A milkshake is a sweet, cold beverage which is made from milk, ice cream or iced milk, and sweet flavorings such as fruit syrup or chocolate sauce in Canada, Australia, the United Kingdom, and the rest of the English-speaking world, excluding some regions of the United States. Milkshakes are usually served in a tall glass with a straw, and whipped cream may be added as a topping. Three popular milkshake flavors are vanilla, chocolate, and strawberry.Full-service restaurants, soda fountains, and diners usually prepare and mix the shake "by hand" from scoops of actual ice cream and milk in a blender or drink mixer using a stainless steel cup. Fast food outlets do not use actual ice cream, but manufacture their shakes in milkshake machines which freeze and serve a premade milkshake mixture. Throughout the United States, especially in fast food and casual dining restaurants, a milkshake may be referred to as a shake.