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Cochineal extract, also known as carmine, is generally safe to consume, but it can cause allergic reactions in some people:
Allergic reactions
Some people may experience allergic reactions to cochineal extract, including hives, itchy skin, rhinitis, diarrhea, and anaphylaxis.
Labeling
In the US, the FDA requires that cochineal extract be identified by name on food labels.
Pasteurization
The FDA also requires that cochineal extract be pasteurized to destroy any salmonella.
Vegetarian
Cochineal is not suitable for vegetarians because it's made from insects.
Cochineal extract is derived from the female cochineal, a type of insect that lives on prickly pear cacti. The insects are sun-dried, crushed, and treated with an acidic alcohol solution to produce carminic acid, which is then used to make cochineal extract.
Cochineal extract is used in many foods and drinks, as well as in cosmetics and pill coatings.

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