Made from RHH 100% pure premium elderberry juice with added citric acid. Not from concentrate. Sustainably grown. No GMOs. No alcohol. Sweetened with honey. Gluten-free ingredients. 22 tablespoons. Nature's Medicine Chest - Hippocrates. Farmer grown. Farmer owned. Juice cold pressed from native ElderBerry varieties. Selected from wild plants. Grown by local farmers. Processed in the Midwest. An Earth-friendly product. riverhillsharvest.com.