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I am really leery about getting shots and I try to avoid them at all costs. Honey Gardens organic Elderberry Syrup is a great way to keep your immune system strong during those rough winter months. Last year I was the only person in my office who did not get a flu shot and I was the only employee who didnt get sick! I would suggest 2 teaspoons in the morning and 2 more at night before you go to sleep. I usually use this product from October to March since I live in a colder climate.