Yes a required $99/month membership, separate from the advertised medication price
10.3389/fnbeh.2021.675206 Summary Keywords microbiotagutbrain axis, neurodegenerative diseases, microplastics, gut dysbiosis, neuropsychiatric disorders, microbiome-based interventions, neuroinflammation Citation Yassin LK, Skrabulyte-Barbulescu J, Alshamsi SH, Saeed S, Alkuwaiti SH, Almazrouei S, Alnuaimi A, BaniYas S, Aldhaheri D, Alderei M, Shehab S and Hamad MIK (2025) The microbiotagutbrain axis in mental and neurodegenerative disorders: opportunities for prevention and intervention
Patients should plan for the program to end on December 31, 2027 unless extended
And if you are not replacing it adequately you will continually gain weight and/or have difficulty losing weight (usually both)