Elderberries, like a few other herbs, have different qualities extracted in both water & alcohol. In this combined double extract blend, you get the best of both methods! Think of it like Elderberry syrup on steroids :) A strong decoction of Elderberries (Sambucus canadensis) in filtered spring water & a high concentration alcohol extraction (tincture) of another set of berries, combined with local hudson valley honey for sweetness. It’s an integral ally for cold & flu season and immune system health. Super delicious and great for those who don’t love the high alcohol concentrations of our other remedies. Comes in a 2 oz amber bottle.