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Caramboxin (CBX) is a toxin found in star fruit (Averrhoa carambola) [1] [2] and the related bilimbi fruit (Averrhoa bilimbi). [3] Individuals with some types of kidney disease are susceptible to adverse neurological effects including intoxication, seizures and even death after eating star fruit [4] and bilimbi fruit. [3]
Carambola, also known as star fruit, is the fruit of Averrhoa carambola, a species of tree native to tropical Southeast Asia. [1] [2] [3] The edible fruit has distinctive ridges running down its sides (usually 5–6). [1] When cut in cross-section, it resembles a star, giving it the name of star fruit.
Averrhoa carambola is best known as the star fruit, as it is best known for the star-like shape it has when cut. In addition to being eaten, the fruit is used in traditional Asian medicine to treat chickenpox, intestinal parasites, headaches, and other illnesses. Star fruit contains oxalate, too much of which can be dangerous.
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Beyond adverse effects from the herb itself, "adulteration, inappropriate formulation, or lack of understanding of plant and drug interactions have led to adverse reactions that are sometimes life threatening or lethal." [3]
Leaves, stems, and green unripe fruit of the tomato plant also contain small amounts of the poisonous alkaloid tomatine, [36] although levels are generally too small to be dangerous. [36] [37] Ripe tomatoes do not contain any detectable tomatine. [36] Tomato plants can be toxic to dogs if they eat large amounts of the fruit or chew the plant ...
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