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Quick Facts: What You Need to Know About Ciguatera What it is : Foodborne illness caused by ciguatoxin, a heat-stable marine toxin found in certain reef fish Common fish carriers : Barracuda (highest risk) Mahi-mahi Red snapper Grouper Amberjack Key symptoms : Gastrointestinal: Nausea, vomiting, diarrhea, abdominal pain Neurological: Tingling, severe itching, cold-hot reversal, brain fog Cardiovascular: Slow heart rate, low blood pressure Timeline : Symptoms appear within 6 hours, can last days to months The medical challenge : No FDA-approved cure No standardized diagnostic test Most U.S