Dear Trish,
I would finish the Azodyl you already have despite the lack of refrigeration. Once completed perhaps consider a full spectrum probiotic or "friendly bacteria" supplement available online, through veterinarians and at retail. You will find that you are able to choose from several good probiotic products many of which are equal or superior in effectiveness and available at a much lesser cost.
If we can help further please feel free to contact our office directly.
Thank you
Dr Carol Osborne, DVM
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