More than 470 people have reported clinical symptoms and pathology consistent with abnormal liver function. There have been 113 hospitalizations and numerous instances of removal of gall bladders. The cause is attributed to inclusion of tara seed flour derived from trees grown in Peru. The ingredient was included in Daily Harvest lentil crumbles. A similar problem has occurred with a pineapple smoothie sold by Revive Superfoods with at least 30 patients affected. Both Revive and Daily Harvest market directly to consumers through internet sales.