Lactulose is globally recognized as one of the most effective and safest treatments for constipation. Extensive research has found no evidence of mutagenic, genotoxic, or teratogenic effects from lactulose use as a laxative. Even with prolonged use, there's no risk of dependence or tolerance. As an isomer of milk sugar, lactulose passes unchanged through the gastrointestinal tract, reaching the colon intact. Here, it acts as a prebiotic, nourishing beneficial gut bacteria. Its breakdown increases osmotic pressure in the colon, leading to increased stool volume and softer consistency. This promotes easier, painless bowel movements by increasing fecal mass and reducing transit time.
US: temporary delays — postal services aligning new import rules, 
EU: 1–2 weeks, 🌍 Worldwide: 1–4 weeks ✈️