Supports Vaginal & Digestive Health. Designed to Survive Stomach Acid. Probiotic Supplement. Pearls® Easy to Swallow. Once Daily. Supports Immune and Urinary Tract Health. Howaru® Fortifies Women's Digestive Tract and Vaginal Flora. Protects against occasional bloating, constipation and digestive discomfort. Active Lactobacilli cultures to benefit intestinal and vaginal flora. Advanced triple-layer softgel survives stomach acid. The Smarter Probiotic™. Survives stomach acid to release in the intestine. No Refrigeration. Since 1969.