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Can consuming acai berries cause side effects? You may have recently heard about acai berry, the fruit of the South American acai palm. Since it has been so heavily marketed as a diet supplement, many individuals are wondering if consumption involves the same risk of a regular diet supplement such as ephedrine or a pharmaceutical. Perhaps this thinking is due to the extract form it often comes in. Often times people must assume that eating the extract of a berry somehow makes it more likely to cause side effects.