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FLUORIDE:
Friend or Foe?
March, 2017
Steve Ottersberg, ABD
Nasha Winters, ND, FABNO
History of Water Fluoridation
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January 25, 1945 Grand Rapids, MI
Official US Public Health Service1951 and by 1960
widely used in US
2006 61.5% of US population on public water systems
receive fluoridated water
Bottled water in US do not require labeling of fluoride
For the first time in 50 years, April 2015, US lowered
fluoride levels because of fluorosis
2006 requiring fluoridated water in baby formulas
(either to mix or already in formula)
2012 CDC stated that the infant formula decision was
seeing increased incidence in fluorosis and have to
alert to that fact in some states
What’s all the controversy?
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Dental caries is the only driver of this drug
Everyone is so focused on dental caries that they
are missing the forest for the trees
Would you be willing to take a drug across the
board? (you do if you don’t filter your water--chemo, BCP, HRT, statins, anti-depressants,
antibiotics, etc)----all in your water source along
with arsenic and other metals as the city only filters
out sediment and chlorinates for microbes
And there is plenty of debate on whether the
water fluoridation does, indeed, lower risk dental
caries
Let’s get real
 This
is a drug
 We are biochemically individual
 There is a lot that we DON’T know, so why
chance it?
 Here is what we DO know
 Overall trends in the country/world
 Prevention is the best cure
Drugs are required to be marketed
according to FDA approved
Prescribing Information
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Indications and Usage
As a supplemental source of Fluoride. It has
been established that ingestion of fluoridated
drinking water (1 ppm F) during the period of
tooth development results in significant
decrease in the incidence of dental
caries.1 Sodium Fluoride Drops were
developed to provide systemic Fluoride for
use as a supplement in pediatric patients from
6 months to age 3 and older, living in areas
where the drinking water Fluoride level does
not exceed 0.6 ppm F.
NaF Prescribing Information
 Clinical
Pharmacology
 Sodium Fluoride acts systemically (before
tooth eruption) and topically (post
eruption) by increasing tooth resistance to
acid dissolution, by promoting
remineralization and by inhibiting the
cariogenic microbial process.
NaF Prescribing Information
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Contraindications
Do not use in areas where drinking water exceeds
0.6 ppm F. Do not administer to pediatric patients
less than 6 months old.
Warnings
Prolonged daily ingestion of quantities greater
than the recommended amount may result in
various degrees of dental fluorosis in pediatric
patients under age 6 years, especially if the water
fluoridation exceeds 0.6 ppm. Read directions
carefully before using. Keep out of the reach of
infants and children.
Population Statistics of Drug Elimination
Population Statistics of Drug Elimination
n=40,000
Such thing as Fluoride Deficiency?
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actually is no such thing as it is in
small amounts in all our food sources,
especially fish
 The real issue is other mineral deficiencies
and malnourishment
 High sugar diets directly drive dental
caries, not lack of fluoride
Drug
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According to the June 16 notification and the
letter to FDA dated October 13, the food eligible
to bear the claim is bottled water meeting the
standards of identity and quality set forth in 21 CFR
165.110, containing greater than 0.6 and up to 1.0
mg/L total fluoride, and meeting all general
requirements for health claims (21 CFR 101.14) with
the exception of minimum nutrient contribution (21
CFR 101.14 (e)(6)). The claim language is: "Drinking
fluoridated water may reduce the risk of [dental
caries or tooth decay]." In addition, the health
claim is not intended for use on bottled water
products specifically marketed for use by infants.
Endocrine
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Fertility
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Placental Fluorosis and Pre-eclampsia
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https://www.ncbi.nlm.nih.gov/pubmed/2510236
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http://www.townsendletter.com/May2015/plac
ental0515.html
NOTE: Like dental fluorosis, a woman’s
vulnerability to placental fluorosis depends on
individual genetic, metabolic and
environmental factors
Thyroid dysfunction (see next few studies)
A recent study by Susheela et al. (2005) compared thyroid
hormone status (free T4, free T3, and TSH) of 90 children with
enamel fluorosis (drinking water fluoride ranging from 1.1 to 14.3
mg/L) and 21 children without enamel fluorosis (0.14-0.81 mg/L
fluoride in drinking water) in areas where iodine supplementation
was considered adequate.4 Forty-nine children (54.4%) in the
sample group had “well-defined hormonal derangements”;
findings were borderline in the remaining 41 children. The types
of hormonal derangements included elevated TSH and normal T4
and T3 (subclinical hypothyroidism); low T3 and normal T4 and
TSH (“low T3 syndrome”); elevated T3 and TSH and normal T4
(possible T3 toxicosis); elevated TSH, low T4, and normal T3
(usually indicative of primary hypothyroidism and iodine
deficiency); and low T3, high TSH, and normal T4. All but the first
category are considered to be associated with or potentially
caused by abnormal activity of deiodinases. The authors
concluded that fluoride in excess may be inducing diseases that
have usually been attributed to iodine deficiency and that iodine
supplementation may not be adequate when excess fluoride is
being consumed.
"8 Effects on the Endocrine System." National Research Council.
2006. Fluoride in Drinking Water: A Scientific Review of EPA's
Standards. Washington, DC: The National Academies Press. doi:
10.17226/11571.×
Neurological
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Neurotoxicity—per The Lancet February 2014
(in same category as arsenic, lead and mercury):
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BDNF
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http://wakingscience.com/2016/02/fluorideofficially-classified-as-a-neurotoxin-in-worldsmost-prestigious-medical-journal/
https://www.ncbi.nlm.nih.gov/pubmed/2643177
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ADD/ADHD
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https://www.ncbi.nlm.nih.gov/pmc/articles/PM
C4389999/
How does US compare globally?
 74%
of all US uses fluoride in water
 0% in Finland, Estonia, Latvia, Denmark,
Netherlands, Hungary, Austria, Germany,
Croatia, Greece, France, Belgium
 10% UK and 10% Spain
 0% Israel, India, China South Africa, Egypt
 Japan <1%, Vietnam <4%
 Malaysia 66%, 100% in Singapore, Australia
70% and New Zealand 50%, Ireland 71%
Tooth Decay Trends in Fluoridated versus Non-Fluoridated Countries
per WHO on 12 year olds:
Sources of Fluoride:
 http://naturalsociety.com/is-your-tea-loaded-
with-toxic-fluoride/
 Brewed
black tea has highest levels as the
plant sequesters fluoride---averaging 3-4 ppm
fluoride and excess consumption does lead to
fluoride toxicity risk
Best natural sources of fluoride
and dental caries prevention
 Wild
caught shrimp, 100g
 Organic red wine, 4 ounces
 1 cup of organic black tea, brewed
 Fish 4 ounces
 Organic grass fed and finished Bone
broth, 1 cup
 Fresh vegetables (veggies sequester
fluoride from soil) 3 servings/d
Not so fun facts:
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Bottle-fed infants receive highest doses of fluoride as
their food is fluid-based—175x more fluoride than
breast-fed infants
There is not a single process in your body that
requires fluoride
NIH-funded study found no relation between tooth
decay and amount of fluoride ingested by children
Water fluoridation does not take the place of
adequate nutrition and access to dental care
Water fluoridation is a violation of your individual right
to informed consent to medication
41% of all American children are currently impacted
by dental fluorosis and up to 60% in fluoridated
community
The chemicals used to fluoridate water supplies are
hazardous industiral by-products of the fertilizer
industry that have never been properly tested in
randomized clinical trials for safety or effectiveness
by any regulatory agency in the world
Resources:
 www.fluoridealert.org
 “Nutrition
and Physical Degeneration” by
Weston A. Price
 Water
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Filters:
www.pureeffectifilters.com
www.theberkey.com
www.zerowaterfilter.com
Thank YOU for your attention
“If you ignore your health,
it WILL go away!”
–Nasha Winters, ND, FABNO