Unlike other commercial brands, our elderberry syrup is made with all natural, organic ingredients. No artificial sugar, preservatives, or thickening agents. It is pure, natural and smooth in texture. This affordable and effective syrup is proudly made in the USA and is USDA Certified Organic. Our syrup is the consistency of a juice, which does not affect its concentration or effectiveness. Since it is not thick like cough syrup, kids enjoy taking it! The 12oz bottle is made with a BPA free plastic. Disclaimer: This product is not intended to diagnose, treat, cure, or prevent any disease.