Which specific group of individuals is explicitly warned they absolutely must avoid star fruit due to ineffective toxin clearance?
Answer
People who are on dialysis treatment.
The consumption warning for star fruit is most stringent for individuals whose kidneys cannot handle the toxic load. Those undergoing dialysis must absolutely refrain from eating star fruit. This is because the dialysis treatment process itself is not capable of reliably clearing the high concentrations of toxins, specifically oxalates and caramboxin, that the fruit contains, leading to dangerous systemic accumulation.

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