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I did some research on this a few weeks ago when I ordered some Innate 20-14 from the states to the UK. I researched the lack of ice too, and found a comment on amazon from someone who had contacted Innate directly and who had been assured that it’s fine without being refrigerated for up to 7 days.
I haven’t contacted them to check this for myself, but it took 3 days to arrive for me, I put it straight in the fridge when it did, and it’s working fine so far so I guess not enough have died to make a difference.