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[19] [20] More serious but rare risks include pancreatitis (severe abdominal pain radiating to the back), gallbladder disease (right upper quadrant pain, fever, jaundice), and potential thyroid C-cell tumors (based on animal data)

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PMID: 2195112, DOI: 10.1016/0168-8278(90)90152-h

Furthermore, they suggest that demographic characteristics and immigration-related factors may also influence this association (332)

2012): Carica papaya (papaya) Citrus species Psidium guajava (guava) Mangifera indica (mango) Syzygium species Distribution Restricted to Cook Isands (Southern Island Group) (Drew 1989, Leblanc 2012)