Shelf-Stable Bacillus Probiotics, Xylitol, and Sorbitol: What the Research Says About the Ingredients in CHF #35C Probiotic (Chewable)

By Jenn Resendiz

CHF #35C chewable probiotic tablets bottle with the Country Health logo

Chewable probiotics are popular with families because they skip the capsule and the refrigerator. CHF #35C Probiotic (Chewable) 120 Tablets uses spore-forming Bacillus bacteria, which are naturally more shelf-stable than many probiotics, in a sweetened chewable base. Here is what the research says about its ingredients.

Full ingredient list (per 1 tablet): shelf-stable probiotic blend of 2 billion CFU Bacillus coagulans, Bacillus subtilis, and Bacillus clausii. Other ingredients: xylitol, sorbitol, citric acid, natural flavor, stevia leaf extract, stearic acid. The label suggests one or two tablets daily. It does not list strain designations, the CFU of each species, or an age range.

Why are Bacillus spores shelf-stable?

Most probiotic bacteria are fragile: heat, moisture, and stomach acid can kill them, which is why many products need refrigeration. Bacillus species can form spores, a dormant state with a tough outer coat. A 2017 scientific review explains that spore-forming bacilli have greater tolerance and survival in the harsh environment of the digestive tract and are more stable during processing and storage than many other probiotics. That stability is what makes a room-temperature chewable tablet practical.

The NIH Office of Dietary Supplements (ODS) notes that probiotics must be alive to work and can die during shelf life, so labels should state the CFU count through the end of shelf life. CHF #35C lists 2 billion CFU per tablet, or up to 4 billion at two tablets. ODS says many products contain 1 to 10 billion CFU per dose, and higher counts are not necessarily more effective.

What does the research say about Bacillus clausii for children?

Bacillus clausii has the most pediatric research of the three species. A 2018 meta-analysis of six randomized trials involving 1,298 children with acute diarrhea found that B. clausii shortened diarrhea by about 9 hours on average and shortened hospital stays by less than a day compared with control. Stool frequency showed only a non-significant trend toward improvement. One author was employed by a pharmaceutical company (Sanofi).

CHF #35C combines B. clausii with two other species and does not identify its strains, so the trial results suggest potential but do not prove the same effect. A child with severe or persistent diarrhea should be seen by a clinician rather than treated with a supplement alone.

What about Bacillus coagulans and Bacillus subtilis?

Bacillus coagulans has been studied mostly in adults with irritable bowel syndrome, where specific strains ranked well for abdominal pain in a 2023 network meta-analysis. Bacillus subtilis is widely used in fermented foods, but human probiotic trials are limited. A 2022 review titled “Bacillus spore-forming probiotics: benefits with concerns?” points out that the safety and value of Bacillus probiotics must be judged strain by strain. In short, the species in CHF #35C are credible probiotic candidates, but the evidence for children in particular centers on B. clausii.

Can xylitol and sorbitol cause stomach upset?

Xylitol and sorbitol are sugar alcohols (polyols) that sweeten the tablet without sugar. A 2016 review of sugar alcohols explains that they can cause gas and osmotic diarrhea, at least in people who are not used to them, and that the effect depends on the person and the type of polyol. Xylitol is better tolerated than sorbitol and similar polyols, and the body can adapt over time. The amounts in one or two small tablets are unlikely to cause problems for most people, but children who also eat sugar-free gum, candy, or other sweetened products may be more likely to notice loose stools.

The remaining ingredients (stevia leaf extract, citric acid, natural flavor, and stearic acid) serve as sweetener, flavoring, and tableting aids.

Why should dog owners be careful with xylitol?

FDA warns that xylitol can be poisonous to dogs. In people, xylitol does not trigger insulin release, but in dogs it is absorbed quickly and can cause a powerful insulin surge and a rapid, dangerous drop in blood sugar, sometimes within 10 to 60 minutes. Signs include vomiting, weakness, staggering, collapse, and seizures. FDA specifically lists children’s and adult chewable vitamins and dietary supplements among products that may contain xylitol. Keep CHF #35C well out of reach of pets, and call your veterinarian or an animal poison control center right away if a dog eats any.

How do these ingredients work together, and who should ask a clinician first?

The spore-forming probiotics provide stability and a chance of surviving the stomach, while xylitol, sorbitol, and stevia make the tablet pleasant to chew without sugar. The result is a convenient, room-temperature probiotic. Its limits are the undisclosed strains and the modest research base for everyday use in healthy children.

Who might consider it: adults or children who have trouble swallowing capsules and want a shelf-stable probiotic, after checking with their clinician or pediatrician.

Who should ask a clinician first:

  • Parents of infants and young children. NCCIH reports severe or fatal infections in premature infants given probiotics, and FDA has warned health care providers about this risk.
  • Anyone who is seriously ill or has a weakened immune system, where NCCIH says the risk of harm is greater.
  • People who get loose stools from sugar alcohols, or who follow a low-FODMAP diet.
  • Pregnant or breastfeeding women.

ODS notes that side effects in healthy people are usually minor and short-lived, such as gas.

Frequently asked questions

How is CHF #35C different from CHF #35 Plus Probiotic?

#35C is a chewable tablet with 2 billion CFU and no added prebiotics. #35 is a capsule with 5 billion CFU plus FOS and inulin. Both use Bacillus coagulans, subtilis, and clausii.

Does CHF #35C need refrigeration?

The label calls it a shelf-stable blend, and Bacillus spores are generally stable at room temperature. Keep it cool and dry.

Is CHF #35C safe for kids?

The label does not give an age range. Ask your pediatrician before giving any probiotic to a child, especially an infant or a child with a medical condition.

Is xylitol safe for people?

Yes, in normal amounts, though large amounts can cause gas or loose stools. It is dangerous for dogs, so store tablets out of their reach.

Add CHF #35C Probiotic (Chewable) to your cart or view the full product page and label.

Sources

  1. Elshaghabee FMF, et al. Bacillus as potential probiotics: status, concerns, and future perspectives. Front Microbiol. 2017
  2. Todorov SD, et al. Bacillus spore-forming probiotics: benefits with concerns? Crit Rev Microbiol. 2022
  3. NIH Office of Dietary Supplements. Probiotics: Fact Sheet for Health Professionals
  4. Ianiro G, et al. Bacillus clausii for the treatment of acute diarrhea in children: systematic review and meta-analysis. Nutrients. 2018
  5. Xie P, et al. Outcome-specific efficacy of different probiotic strains and mixtures in irritable bowel syndrome: network meta-analysis. Nutrients. 2023
  6. Mäkinen KK. Gastrointestinal disturbances associated with the consumption of sugar alcohols with special consideration of xylitol. Int J Dent. 2016
  7. U.S. Food and Drug Administration. Paws Off Xylitol; It’s Dangerous for Dogs
  8. NCCIH. Probiotics: Usefulness and Safety

Medical disclaimer

This article is for general education only. It is not medical advice, and neither this article nor the product it discusses is meant to diagnose, treat, cure, or prevent any disease. Statements about dietary supplements have not been evaluated by the Food and Drug Administration. Talk with your doctor, pharmacist, or another qualified health professional before starting any supplement, especially if you are pregnant or breastfeeding, take prescription or over-the-counter medicines, or have a medical condition.

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