Rankings / Immune

Elderberry (Sambucus nigra)

Immune · Anthocyanin-rich extract

Tier C+

polyphenolanti-inflammatoryotc
5.3 / 10
Tier C+
Ev 3.0 Bn 3.5 Sf 9.0 Ax 10.0

What this is

Popular flu-season supplement with modest but consistent small-trial signal. COVID-era cytokine storm warnings were largely overblown. Use commercially prepared products (syrup, lozenge, capsule) — never raw/unripe berries, which are toxic.

Mechanism

Anthocyanin-rich berry extract (cyanidin-3-glucoside and derivatives); proposed antiviral activity against influenza via hemagglutinin binding; anti-inflammatory

Dose & route

10-15 mL syrup 2-4x/day (Sambucol standard) or capsule equivalent

This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.