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Carambola
Carambola
Also known as: star fruit
Moderate concern
Carambola contains caramboxin and high oxalates which can cause severe neurotoxicity and acute kidney injury in people with chronic kidney disease (CKD). Safe in moderation for those with normal kidney function but a known risk for CKD patients.
Found in
35 products
What it is
Carambola (star fruit), the fruit of Averrhoa carambola.
Whole fruit consumed fresh or in salads.
Why it's flagged
- Severe neurotoxicity in CKD patients
- High oxalate content
What regulators actually say
"Star fruit intoxication has been reported in patients with chronic kidney disease, presenting with hiccups, vomiting, mental confusion, seizures, and death."
"Caramboxin... is a neurotoxin found in star fruit responsible for the neurological symptoms in CKD patients."
Regulatory status
United States — FDA
Whole food fruit
European Union — EFSA
Whole food fruit
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