These combinations can lead to digestive discomfort like bloating, heartburn, and blood sugar spikes due to the bromelain enzyme and acidity in pineapple. Pineapple wine is popular in Thailand and other south-East asian countries, where it is made using traditional practices and is not available commercially. In Mexico, fermented pineapple beverages are very popular and given the name tepache. Unripe pineapple can be toxic to humans and can cause severe diarrhea and vomiting. People with kidney disease should speak to their doctor before drinking pineapple juice to ensure its potassium content is safe for their diet.
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