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Supplement

Elderberry (Sambucus nigra)

Anthocyanins and flavonoids enhance cytokine production, inhibit viral neuraminidase (flu), modulate innate immune response, and provide antioxidant protection.[1584,2613,3210, etc.]

Superscript reference numbers link to the Sources bibliography.

Moderate Evidence
Immune SupportRespiratoryalias: Sambucusalias: elderberry syrupalias: black elderberry

Composite Rating

3.1/5

Blends evidence depth, community direction, safety friction, and completeness.

Evidence Intensity

45/100

Moderate depth from human/RCT/meta counts

Community Direction

9

Mixed / Neutral • confidence High

Safety Friction

0/100

Sparse signal from adverse/interaction markers

Data Completeness

100%

Studies 3 • mentions 8 • links 5

Not medical advice. This product is for educational and informational purposes only. It does not diagnose, treat, cure, or prevent any disease and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition.

FDA disclaimer: These statements have not been evaluated by the Food and Drug Administration. Dietary supplements are not intended to diagnose, treat, cure, or prevent any disease. Results may vary. Not intended for use by pregnant or nursing women, individuals under 18, or those with known medical conditions without physician consultation.

If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Implementation Blueprint

Goal alignment: Immune Support, Respiratory.[1584,2613,3210, etc.]

Dose guide: 300-600 mg extract daily, or 15 mL syrup 4x/day during illness.[1584,2613,3210, etc.]

Category: botanical.[1584,2613,3210, etc.]

Category

Botanical

Evidence Tier

EMERGING

Daily Guide

300-600 mg extract daily, or 15 mL syrup 4x/day during illness

Dosing Guide

300-600 mg extract daily, or 15 mL syrup 4x/day during illness[1584,2613,, etc.]

At-A-Glance Evidence Architecture[1584,2613,3210, etc.]

Clinical Depth

Humans: 3 • RCTs: 2 • Meta: 1

Cohort / Real-World

Cohort signals: 0

Safety Markers

Adverse signals: 0 • Interactions: 0

Evidence Tracking

Freshness, trend, and study timeline for this item

Evidence Tracking

Status

Aging Evidence

Trend

· Limited trend data

Depth

3 total studies

Timeline

20042019

Top Signal Metrics[1584,2613,3210, etc.]

Total indexed

3

Human studies

3

Randomized trials

2

Meta-analyses

1

Cohort signals

0

Mechanistic signals

0

Community Direction Mix[6136]

Weighted direction score: 9 (Mixed / Neutral)

Benefit4 (50%)

Evidence Quality Summary[1584,2613,3210, etc.]

Total indexed

3

Human studies

3

Randomized trials

2

Meta-analyses

1

Cohort signals

0

Mechanistic signals

0

Study Type Breakdown

Distribution of evidence by study design strength

Meta-AnalysesLevel 1a1
Randomized TrialsLevel 1b2
All IndexedAll levels3
45

Evidence Strength: Moderate

Composite of study volume, RCTs, and meta-analyses

Top Human Studies[1584,2613,3210, etc.]

PMID 30670267 • 2019

Elderberry supplementation and upper respiratory symptoms: MA

META_ANALYSIS

Open PubMed

PMID 15080016 • 2004

Elderberry extract and influenza A/B: a randomized trial

RCT

Open PubMed

PMID 27023596 • 2016

Elderberry and immune function in air travelers: randomized trial

RCT

Open PubMed

Community Report Frequency[6136]

Benefit reports: 4

Adverse reports: 3

No-effect reports: 0

Mixed reports: 1

Unclear reports: 0

Signal confidence: 0.70

Top Reported Effects[6136]

Benefits

  • flu recovery: 1
  • cold shortening: 1
  • immune boosting: 1
  • kids love the syrup: 1

Adverse

  • expensive syrups: 1
  • sugar content in syrups: 1
  • taste: 1

No Effect

  • insufficient no-effect reports captured: 0

Best used at first sign of cold/flu for 3-5 days. Syrup form popular for children. Less evidence for ongoing prevention.

Community Evidence Examples[6136]

aggregate • benefit

Aggregate community signal: 8 directional mentions (benefit 4, adverse 3, no-effect 0, mixed 1).

Open mention

Retail Signal Examples

amazon

Amazon search for Elderberry (Sambucus nigra)

Rating: n/a | Reviews: n/a

Open product

Primary Source Links

Evidence Sources

  • https://pubmed.ncbi.nlm.nih.gov/30670267/
  • https://pubmed.ncbi.nlm.nih.gov/15080016/
  • https://pubmed.ncbi.nlm.nih.gov/27023596/
  • https://pubmed.ncbi.nlm.nih.gov/?term=Elderberry%20(Sambucus%20nigra)

Community Sources

  • https://www.reddit.com/search/?q=Elderberry%20(Sambucus%20nigra)

Scientific Evidence Notes[1584,2613,3210, etc.]

1. Elderberry supplementation and upper respiratory symptoms: MA

PUBMED • 2019 • Human evidence curation set

PMID 30670267 from META_ANALYSIS.

Outcome: See linked PubMed abstract for methods and outcomes.[1584,2613,3210, etc.]

Open source
2. Elderberry extract and influenza A/B: a randomized trial

PUBMED • 2004 • Human evidence curation set

PMID 15080016 from RCT.

Outcome: See linked PubMed abstract for methods and outcomes.[1584,2613,3210, etc.]

Open source
3210

Safety and Pitfalls

  • Only use commercially processed elder. Raw/uncooked elderberries contain cyanogenic glycosides. Not a substitute for antivirals/vaccination.[1584,2613,3210, etc.]
  • Potential side effect: mild GI upset[1584,2613,3210, etc.]
  • Potential side effect: allergic reactions (rare)[1584,2613,3210, etc.]
  • Use caution with condition: autoimmune disorders (theoretical immune stimulation)[1584,2613,3210, etc.]
  • Interaction check: immunosuppressants[1584,2613,3210, etc.]
Adverse
3 (38%)
No Effect0 (0%)
Mixed1 (13%)
3. Elderberry and immune function in air travelers: randomized trial

PUBMED • 2016 • Human evidence curation set

PMID 27023596 from RCT.

Outcome: See linked PubMed abstract for methods and outcomes.[1584,2613,3210, etc.]

Open source