100 % natural concentrate with no added sugar or water. Just a teaspoon of Prickly Pear Nectar can help lower high blood pressure and cholesterol. Loaded with Vitamin C and E plus other antioxidants and minerals. For a pick-me-up between meals try 2-4 tsp. in a 16 oz of water. The chromium and vanadium help keep appetite suppressed while the potassium and minerals keep electrolytes balanced.