A mirrored continent
No, I'm not resorting to fantasy (completely), I mean molecules in organisms that could, depending on whether or not it is in the right side of the mirror, either heal you or kill you.
Some background:
In some organic molecules, they have the property of chirality, aka "handedness". This means they can be "right-handed" or "left-handed", just like your left hand and right hand. They behave in the same manner in most physical properties but interact with other chiral molecules differently. Think of it as trying to put on a left-handed baseball glove with your right hand, it just doesn't fit.
Why does that matter?
Many, many organic molecules are chiral. In fact, a lot of your enzymes in your body is chiral, and can only process certain molecules in the correct handedness. If you're lucky, human body can ignore, have a different effect
from, or correct the wrong handedness. In other cases, enzymes will process the molecule in a way that can kill you or even your unborn child.
However, let's imagine a scenario where there's a separate continent from the main Eurasia since early Earth, Ailartsua. It is itself a completely different origin of life, and all organism living in or nearby has adopted the opposite chirality from Eurasia, to the point where common sucrose in Ailartsua was (2S,3S,4R,5R,6S)-2-{[(2R,3R,4R,5S)-3,4-Dihydroxy-2,5-bis(hydroxymethyl)oxolan-2-yl]oxy}-6-(hydroxymethyl)oxane-3,4,5-triol instead of (2R,3R,4S,5S,6R)-2-{[(2S,3S,4S,5R)-3,4-Dihydroxy-2,5-bis(hydroxymethyl)oxolan-2-yl]oxy}-6-(hydroxymethyl)oxane-3,4,5-triol. (That's the chemistry way of saying it's a complete mirror image of the "real" sucrose)
For the sake of this question, let's assume there evolved a complete ecosystem in Ailartsua based on all of these mirror plane molecules, and Ailartsua was really, really far away from Eurasia. Early explorers finding Ailartsua will (painfully) discover that although there's many exotic fruits, animals, and fish throughout Ailartsua, they may survive for a short period, but will somehow deteriorate in health over time (kidney, liver, and possibly pancreas fail, among other possible damages to human body). Worse, any attempts on bringing offsprings may result in severe birth defects which will almost always lead to deaths or severely disabled children. It was therefore named "Ailartsua" by European colonists after how the continent has caused ail and the nearby islanders' name to the continent, "Artsua". The colonists in the 1600s found that in order to prevent the mysterious "Ailartsua syndrome", all food must rely on growing crops that originated in other continents (which consistently yields low in Ailartsua) and imports from overseas. Such burden was overwhelming and the settlements were greatly limited in size and population. Later, the British empire('s love for land down under) found another use of Ailartsua: as a sentence for prisoners who committed heavy crime, and shipped loads of them to the land down under. It more or less stayed like that until mid-1800s.
In our timeline, the existance of chirality was not discovered until 1802, and was only possible after physicists had an idea what plane polarized light and chemists became familiar at analyzing molecular structures through crystallization. This means Ailartsua is off-limits for large scale human settlements at least until early-1800s, when scientists can finally analyze what went wrong in Ailartsua and make practical solutions and/or large scale food freight became viable.
Side note: Food tracking became a concept much earlier in this world as what better poison could it be than a poison that looks the same, tastes the same and smells the same as genuine fruit?