The primary risk is tetrodotoxin (TTX) , a potent biotoxin found in the fish's liver, ovaries, and skin. TTX is heat-stable and cannot be destroyed by cooking or freezing.
The U.S. Food and Drug Administration (FDA) continues to enforce Import Alert 16-20 , which restricts the importation of puffer fish products and prohibits personal importation due to the high fatality rate associated with TTX. Blow Fish – March-September 2020
The CDC reported that since 2019, approximately 37 people were poisoned and 10 died from consuming toxic species, prompting education efforts during peak breeding seasons like July–September. Regulatory & Import Controls The primary risk is tetrodotoxin (TTX) , a
The FDA advisory notes that puffer fish caught in mid-Atlantic coastal waters (Virginia to New York) are generally considered safe, while those from other sources are not. DPH Removes Advisory - CT.gov Food and Drug Administration (FDA) continues to enforce