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Modified citrus pectin is not recommended in pregnant or breastfeeding women due to a lack of available scientific evidence. People may have laxative effects and diarrhea at high doses. Some people may be allergic to Citrus Pectin and experience itch or rash. Modified citrus pectin may also increase the urinary excretion of metals, which may have adverse interactions with some medications to treat certain diseases or conditions. Those who wish to use modified citrus pectin for the management of prostate cancer or any type of cancer must be under medical supervision. *