With added citric acid. 100% pure premium. Not from concentrate. Sustainably grown. No GMOs. No alcohol. No added sugar. No gluten ingredients. 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: Add on tablespoon to flavor hot or cold beverages - juice or tea, natural spring water, or your favorite spirit. riverhillsharvest.com.