align for a day or two?
Align is most effective when taken daily. If you forget to take your Align capsule every now and then, there's no need to double up on Align capsules when you remember—just take the next capsule at your usual time as part of your routine.
BACK TO TOP ^Align is most effective when taken daily. If you forget to take your Align capsule every now and then, there's no need to double up on Align capsules when you remember—just take the next capsule at your usual time as part of your routine.
Can I take Align with my vitamins/supplements?
Yes. Align can be taken with vitamins and/or supplements.
Yes. Align can be taken with vitamins and/or supplements.
Can I take Align with my prescription medications?
If you are concerned about taking Align with your medications, you should check with your healthcare provider before using Align.
If you are concerned about taking Align with your medications, you should check with your healthcare provider before using Align.
Can I take Align with antibiotics?
Some antibiotics may make Align less effective. If you are taking an antibiotic, consult your doctor for advice.
Some antibiotics may make Align less effective. If you are taking an antibiotic, consult your doctor for advice.
Should I stop my digestive medications when I start Align?
No. Align is not intended to replace any of your digestive system medications. Align is a daily probiotic supplement that naturally helps build and support a healthy digestive system with regular use.* If you are taking digestive medications, you should check with your healthcare provider before using Align to ensure it is right for you.
No. Align is not intended to replace any of your digestive system medications. Align is a daily probiotic supplement that naturally helps build and support a healthy digestive system with regular use.* If you are taking digestive medications, you should check with your healthcare provider before using Align to ensure it is right for you.
Are there any restrictions on how to take Align?
No. Align is designed to be taken daily as part of your healthy lifestyle. We recommend that you take Align as part of your daily routine, at a time that will be easy to remember.
No. Align is designed to be taken daily as part of your healthy lifestyle. We recommend that you take Align as part of your daily routine, at a time that will be easy to remember.
Can my child take Align?
We recommend you keep Align out of the reach of children. If you are unsure if Align is right for your child, consult your child's physician or healthcare professional.
BACK TO TOP ^We recommend you keep Align out of the reach of children. If you are unsure if Align is right for your child, consult your child's physician or healthcare professional.
Where do I store Align? Can I put Align into my pill keeper? Is it OK to store it in the bathroom or kitchen? Can I keep Align in my purse?
To maximize the effectiveness of Align, we recommend that you store Align in its original blister pack. You should store the blister package at or below room temperature (24° C/75° F). We recommend that you do not put Align into other packages, including pill keepers.
To maximize the effectiveness of Align, we recommend that you store Align in its original blister pack. You should store the blister package at or below room temperature (24° C/75° F). We recommend that you do not put Align into other packages, including pill keepers.
Does Align need to be refrigerated?
No, it is not necessary to refrigerate Align.
No, it is not necessary to refrigerate Align.
Why doesn't Align need to be refrigerated?
The Bifantis in Align has been freeze-dried, and does not require refrigeration. Align has been formulated and tested to confirm that it remains effective without refrigeration for a 24-month shelf life. We recommend that Align be kept in the original blister package, as these materials were designed to protect the bacteria from the environment.
Product stability studies show that Align is effective through at least the "best by" date on the bottom flap of the box. Because Align does not need to be refrigerated, it is an ideal product for busy people who want to have the freedom to go where they want and do what they want.
The Bifantis in Align has been freeze-dried, and does not require refrigeration. Align has been formulated and tested to confirm that it remains effective without refrigeration for a 24-month shelf life. We recommend that Align be kept in the original blister package, as these materials were designed to protect the bacteria from the environment.
Product stability studies show that Align is effective through at least the "best by" date on the bottom flap of the box. Because Align does not need to be refrigerated, it is an ideal product for busy people who want to have the freedom to go where they want and do what they want.
Can I open the capsule and sprinkle the contents into my food or drink?
We designed the Align capsule to be swallowed whole, and for best results we recommend you take the capsule this way if you are able. If you are unable to swallow the capsule, it is OK to open the capsule and sprinkle the contents into a cold drink or food. We recommend that you do not sprinkle the contents into hot foods or beverages, and that you use the product immediately after mixing the contents.
We designed the Align capsule to be swallowed whole, and for best results we recommend you take the capsule this way if you are able. If you are unable to swallow the capsule, it is OK to open the capsule and sprinkle the contents into a cold drink or food. We recommend that you do not sprinkle the contents into hot foods or beverages, and that you use the product immediately after mixing the contents.
How many bacteria are in each capsule of Align?
Each Align capsule contains at least 1 x 109 colony-forming units (CFU) of live Bifantis bacteria at the time of manufacture (1 billion bacteria) and provides an effective level of bacteria (1 x 107) until at least the "best by" date.
Each Align capsule contains at least 1 x 109 colony-forming units (CFU) of live Bifantis bacteria at the time of manufacture (1 billion bacteria) and provides an effective level of bacteria (1 x 107) until at least the "best by" date.
Is Align like yogurt? How is it different from probiotic yogurts?
Align contains probiotic bacteria, similar to those in the active cultures of yogurt or fermented milk products. However, yogurt in the United States is not required to contain any live cultures, and tests have shown that some yogurt products have a wide range of levels of live bacteria. The delivery of probiotics in either yogurt or fermented milk is limited by the need for cold storage and an associated shorter shelf life. Additionally, many people may have trouble consuming sufficiently large quantities of these products.
BACK TO TOP ^Align contains probiotic bacteria, similar to those in the active cultures of yogurt or fermented milk products. However, yogurt in the United States is not required to contain any live cultures, and tests have shown that some yogurt products have a wide range of levels of live bacteria. The delivery of probiotics in either yogurt or fermented milk is limited by the need for cold storage and an associated shorter shelf life. Additionally, many people may have trouble consuming sufficiently large quantities of these products.
Health/Safety Questions
What are the side effects of Align?
In clinical studies, there was no difference in side effects between Align and placebo (e.g. sugar pill). Side effects, if they occur, tend to be mild and digestive in nature. As with other probiotics, in the first few days of taking Align, some consumers have reported experiencing some gas and bloating. This may be temporary while your system is adjusting to Align.
BACK TO TOP ^In clinical studies, there was no difference in side effects between Align and placebo (e.g. sugar pill). Side effects, if they occur, tend to be mild and digestive in nature. As with other probiotics, in the first few days of taking Align, some consumers have reported experiencing some gas and bloating. This may be temporary while your system is adjusting to Align.
Is Align habit forming?
No, Align is not habit forming.
No, Align is not habit forming.
Can I take Align if I am pregnant/breastfeeding/trying to become pregnant?
If you are pregnant or breastfeeding or trying to become pregnant ask a healthcare professional before using Align.
If you are pregnant or breastfeeding or trying to become pregnant ask a healthcare professional before using Align.
Is it safe to take Align every day?
Align is designed to be used once a day, every day, as part of your healthy lifestyle.
Align is designed to be used once a day, every day, as part of your healthy lifestyle.
Can I take Align if I am severely ill or immunocompromised?
If you are severely ill or immune-compromised ask a healthcare professional before using Align.
If you are severely ill or immune-compromised ask a healthcare professional before using Align.
I have lactose intolerance. Can I use Align?
Align does contain milk and sodium caseinate (milk protein) and may therefore contain trace amounts of lactose. If you are lactose intolerant, ask a healthcare professional if you have concerns about the use of Align
Align does contain milk and sodium caseinate (milk protein) and may therefore contain trace amounts of lactose. If you are lactose intolerant, ask a healthcare professional if you have concerns about the use of Align
Is there anybody who should not use Align?
Individuals who have allergies to milk or milk protein should not use Align, as Align contains both these ingredients.
BACK TO TOP ^Individuals who have allergies to milk or milk protein should not use Align, as Align contains both these ingredients.
The Align label says it contains milk. Can you explain?
Align contains milk and sodium caseinate (milk protein). Federal food regulations require dietary supplement manufacturers to mention on the label if any milk components may be present. If you are allergic to milk or milk protein, please consult a healthcare professional before using Align.
Align contains milk and sodium caseinate (milk protein). Federal food regulations require dietary supplement manufacturers to mention on the label if any milk components may be present. If you are allergic to milk or milk protein, please consult a healthcare professional before using Align.
Where-to-Buy Questions
Where can I purchase Align?
Align is available for purchase online or in stores nationally. If Align is not available on the shelf, Align can still be ordered through the pharmacy; just ask the pharmacist to order Align for you for in-store pickup. It should be delivered to the pharmacy within a day or two.
BACK TO TOP ^Align is available for purchase online or in stores nationally. If Align is not available on the shelf, Align can still be ordered through the pharmacy; just ask the pharmacist to order Align for you for in-store pickup. It should be delivered to the pharmacy within a day or two.
Miscellaneous Questions
My friend's doctor gave her a sample. How can I get a sample?
Align is being sampled to physicians across the country. Ask your doctor if he or she has samples of Align.
BACK TO TOP ^Align is being sampled to physicians across the country. Ask your doctor if he or she has samples of Align.
Why are there 28 capsules instead of 30 in a box?
One box of Align contains a four-week supply (28 days) to help you get into the habit of ordering your next box on the same day each month so you never have to be out of Align.
One box of Align contains a four-week supply (28 days) to help you get into the habit of ordering your next box on the same day each month so you never have to be out of Align.
Did the color of the printing on the capsule change? When?
The original Align capsules were printed with the word "Align" in blue. Starting around March 2009, the printing changed to green. In January 2011, we started to remove the printed word "Align" from the capsule. However, capsules with the printed word "Align" will be available in the market for several months. There is no other difference between the two capsules.
The original Align capsules were printed with the word "Align" in blue. Starting around March 2009, the printing changed to green. In January 2011, we started to remove the printed word "Align" from the capsule. However, capsules with the printed word "Align" will be available in the market for several months. There is no other difference between the two capsules.
How should I store Align? Will cooler temperatures affect the stability of Align? Will warmer temperatures affect the stability of Align?
To maximize the effectiveness of Align, we recommend that you store Align in its original blister pack. You should store the blister package at or below room temperature (24° C/75° F). We recommend that you do not put Align into other packages, including pill keepers.
When kept in the original packaging, cooler temperatures, including freezing, will not affect the stability of Align.
Align is stable at high temperatures for a short period of time (less than three months) when kept in the original packaging.
To maximize the effectiveness of Align, we recommend that you store Align in its original blister pack. You should store the blister package at or below room temperature (24° C/75° F). We recommend that you do not put Align into other packages, including pill keepers.
When kept in the original packaging, cooler temperatures, including freezing, will not affect the stability of Align.
Align is stable at high temperatures for a short period of time (less than three months) when kept in the original packaging.
After eating too much of my favorite foods, I occasionally have an upset stomach. Which product might be right for me?
Pepto-Bismol® is a stomach remedy / antidiarrheal medicine that provides relief for five stomach problems, including heartburn, nausea, indigestion, upset stomach, and diarrhea. Next time you experience an upset stomach as a result of overindulging or need diarrhea treatment , Pepto-Bismol has you covered.†
Pepto-Bismol® is a stomach remedy / antidiarrheal medicine that provides relief for five stomach problems, including heartburn, nausea, indigestion, upset stomach, and diarrhea. Next time you experience an upset stomach as a result of overindulging or need diarrhea treatment , Pepto-Bismol has you covered.†
I know I need more fiber in my diet. Which product might be right for me?
Metamucil® psyllium dietary fiber supplement products provide multiple health benefits in addition to promoting regularity.* Clinical studies have shown that, taken daily, 7 grams of soluble fiber from psyllium husk, the amount in three to four servings of Metamucil, can help reduce the risk of heart disease by lowering cholesterol.††
Metamucil® psyllium dietary fiber supplement products provide multiple health benefits in addition to promoting regularity.* Clinical studies have shown that, taken daily, 7 grams of soluble fiber from psyllium husk, the amount in three to four servings of Metamucil, can help reduce the risk of heart disease by lowering cholesterol.††
Ingredients Questions
When did you remove the language "this product does not contain lactose, soy, or gluten" from the Align label? Has Align changed?
The Align product has not changed. At this time, we do not test for lactose, soy or gluten in Align and as of October 2012 are no longer stating "this product does not contain lactose, soy, or gluten" on the label.
BACK TO TOP ^The Align product has not changed. At this time, we do not test for lactose, soy or gluten in Align and as of October 2012 are no longer stating "this product does not contain lactose, soy, or gluten" on the label.
Does Align contain soy?
We do not add any ingredients which would be expected to contain soy to Align. However, we cannot guarantee that Align is 100% soy free. If you have any concerns about taking Align, please consult a healthcare professional.
We do not add any ingredients which would be expected to contain soy to Align. However, we cannot guarantee that Align is 100% soy free. If you have any concerns about taking Align, please consult a healthcare professional.
What are the purposes of the other ingredients in Align?
Microcrystalline cellulose: For even dispersal of cultures (vegetable origin)
Hypromellose: Vegetarian capsule shell
Sucrose: Adds to formulation stability of bacteria
Magnesium stearate: For even dispersal of cultures
Sodium Caseinate: For culturing process
Titanium dioxide: To give an opaque appearance
Sodium citrate dihydrate: Adds to formulation stability of bacteria
Propyl gallate: Antioxidant stabilizer added to preserve the Align capsules
Microcrystalline cellulose: For even dispersal of cultures (vegetable origin)
Hypromellose: Vegetarian capsule shell
Sucrose: Adds to formulation stability of bacteria
Magnesium stearate: For even dispersal of cultures
Sodium Caseinate: For culturing process
Titanium dioxide: To give an opaque appearance
Sodium citrate dihydrate: Adds to formulation stability of bacteria
Propyl gallate: Antioxidant stabilizer added to preserve the Align capsules

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