Written by Darren Grant (Founder, Probiotic.ie) • Reviewed by the Probiotic.ie Editorial Team • Reviewed for accuracy and sourcing
Last updated: December 2025
Medical disclaimer: This article is for information only and does not replace advice from a GP, pharmacist, gastroenterologist, IBD nurse, or your clinical team in Ireland.
TL;DR – Quick answer for Ireland
CDS22-formula sachets contain the original De Simone Formulation, an 8-strain, 450 billion CFU high-potency probiotic that has been studied in chronic intestinal conditions since the 1990s.1
Optibac Every Day is a multi-strain daily capsule that provides 5 billion live cultures per capsule plus FOS fibres, positioned as an everyday supplement for gut and immune support in the general population (not as a high-dose IBD product), based on Optibac’s own product information.2
The two products differ in delivery format (sachet vs capsule), CFU strength (450 billion vs 5 billion), strain profile (8 vs 6 strains) and clinical heritage. They are not interchangeable. Any decision to use either product should be discussed with a qualified healthcare professional.
Quick answer for Ireland
CDS22-formula vs Optibac Every Day – At a Glance
- Format: CDS22 is a high-dose sachet mixed with water; Optibac Every Day is a low-dose daily capsule.
- CFU strength: CDS22 is 450 billion CFU per sachet; Optibac Every Day is 5 billion CFU per capsule (about 90 times lower CFU per dose).
- Strains: CDS22 is 8 specific strains in the original De Simone Formulation; Optibac is 6 strains plus FOS fibres.
- Positioning: CDS22 is a high-potency food supplement used alongside standard care in published IBD/IBS studies; Optibac Every Day is a general daily probiotic, marketed for everyday gut and immune support.
- Best fit (plain-English): CDS22 is often chosen when someone wants to match the high-dose De Simone research approach; Optibac Every Day is often chosen as a low-dose daily probiotic for general use.
- For readers in Ireland: treat both as food supplements used alongside medical care, not instead of prescribed medicines.

What this guide covers
This Ireland-focused guide explains the factual differences between CDS22-formula sachets and Optibac Every Day capsules. It covers:
- How the formulations and strains differ
- Why CFU strength varies so much (450 billion vs 5 billion)
- What is known about the clinical heritage of the De Simone Formulation
- How Optibac Every Day is positioned as a daily probiotic
- Practical questions to discuss with a GP, pharmacist, or gastroenterologist in Ireland
This article is informational only. It does not recommend one brand as medically “better” and does not replace advice from your own doctor or IBD team.
Quick comparison – CDS22 sachets vs Optibac Every Day capsules
The table below summarises the main differences for readers in Ireland.
| Feature | CDS22-formula 450 Billion Sachets | Optibac Every Day Capsules |
|---|---|---|
| Format | Powder sachet mixed with cold water and consumed immediately. | Vegetarian capsule swallowed with water. |
| Main positioning | High-dose multi-strain probiotic food supplement based on the original De Simone Formulation, studied as an adjunct to standard care in UC, pouchitis and IBS.1 | Daily multi-strain probiotic for general gut and immune support, based on Optibac’s product information and label details.2 |
| CFU strength per daily serving | 450 billion CFU per sachet. | 5 billion CFU per capsule (about 90× lower than a CDS22 sachet). |
| Strain count | 8 bacterial strains in the De Simone Formulation. | 6 bacterial strains plus FOS fibres (fructo-oligosaccharides). |
| Example strains | Streptococcus thermophilus, Bifidobacterium breve, B. longum, B. infantis, Lactobacillus acidophilus, L. plantarum, L. paracasei, L. delbrueckii subsp. bulgaricus.1 | Lactobacillus rhamnosus Rosell-11, Lactobacillus acidophilus/helveticus Rosell-52, Bifidobacterium longum Rosell-175, Bifidobacterium breve Rosell-70, Bifidobacterium bifidum Rosell-71, Lactococcus lactis Rosell-1058, plus 88 mg FOS fibres per capsule (per Optibac label).2 |
| Clinical heritage | De Simone Formulation has multiple RCTs and observational studies in UC, pouchitis and IBS. It is conditionally recommended in some pouchitis guidance as an option for preventing recurrence in specific settings.3 | Optibac highlight research on individual strains and general probiotic evidence, but there is less publicly discussed trial data on the exact “Every Day” blend as a named formulation compared with the De Simone Formulation. |
| Regulatory status | Food supplement, not a medicine. Used alongside standard care. | Food supplement, not a medicine. Marketed for general daily use. |
Key takeaway: CDS22 and Optibac Every Day sit in different categories. One is a very high-dose multi-strain supplement with an IBD research history, the other is a lower-dose daily capsule for general use.
Looking for the full CDS22-formula range in Ireland?
You can view the complete Irish range here:
1. Formulations in more detail
CDS22-formula – original De Simone Formulation in sachet form
CDS22-formula sachets sold on Probiotic.ie contain the original De Simone Formulation, a patented 8-strain blend developed by Prof Claudio De Simone. The same formulation has appeared historically under other brand names and has been used in clinical trials for ulcerative colitis, pouchitis and IBS since the 1990s.1, 3
- Strains: 8 strains from the genera Lactobacillus, Bifidobacterium and Streptococcus.
- Strength: 450 billion CFU per sachet.
- Format: Powder mixed with cold water and taken immediately.
- Use in studies: Investigated as an adjunct to standard medical care, not as a replacement for prescribed treatment.
Optibac Every Day – daily capsule for general use
Optibac Every Day (formerly “For Every Day”) is positioned as a flagship daily probiotic in the UK and Ireland. Based on Optibac’s product information, each capsule provides 5 billion live cultures plus 88 mg FOS fibres and is intended for everyday gut and immune support, rather than as a high-dose IBD protocol.2
- Strains: 6 strains including L. rhamnosus Rosell-11 and B. longum Rosell-175, plus L. acidophilus/helveticus, B. breve, B. bifidum and Lc. lactis.
- Strength: 5 billion CFU per capsule.
- Format: Once-daily capsule swallowed with water. Check the current label for timing, age guidance, and suitability notes.
- Added fibres: FOS prebiotic fibres (88 mg) per capsule.
2. CFU strength and daily dose – 450 billion vs 5 billion
A common question in Ireland is why CDS22 sachets contain so many more bacteria than a typical capsule product such as Optibac Every Day.
| Product | Approx. CFU per daily serving | Relative dose |
|---|---|---|
| CDS22-formula sachet | 450 billion CFU | Reference / 1.0 |
| Optibac Every Day capsule | 5 billion CFU | About 1⁄90 of a CDS22 sachet dose |
Higher CFU counts do not automatically mean a product is “better”, but they do reflect a different design philosophy. CDS22 sachets are formulated as a high-dose multi-strain supplement similar to the doses used in published IBD and IBS trials. Optibac Every Day capsules are closer to the doses used in many mainstream daily probiotics aimed at the general population.
How to interpret CFU numbers
- CFU tells you how many live bacteria are present at the end of shelf life, not how they will behave for every individual.
- Clinical outcomes depend on the specific formulation, the strains, and the condition being studied.
- Studies with the De Simone Formulation used high doses similar to a CDS22 sachet. Results cannot be transferred to lower-dose products with different strains.
3. What does the evidence say?
Evidence for the De Simone Formulation (CDS22)
The original De Simone Formulation has been evaluated in multiple clinical trials and observational studies in ulcerative colitis, pouchitis and IBS.1, 3
- Improved remission and relapse rates in some studies of mild to moderate ulcerative colitis when used alongside 5-ASA therapy.
- Reduced risk of recurrent pouchitis in patients with IPAA when taken after antibiotics.
- Symptom improvements (for example bloating and stool frequency) in some IBS trials.
The American Gastroenterological Association technical review discusses probiotic use in pouchitis and includes the De Simone Formulation among the better-studied options in specific settings, while noting that recommendations remain conditional and patient-specific.3
Evidence for Optibac Every Day
Optibac refer to research on some of the individual strains in the Every Day formula and to general probiotic evidence for gut and immune health.2 Compared with the De Simone Formulation, there is less publicly discussed clinical trial data on the exact “Every Day” blend as a named formulation. Much of the messaging focuses on:
- Use as an everyday supplement for adults and teens.
- Suitability notes (for example pregnancy and breastfeeding), subject to medical advice and the current label guidance.
- General gut and immune support, rather than IBD-specific outcomes.
This does not mean the product is ineffective. It means the type and depth of evidence differs from that behind the De Simone Formulation.
Independent evidence sources
- De Simone Formulation – official scientific site – strain identity, clinical history and published trials.
- PubMed – search the published research literature.
- Optibac Every Day – official product page – strain list, CFU count and usage instructions.
4. Practical considerations for readers in Ireland
Daily routine
- CDS22-formula sachets: Mix one sachet with cold water and drink immediately, usually once a day or as directed by a clinician.
- Optibac Every Day: Take one capsule daily with water. Check the current label for timing and age recommendations.
Storage and handling
- CDS22-formula: Store in the fridge long-term, following the on-pack instructions.
- Optibac Every Day: Store in a cool, dry place and avoid high temperatures, as per the label.
Who typically chooses which product?
This is not a recommendation, but common patterns seen in questions include:
- CDS22-formula sachets: chosen by people who want to align with the high-dose De Simone Formulation research approach, often after discussion with a gastroenterologist or IBD nurse.
- Optibac Every Day: chosen by people looking for a lower-dose daily capsule from a familiar brand as a general starting point.
Important medical note
Neither CDS22-formula nor Optibac Every Day is a medicine. Do not stop or change prescribed treatment for ulcerative colitis, Crohn’s disease, pouchitis or IBS without speaking to your clinical team. Probiotics should be considered an add-on to standard care, not a replacement.
5. Frequently asked questions (Ireland)
Are CDS22-formula and Optibac Every Day the same type of probiotic?
No. CDS22-formula contains the original De Simone Formulation, an 8-strain, 450 billion CFU probiotic blend supplied as a powder sachet. Optibac Every Day is a 5 billion CFU capsule with different strains and added FOS fibres. They are not interchangeable.
Which is stronger, CDS22-formula or Optibac Every Day?
CDS22-formula provides 450 billion CFU per sachet. Optibac Every Day provides 5 billion CFU per capsule. This is roughly a 90× difference in CFU strength.
Is Optibac Every Day clinically equivalent to the De Simone Formulation?
No. Clinical studies on the De Simone Formulation cannot be transferred to other probiotics. Each product has different strains, ratios and manufacturing processes.
Which product is better for IBS?
Neither product is a treatment for IBS. Some people prefer high-dose multi-strain sachets, others prefer lower-dose capsules. Any decision should be based on tolerance, cost, and discussion with a healthcare professional.
Can either product replace prescribed medicines?
No. Both are food supplements. In research, probiotics were used alongside prescribed therapies, not instead of them.
How long should I try a probiotic before deciding if it helps?
Many clinical studies run 4 to 12 weeks. A trial period should be agreed with a GP or specialist, especially for readers with IBD.
Where can I buy CDS22-formula in Ireland?
CDS22-formula products for Ireland are available via Probiotic.ie.
Summary
CDS22-formula sachets and Optibac Every Day capsules serve different purposes. CDS22 provides a very high-dose, 8-strain formulation aligned with published De Simone research, while Optibac Every Day is a lower-dose daily capsule designed for general use. They are not interchangeable and should be used alongside medical care, not instead of it.
Related reading
- CDS22-formula vs Symprove (Ireland)
- CDS22-formula vs VSL#3 (Ireland)
- CDS22-formula vs Vivomixx Neo (Ireland)
About the Author
Darren Grant is the founder of Probiotic.ie and the authorised Irish distributor of CDS22-formula. He specialises in probiotic retail for the Irish market, regulatory compliance, strain-level formulation analysis and microbiome product education.
Scientific references and sources
- Official De Simone Formulation scientific site
- Optibac Every Day – product page and strain list
- American Gastroenterological Association publications (for guideline and technical review context)
Learn more about CDS22-formula in Ireland
You can view the full CDS22-formula range for Ireland here:
See what customers across Ireland are saying about CDS22-formula:
This comparison is independent and informational, based solely on publicly available scientific and manufacturer data.