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Elderberry and ginger syrup

Raw elderberries must not be eaten. Always cook them, and pick out every stem. The honey goes in only after the syrup has cooled.

16 servings50 min

Elderberry and ginger syrup

Ingredients

Method

  1. Rinse the elderberries in a sieve and pick out every stem and leaf, one by one. Do not skip this.

  2. Put the berries, water, sliced ginger, cinnamon and cloves in a pan and bring to a hard boil.

  3. Lower the heat, cover, and simmer 45 minutes. The liquid reduces by half.

  4. Press the berries against the back of a spoon to release more juice.

  5. Strain through a fine sieve or muslin and discard the solids. Squeezing makes it cloudy — let it drip.

  6. Let it cool completely. It should feel lukewarm to the hand.

  7. Stir the honey and lemon juice into the cooled syrup until dissolved.

  8. Bottle in a sterilised jar and refrigerate. Use within 3–4 weeks.

Cooking note

The most important thing about this syrup is not flavour but safety.

Raw elderberries must not be eaten, and leaves, stems and unripe berries even less so. The US CDC's weekly report (MMWR) carries a 1984 case of poisoning from elderberry juice. The 45-minute simmer is partly for concentration, but first of all for this.

Do not skip picking out the stems. Dried product carries them too.

Adding the honey after cooling has two reasons. First, honey's aroma and enzymes are heat-sensitive. Second, stirred into hot liquid the aroma simply leaves. Poured into boiling syrup, honey is not far from sugar water.

Not squeezing the solids is about clarity: fine particles escape, the syrup clouds, and sediment settles out in storage.

And an honest note on the evidence.

Elderberry's clinical evidence is not about preventing colds. A 2021 GRADE-assessed systematic review of five randomised trials concluded that it may not reduce the risk of developing a cold. It may shorten duration and severity, but the authors themselves called the evidence "uncertain".

And those trials used standardised extracts, not a syrup simmered at home. Expecting the trial effect from this syrup goes past what the evidence supports.

Count the sugar too. 150 g of honey holds about 120 g of sugar. Divided into 16 servings that is about 7.5 g each — roughly two sugar cubes. Taken several times a day, you are adding that much sugar.

One tablespoon (about 15 ml) is the usual amount, taken neat or stirred into warm water. Do not stir it into boiling water — that undoes the reason for adding the honey late.

If you have an autoimmune condition, take immunosuppressants, or are pregnant or breastfeeding, speak to your doctor first.

Ingredients used here

Elderberry

Fruits

Early research

Elderberry

A 2021 systematic review that GRADE-assessed five randomised trials concluded it may not reduce the risk of catching a cold. It may shorten duration and severity, but the evidence is uncertain. And raw, it will make you ill.

Ginger

Herbs & spices

Strong evidence

Ginger

Gingerol, the pungent compound in ginger, has its strongest evidence for easing nausea and aiding digestion. One to three grams a day is enough.

Cinnamon

Herbs & spices

Moderate evidence

Cinnamon

Most cinnamon on shelves is cassia, which is high in coumarin and can burden the liver. Knowing which type you have matters more than any benefit.

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