By the time a fish reaches the immense size typical of a Goliath Grouper, the toxin load can be dangerously high. Ciguatera poisoning often begins within hours of eating contaminated reef fish. Early symptoms include nausea, vomiting, diarrhoea, abdominal cramps, and profound weakness. In severe cases patients experience muscle pain, irregular heartbeat, low blood pressure, or difficulty walking. Public health authorities & consumers should therefore exercise caution if me