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While there is no doubt that fluoride may have serious effects on neurodevelopment, many of the studies included here are questionable, some of which we had alerted you to earlier. It's also notable that you did not include the recent Li study conducted on the Tianjin cohort, which we had previously referenced in our submission to the NTP, particularly in relation to the high iodine intake that was not accounted for.

Liu S, Yu X, Xing Z, Ding P, Cui Y, Liu H. The Impact of Exposure to Iodine and Fluorine in Drinking Water on Thyroid Health and Intelligence in School-Age Children: A Cross-Sectional Investigation. Nutrients. 2024 Aug 31;16(17):2913. doi: 10.3390/nu16172913

https://www.mdpi.com/2072-6643/16/17/2913

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