The best replacement for grapefruit seed extract is grape seed extract.

The best alternatives to grapefruit seed extract are rated as following:
★★★★★  grape seed extract
★★★★  grapefruit seed oil
★★★  oregano oil
★★★  grapefruit essential oil
★★★  grapefruit juice
★★  colloidal silver
★★  grapefruit extract
★  oil of oregano
★  olive leaf extract
  gse
  grapeseed extract

Your alternative for grapefruit seed extract is not listed? Suggest!
Speaking about grapefruit seed extract, one probably shouldn't forget about thrush.

Other search terms related to grapefruit seed extract and their ratings are:
★★★★★ thrush
★★ neti pot
★ benzethonium chloride
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