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Interstitial cystitis treats warming spices like ginger as test-your-tolerance because they can irritate a sensitive bladder, but the small amount in this recipe (~3/4 tsp per serving) is likely tolerated by many. If you prefer to always avoid fresh ginger, please tap it and change its rating to Red.

Black pepper can trigger interstitial cystitis symptoms in some people, but the small amount in this recipe (~1/8 tsp per serving) is likely tolerated by many. If you prefer to always avoid black pepper, please tap it and change its rating to Red.

red pepper flakes

sesame seeds

Interstitial cystitis flags onions and the allium family as common bladder irritants, especially raw, but scallions are milder and are used cooked or in small amounts here, so they are likely tolerated by many with interstitial cystitis. If you prefer to always avoid scallions, please tap it and change its rating to Red.
Combine the pear, coconut aminos, honey, sesame oil, avocado oil, garlic, ginger, black pepper, and red pepper flakes (if using) in a blender or food processor and blend until smooth.
Place the short ribs in a large zip-top bag or baking dish. Pour the marinade over the ribs, turning to coat each piece thoroughly. Seal or cover and refrigerate for at least 4 hours, or up to 24 hours.
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