Across the top of every page: "Internal Deliberative – Confidential --- DRAFT NOT FOR ATTRIBUTION"

It includes plenty of "this needs changes" comments from reviewers.

Looking at their Summary, and reviewer comments there - it looks like a decent one-line summary would be: "If you are not getting well above the WHO's upper limit for fluoride, then there is no evidence of it having ill effects."

Bigger picture: A "too much is bad" conclusion would not make fluoride at all special. If a toddler gets into a bottle of adult iron supplement tablets, he can easily swallow an LD99 dose in <1 minute. Grab the kid and the bottle, and get them to a good emergency room as fast as you can. (IANAMD - depending on circumstances, you may want to immediately induce vomiting, or call the local poison control center, or ...)

Yes, there was a court case to get the report released.

https://fluoridealert.org/articles/national-toxicology-progr... has some details on the circumstances.

So fluorid is in toothpaste? So non usage is associated with gum disease. Making this a 2nd order effect study of "will bacteria entering the bloodstream trough rotting tissue affect neural tissue?"

Wow... almost 1,600 pages. What a slog. I guess my question is to the OP: What is your purpose? Fear? Conspiracy? Troll? If you want that route, then include commentary on all the other poisonous things humans consume: Copper, Selenium, Chlorine, Sodium, even Arsenic, and etc. These are all elements or compounds or salts that are needed in the human body for it to live. Flouride is a monatomic anion of fluorine, a salt if you will, no different than Chlorine and Sodium as a salt. The data is incontrovertible that "Flouride" helps the human condition more that it hurts it.

I submitted the article but I’m not the author, the report was created by the U.S. Department of Health and Human Services.