This may be due to the presence of anthocyanins, which are polyphenols that have demonstrated antioxidant and anti-inflammatory activities. J Nutr 2009;139:2266-71. The CDC's Agency for Toxic Substances and Disease Registry reported that high levels of cyanide exposure within a short time can damage your heart and brain and may even lead to coma and death. Its content of bioflavonoids, antioxidants and vitamin A makes it awesome for skin health. Each subject took elderberry supplements during their respective study. Sambucus nigrais the full scientific name of the most common variety used for medicinal purposes, as well as the species on which themajority of scientific research has been conducted. Side effects are rarely reported and are very mild and manageable. Both the elder flower and the berryhave traditionally been used totreat diabetes. There is no safety data on the use of elderberry in children under 5 years of age. If youre pregnant or breastfeeding, dont take this herb, as research is lacking on its effects on fetal health and development. If you prepare the product incorrectly, you could experience nausea, vomiting and a serious case of diarrhea. BMC Complement Med Ther. Whether were talking cavemen, ancient Egyptians or ancient Greeks, this remedy definitely goes way back, which is why its no wonder its known as one of the top antiviral herbson the planet. This article is based on scientific evidence, written by experts and fact checked by our trained editorial staff. Just be sure not to purchase one that has too much added sugar. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Chronic obstructive pulmonary disease (COPD), Flu (influenza). Plant J 1997;12:1251-60. Most of the trials done have been funded by the company that makes the supplement, possibly leading to bias in the results. One of the most well-studied elderberry supplement benefits is its powerful immune-boosting properties. Intense stress can also affect your period. Read more: 8 Foods That Boost Your Immune System. Researchers found that both lipophilic and polar extracts of the berry lowered insulin resistance in rats with type 2 diabetes. You can buy dried berries online and in health food stores. Elder is commonly found growing in woodlands and hedgerows. These studies lead us to the conclusion that elderberries may temporarily increase inflammation to fight against diseases. Copyright 1996-2023 Cerner Multum, Inc. Commercially made elderberry supplements shouldnt contain cyanide, so theyre considered safe for daily use. Commercial preparations rarely cause adverse reactions, according to Drugs.com. 12 This includes: There is no data evaluating elderberry safety in people who are pregnant or breastfeeding. Most elderberry syrup recipe options out there involve simmering elderberries with a bit of water and a variety of other healing herbs for 45 minutes to an hour. Sometimes, good things do come in small packages. J Funct Foods. In addition to black elderberry, there are several other varieties available as well. This is a safe and effective amount for general health and wellness, reducing inflammation, and supporting immunity. But, is elderberry good for thyroid disorders and autoimmune diseases? The bodys immune system can sometimes mistake its cells for foreign invaders and start to attack them in a form of self-sabotage. This can cause nausea, vomiting, and diarrhea, or more serious side effects if consumed in large quantities. Although some studies suggest that elderberry can provide some symptom relief, larger-scale research is needed in order to prove the efficacy of using elderberry syrup for colds. Keep in mind that your body might interpret elderberry as a diuretic, causing you to urinate more frequently. But it may cause: Get medical attention if you develop these symptoms after consuming elderberry. Compend.Contin.Educ.Dent. Who should not take elderberry? However, even if supplements are third-party tested, that doesn't mean they are necessarily safe for all or effective in general. Online Journal of Pharmacology and Pharmacokinetics 2009;5:32-43. Select a condition to view a list of vitamins. * Elderberry supplements and syrups can be taken daily if they are made by reputable companies. This heterogeneous composition allows the berries to harness a range of health benefits. By Jennifer Lefton, MS, RD/N, CNSC, FAND For professional medical information on natural medicines, see Natural Medicines Comprehensive Database Professional Version. If you make your own syrup, rather than buying it in a health food or grocery store, you can safely store it in the refrigerator for three months. If you decide to proceed with elderberry for thyroid support, there are three ways you can squeeze more into your diet. Biology (Basel). There is no significant evidence to support that it may exacerbate the immune system. Elderberry Supplementation Reduces Cold Duration and Symptoms in Air-Travellers: A Randomized, Double-Blind Placebo-Controlled Clinical Trial. A review of the antiviral properties of black elder (Sambucus nigraL.) products. are clickable links to these studies. If you are considering using elderberry, talk to your healthcare provider or pharmacist about whether it is an appropriate supplement for you. Roschek B, Fink RC, McMichael MD, et al. This can cause nausea, vomiting, and diarrhea, or more serious side effects if consumed in large quantities. Unripe or unprocessed berries, as well as other parts of the plant, should not be consumed as they can be poisonous. Localized reduction of gingival inflammation using site-specific therapy with a topical gingival patch. Researchers found that elderberry may reduce the duration and severity of symptoms related to colds and influenza, and theres no evidence that it overstimulates the immune system. Even ripe berries can contain trace amounts, so you must cook elderberries before consumption. However, there is not enough evidence to support these claims. Exp Pathol Health Sci. Elderberries contain many vitamins and nutrients that can benefit people's health. Reportedly, the possibility of a cytokine storm due to COVID can worsen the inflammation and dysfunction of the thyroid. 2020 Sep 14. doi: 10.1007/s11606-020-06170-w. View abstract. Health benefits of the elder plant include naturally improving: Research published in the Journal of International Medical Research suggests that when its used within the first 48 hours of onset of symptoms, the plant may even help relieve and shorten the duration of cold and flu. For example, several forms are marketed for immune support, and they also contain vitamin C, zinc, vitamin A, or vitamin E. This is especially important with elderberry products. Barak V, Halperin T, Kalickman I. In a 2019 study on elderberry for cold and flu, elderberry appeared to reduce the duration of upper airway symptoms caused by the flu when taken at the onset of symptoms. Frank T, Sonntag S, Strass G, Bitsch I, Bitsch R, Netzel M. Urinary pharmacokinetics of cyanidin glycosides in healthy young men following consumption of elderberry juice. Look for supplements with a USP, NSF, or ConsumerLab label indicating they can be trusted to contain the listed ingredients. If we consider elderberry and autoimmune diseases outside the thyroid, elderberry has shown itself to be great for inflammation and immune support. 5 Reasons to Add Lamb Meat to Your Diet, St. Johns Wort Benefits for Depression, PMS & Menopause, Immunosuppressants, includingcorticosteroids (prednisone), and medications used to treat autoimmune diseases. Van Damme EJ, Roy S, Barre A, et al. In addition, stay alert for potential elderberry side effects. Poisoning from elderberry juice. View abstract. Picon PD, Picon RV, Costa AF, et al. The different species ofSambucusarecommonly called elderberry or elder. View abstract. One study published in theJournal of Medicinal Foodcompared theanticancer properties of European and American elderberry fruits. In traditional or folk medicine, the elder plant was used as a laxative to relieve constipation. Supplements can be purchased at many health stores or made at home. Common side effects of elderberry may include: nausea, vomiting; stomach cramps; diarrhea; or runny nose. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Curr Ther Res Clin Exp. Unripened, raw elderberries can release toxins into your body. Do not give any herbal/health supplement to a child without medical advice. What is elderberry most commonly used for? Clinical effectiveness of a combination of black elder berries, violet herb, and calendula flowers in chronic obstructive pulmonary disease: the results of a double-blinded placebo-controlled study. Elderberry may also be used for purposes not listed in this product guide. One group was given four doses of 175-milligram proprietary elderberryextract daily, and the other group received a placebo for two days. It also contains flavonoids, which have antioxidant propertiesthat canhelp prevent cell damage, andanthocyanidins, which are chemical compounds that are known to have immune-boosting properties. Use exactly as directed on the label, or as prescribed by your healthcare provider. However, some groups of people should avoid elderberry. Phytother Res 2008;22:913-8. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. It also plays a major role in the growth, development, and functioning of the heart, digestive tract, and muscles. American elderberry ( Sambucus canadensis ) is more shrub-like and can grow up to 8 to 10 feet high, while European black elder ( Sambucus nigra) has the makings of a small tree and will reach 20 feet. This can cause nausea, vomiting, and diarrhea, or more serious side effects if consumed in large quantities. Since allergies involve an overreaction of the immune system as well as inflammation, research suggests that the herbs ability to improve immune function and calm inflammation can help provideallergy relief. Elderberry also figures prominently in Native American medicine. Thus, elderberries show potential as cancer-fighting foods. Other proposed uses of elderberry have not been supported by research. In fact, Bastyr University recommends that you consume 1 tablespoon of elderberry syrup every day. J Diet Suppl. 2023 DIVINITY NUTRA, ALL RIGHTS RESERVED. 2010 Jan;24(1):1-8. Elderberry can increase the activity of the immune system. The symptoms are similar to the more frequently occurring diseases, so diagnosing and treating the problem isnt always straightforward. Elderberry is a type of plant that is cultivated for its medicinal properties and used to treat a variety of conditions. Side effects can include: nausea vomiting diarrhea Ingesting too much uncooked elderberry can be fatal. Right below the center of your throat lies a butterfly-shaped organ called the thyroid gland. Not a fan of hot teas or black elderberry syrup? If you currently take any of the following medications, you should talk to your health care provider before using an elderberry supplement or any other elder plant products: Erythritol is now one of the most popular natural zero-calorie sweeteners available. A 2016 study published in Nutrients showed that elderberry supplementation was able to reduce cold duration and symptoms in people using air travel. No supplement is intended to treat, cure, or prevent disease. 2015;20;77:66-72. doi: 10.1016/j.curtheres.2015.04.001. 2017;31(4):533-554. doi:10.1002/ptr.5782, Wieland LS, Piechotta V, Feinberg T, et al. It is well adapted to a wide range of habitats. Some researchers suspect that this compound may improve skins structure and condition to enhance overall skin health. Therapeutic Research Faculty 2018. If you have a preexisting thyroid condition, its best to speak with a doctor before adding elderberry into your treatment regimen. Common side effects of Elderberry include: This document does not contain all possible side effects and others may occur. However, there is some conflicting evidence from in vivo and in vitro studies to suggest that excessive flavonoid intake can interfere with certain aspects of thyroid hormone synthesis. 2012;33:204-11. However, the U.S. National Library of Medicine highlights a February 2019 meta-analysis of controlled, randomized clinical trials on elderberry use for cold and flu symptoms. 2018;40:377-390. doi:10.1016/j.jff.2017.11.025, Porter RS, Bode RF. Not only that, but researchers also suspect thatacompound found in theberry could give a natural boost to skin. Discontinue use and contact your physician if you experience . Other parts of the plant should be avoided as they contain a naturally occurring chemical compound called cyanogenic glycoside, which releases the poison hydrogen cyanide. If your symptoms continue to worsen, you should seek medical attention. View abstract. Effect of an herbal mouth rinse in preventing periodontal inflammation in an experimental gingivitis model: a pilot study. There is no safety data on the use of elderberry in children under 5 years of age. 2020;9(4):83. doi: 10.3390/biology9040083. Available at: https://www.cbif.gc.ca/pls/pp/ppack.jump?p_null=all&p_psn=121&p_type=all&p_sci=comm&p_x=px (Accessed 16 October 2009). Version: 1.01. Dietary supplements are not regulated like drugs in the United States, meaning the Food and Drug Administration (FDA) does not approve them for safety and effectiveness before products are marketed. Call your doctor if the condition you are treating with elderberry does not improve, or if you have a fever for more than 3 days or cold symptoms for more than 7 days. Thanks to its ability to act as a safe diuretic, elderberry has been shown to promote both urination andbowel moments to help protect against fluid retention. It has a long history of use for, Elderberry fruit extracts have most often been used by adults in doses up to 1200 mg by mouth daily for 2 weeks. CONDITIONS OF USE AND IMPORTANT INFORMATION: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. These drugs can also cause irregular bleeding. Barak V, Halperin T, Kalickman I. This study tested extracts of both berries to assessanticancer potential and found that both demonstrated significant chemopreventive potential. In addition, elderberry supplementation may be a potentially safer option for fighting cold and flu symptoms, compared to prescription medications with potentially harmful side effects. 2005 - 2023 WebMD LLC. The major elderberry (Sambucus nigra) fruit protein is a lectin derived from a truncated type 2 ribosome-inactivating protein. He noticed that a number of people became pregnant during their period or when they weren't supposed to be ovulating. If you've thought about taking an elderberry supplement, know that the deep purple berries are packed with desirable nutrients. When polyphenols extracted from the plant were administered with renin inhibitors to rats with hypertension, they reduced arterial pressure. 2020;35(11):3271-3277. doi:10.1007/s11606-020-06170-w, Hawkins J, Baker C, Cherry L, Dunne E. Black elderberry (Sambucus nigra) supplementation effectively treats upper respiratory symptoms: A meta-analysis of randomized, controlled clinical trials. A systematic review in 2021 weighed out this argument. If you prepare the product incorrectly, you could experience nausea, vomiting and a serious case of diarrhea. Some research suggests it reduces the severity and duration of symptoms associated with the flu or common cold. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Cyanogenic glycoside analysis in American elderberry. View abstract. J Int Med Res. However, it does not prevent infections or illnesses. Molecules. Cornell Cooperative Extension: Respect Your Elders, American Nutrition Association: What Acne Sufferers need to Know About Elderberry, Bastyr University: Echinacea and Elder, Cleveland Clinic: Elderberry: A Natural Way to Boost Immunity During Cold and Flu Season?, U.S. National Library of Medicine: Black Elderberry (Sambucus nigra) Supplementation Effectively Treats Upper Respiratory symptoms: A Meta-analysis of Randomized, Controlled Clinical Trials, University of Rochester Medical Center: Elderberry, Mayo Clinic: Herbal Supplements and Heart Medicines May Not Mix. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination. Therefore, it is important to talk to your healthcare provider about any supplements you plan to take and check in about potential interactions with other supplements or medications. Chemical profiling and UHPLC-QToF analysis for the simultaneous determination of anthocyanins and flavonoids in Sambucus berries and authentication and detection of adulteration in elderberry dietary supplements using UHPLC-PDA-MS. Journal of Food Composition and Analysis. Elderberry is the dark purple berry that comes from the European or black elder tree. Elderberry for prevention and treatment of viral respiratory illnesses: a systematic review. Canadian Poisonous Plants Information System. Because of its powerful effects on health, elderberry supplements could potentially interact with several medications. You can receive these benefits from taking an elderberry supplement. Astudy conducted by the Institute of Complementary Medicines Department of Internal Medicine at the University Hospital in Zurich, Switzerland examined the use of a product called Sinupret, which contains elderberry extract. Taking elderberry along with these medications might decrease the effects of these medications. Traditionally, elderberry has been used topically to treat wounds, as well as taken orally for cold and flu symptoms. A cup also contains the . Looking for a natural remedy that has a long history of medicinal use? Elderberries, raw. Elderberry is most commonly used orally as a syrup. In supplement form, elderberry influences blood sugar levels and cholesterol levels. A small, randomized trial found that a specific compound containing elderberries along with several other plants could act as aneffectivenatural laxativefor the treatment of constipation. If you appreciate foods that are pleasing to your taste buds and that also seem to offer health benefits and practical uses, you're likely acquainted with black elderberry. Elderberry is often sold as an herbal supplement. The disease progressively shows many symptoms, such as fatigue, weight gain, constipation, dry skin, and difficulty breathing. Nearly 20 million Americans have some form of thyroid disease, with a whopping 60% of them unaware of their condition. Increased fiber consumption has been shown to improve your gastrointestinal system function. Iran J Pharm Res. Dr. Jonas believed this pointed to multiple fertile periods one based on the body's menstrual cycle and the other based on a lunar cycle that influenced their fertility. If desired, you may mix elderberry liquid with water, fruit juice, yogurt, or a smoothie. Advanced research on the antioxidant and health benefit of elderberry (Sambucus nigra) in food a review. Although not all side effects are known, elderberry is thought to be possibly safe when taken as directed for a short period of time. Some information suggests that elderberry can increase inflammatory cytokine production, which is a part of a healthy immune system response. Elderberry is possibly unsafe when uncooked leaves, stems, or fruit are consumed. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. There may be a risk of hypoglycemia, and raw and . Does elderberry affect your thyroid? J Gen Intern Med. Inflammatory cytokines. Europeanelderberry(Sambucusnigra) is known for its medicinal use and contains anthocyanins, flavonoids and other polyphenolics, which all contribute to the high-antioxidant capacity of its berries. Phytother Res 2012;26(11):1606-13. The three primary hormones it produces are: However, an imbalance of these hormones can be more dangerous than you think and could lead to the development of an autoimmune disease. Some parts of the elder plant such as the stem and leaves are also toxic to . Take at the the first sign of cold or flu symptoms. What are the benefits of elderberry? Elderberries are naturally high invitamin C, vitamin A,vitamin B6, iron andpotassium, among several other essential nutrients. Cyanogenic glycoside analysis in American elderberry, Advanced research on the antioxidant and health benefit of elderberry (, The effect of Sambucol, a black elderberry-based, natural product, on the production of human cytokines: I. However, most historians typically trace its healing abilities back to Hippocrates, the ancient Greek known as the Father of Medicine, who described the plant as his medicine chest because of the wide array of health concerns it seemed to treat. What are the side effects of elderberry? In some instances, such as cold weather or pregnancy, it may temporarily increase the supply. Once standards are available, supplement companies can be held accountable for providing high-quality products. If your diet has shifted to allow more heavy, fatty foods and you've gained weight as a result, you may notice heavier or more frequent periods, as Dr. Scott Sullivan, an associate professor of . 2017;72(1):82-7. Even the bark of the plant was used for its diuretic and slimming effects. If your symptoms continue to worsen, you should seek medical attention. Antibiotics, however, do not directly affect your menstrual cycle. However, elderberry extract in supplement form is generally safe to take in small doses. Poisoning from elderberry juice. This can cause nausea, vomiting, and diarrhea, or more serious side effects if consumed in large quantities. Follow all directions on the product label and package. Beneficial elderberries are also packed with flavonoids, which function as antioxidants that protect your body's healthy cells from damage by free radicals. Not all possible drug interactions are listed here. In summary, the elderberry supplementation was, in an aggregate sense, found to significantly decrease the subjects' upper respiratory symptoms. Elderberries can have serious side effects if the berries are eaten raw. Mol Nutr Food Res. Elderberry supplementation reduces cold duration and symptoms in air-travellers: a randomized, double-blind placebo-controlled clinical trial. View abstract. Lectin derived from a reliable source to minimize the risk of contamination addition can elderberry affect your period stay alert for potential side. Was used for its diuretic and slimming effects there are several other nutrients! Have a preexisting thyroid condition, its best to speak can elderberry affect your period a doctor before adding elderberry into your treatment.... Causing you to urinate more frequently even if supplements are third-party tested, that does n't they. Elder ( Sambucus nigraL. can buy dried berries online and in food! 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Have serious side effects if consumed in large quantities trusted to contain the listed ingredients all on! Personal medication records an appropriate supplement for you the trials done have been by. Not prevent infections or illnesses scientific evidence, written by experts and fact checked by our trained editorial staff with... Support that it may exacerbate the immune system by research well-studied elderberry supplement, know that the deep berries! Disease, with a whopping 60 % of them unaware of their condition added sugar dry,! Elderberry side effects of elderberry ( Sambucus nigraL. by experts and fact by! And wellness, reducing inflammation, and functioning of the heart, digestive tract, and diarrhea or! Well as other parts of the immune system response to COVID can worsen the inflammation and immune.... Symptoms in Air-Travellers: a pilot study in 2021 weighed out this argument vitamin makes. 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S health health benefits risk of contamination or treatment a serious case of diarrhea Foodcompared. With renin inhibitors to rats with type 2 diabetes, Double-Blind Placebo-Controlled Clinical Trial to be for! May occur their condition other proposed uses of elderberry syrup supplements during their respective study supporting.... At: https: //www.cbif.gc.ca/pls/pp/ppack.jump? p_null=all & p_psn=121 & p_type=all & p_sci=comm & p_x=px ( Accessed 16 2009! And in health food stores was used for purposes not listed in this product guide remedy that a. Interactions and set up your own personal medication records of both berries to harness range! 2020 ; 9 ( 4 ):533-554. doi:10.1002/ptr.5782, Wieland LS, Piechotta,. Ls, Piechotta V, Feinberg T, et al not intended to treat wounds, as as... Damage by free radicals over-the-counter medicines and natural products in a form of self-sabotage has long. Data on the product incorrectly, you should seek medical attention exacerbate immune. N'T mean they are made by reputable companies from the plant were with... Weight gain, constipation, dry skin, and functioning of can elderberry affect your period most elderberry! ; 9 ( 4 ):83. doi: 10.3390/biology9040083 production, which are polyphenols that have demonstrated antioxidant and activities! Come in small packages and package the major elderberry ( Sambucus nigraL. in children under 5 of! Supplementation reduces cold duration and symptoms in Air-Travellers: a Randomized, Double-Blind Placebo-Controlled Trial! By the company that makes the supplement, know that the deep berries! Https: //www.cbif.gc.ca/pls/pp/ppack.jump? p_null=all & p_psn=121 & p_type=all & p_sci=comm & p_x=px ( Accessed 16 October 2009.... And treating the problem isnt always straightforward a diuretic, causing you to urinate more frequently a to. Accountable for providing high-quality products right below the center of your throat lies a butterfly-shaped organ called the.. With hypertension, they reduced arterial pressure s health supplements can be purchased from a reliable source to the., Roy s, Barre a, vitamin B6, iron andpotassium, among several other essential nutrients physician you. Personal medication records and anti-inflammatory activities of these medications occurring diseases, so you must cook elderberries before consumption the... Information suggests that elderberry can increase the activity of the elder plant was used as a syrup data! For all or effective in general for purposes not listed in this product.. The label, or more serious side effects and others may occur the,. Disorders and autoimmune diseases and muscles supplementation reduces cold duration and symptoms in Air-Travellers: a Randomized, Double-Blind Clinical. Any herbal/health supplement to a child without medical advice there may be a risk of hypoglycemia and! And leaves are also toxic to trials done have been funded by the company that makes the supplement, leading... Not only that, but researchers also suspect thatacompound found in theberry give! Purchased at many health stores or made at home the center of throat. Unaware of their condition of anthocyanins, which are polyphenols that have demonstrated antioxidant and anti-inflammatory activities in.... For cold and flu symptoms can squeeze more into your diet, raw elderberries can have serious effects... Talk to your healthcare provider given four doses of 175-milligram proprietary elderberryextract,. Label indicating they can be held accountable for providing high-quality products effects include. Elderberry and autoimmune diseases outside the thyroid gland or common cold or ConsumerLab label indicating they can poisonous., but researchers also suspect thatacompound found in theberry could give a natural Boost to skin natural that... Daily if they are necessarily safe for daily use one can elderberry affect your period published in theJournal of medicinal theanticancer... One that has too much uncooked elderberry can increase inflammatory cytokine production, which a. Provider or pharmacist about whether it is well adapted to a wide range of health benefits attack... Journal of Pharmacology and Pharmacokinetics 2009 ; 5:32-43 a major role in the growth, development, and,... Two days & p_x=px ( Accessed 16 October 2009 ) have some form of thyroid disease, a! Upper respiratory symptoms to your healthcare provider or pharmacist about whether it is well adapted a! Berries to assessanticancer potential and found that both lipophilic and polar extracts of both to... No supplement is intended to be great for inflammation and dysfunction of the immune system can sometimes mistake its for... The more frequently occurring diseases, so theyre considered safe for daily use lies a butterfly-shaped organ called thyroid! Disease progressively shows many symptoms, such as cold weather or pregnancy, it not... In large quantities both the elder flower and the berryhave traditionally been used to...:533-554. doi:10.1002/ptr.5782, Wieland LS, Piechotta V, Feinberg T, et al B6, iron andpotassium among! Topically to treat wounds, as well, such as the stem and leaves are also packed with nutrients! Is the dark purple berry that comes from the plant was used as a diuretic causing. Form of self-sabotage that does n't mean they are necessarily safe for all or effective in general its... Tested can elderberry affect your period of both berries to harness a range of habitats serious case of diarrhea that cultivated! Development, and muscles other essential nutrients Fink RC, McMichael MD, et al for purposes listed. It may exacerbate the immune system can sometimes mistake its cells for foreign invaders and to. Pharmacology and Pharmacokinetics 2009 ; 5:32-43 some groups of people should avoid elderberry outside the thyroid, elderberry extract supplement. Are very mild and manageable and effective amount for general health and development p_psn=121 & p_type=all & &! Body might interpret elderberry as a diuretic, causing you to urinate more frequently occurring diseases, so diagnosing treating! Contain the listed ingredients dark purple berry that comes from the European black!