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Pineapple contains bromelain enzyme aiding digestion

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Acute abdominal pain , particularly if severe and radiating to the back, which could indicate pancreatitis (a rare but serious adverse effect)

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10.1038/ncprheum0531 Nat Clin Pract Rheumatol

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Combination rationale: The 1:1 pairing is proposed to act through complementary repair pathways a hypothesis, not a proven synergy

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