Many fish eat algae and other organisms that contain biotoxins, which are defensive substances against predators. Biotoxins accumulated in fish/shellfish include brevetoxins, okadaic acid, saxitoxins, ciguatoxin and domoic acid. Except for ciguatoxine, high levels of these toxins are only found in shellfish. Both domoic acid and ciguatoxine can be deadly to humans; the others will only cause diarrhea, dizziness and a (temporary) feeling of claustrophobia.[18][19]