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Safety Issues
Although use of noni is not commonly associated with side effects, comprehensive safety studies have not been performed. A small number of case reports hint that, in rare cases, use of noni might cause severe liver damage, potentially leading to a need for liver transplant. 1 The risk is believed to be very low, however, if it exists at all. 2 Nonetheless, people with liver disease, or who take medications that can harm the liver, or who consume alcohol to excess should not use noni. Maximum safe doses in young children or pregnant or nursing women remains unclear.
References
- Millonig G, Stadlmann S, Vogel W. Herbal hepatotoxicity: acute hepatitis caused by a Noni preparation (Morinda citrifolia). Eur J Gastroenterol Hepatol. 17(4):445-7.
- Opinion of the Scientific Panel NDA related to the safety of noni juice (juice of the fruits of Morinda citrifolia). http://www.efsa.europa.eu/en/science/nda/nda_opinions/nda_op_ej376_noni.html. Accessed September 9, 2006.