Hi Ana, Foods to Eat During the Dental Detox: Thank you for this article ! I have consider having the mercury fillings removed. 015/2005 des BfR vom 17.12.2004 http://www.bfr.bund.de/cm/343/selenverbindungen_in_nahrungsergaenzungsmitteln.pdf, Cabaa-Muoz et al: Increased Zn/Glutathione Levels and Higher Superoxide Dismutase-1 Activity as Biomarkers of Oxidative Stress in Women with Long-Term Dental Amalgam Fillings: Correlation between Mercury/Aluminium Levels (in Hair) and Antioxidant Systems in Plasma. We also use some homeopathic remedies at our office that are really helpful to help decongest the liver and other detox organs. In a review of the German institute of risk evaluation (Bundesinstitut fr Risikobewertung, BfR) from the year 2004, the contradictory data regarding the impacts of sodium selenite and selenomethionine was pointed out. Im also looking into finding a biological dentist in my city, Barcelona. Elevated mercury in urine usually indicates exposure to an elemental or inorganic source of mercury, such as from a job that uses mercury. One drop on the bottom's of the feet. There are some drainage remedies that we use at our office that might be helpful for him. Epub 2015 Jul 29. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539504/, Suzuki et al: Alteration of inorganic mercury accumulation due to selenite in organs of mice fed methylmercury. So get your ferritin levels tested once in a while. Populus nigra, organic sulfur and cilantro essential oil are commonly recommended. If amalgam fillings were removed a couple of years ago would you recommend same detox protocol? Mutter. The problem with molecular distillated fish oil could be that critical values of still remaining mercury are set up to high, the processing was faulty or the damageable omega 3 fatty acids have been damaged through the processing. For example, MTHFR plays a role in the degradation of homocysteine to methionine. Remember: Methylation is not bad in itself, yes, a vital metabolic step. For that reason they are used together with the sulfur containing chelators (DMSA/ DMPS) which strongly connect to mercury, so the toxin can be washed out with the urine. The usage of high daily dosages between 500 g and 2000 g and more is not recommended until the body is detoxified. 1994 Dec;13(6):559-64. http://www.ncbi.nlm.nih.gov/pubmed/7706586, Moreno et al: Antagonistic interaction of selenomethionine enantiomers on methylmercury toxicity in the microalgae Chlorella sorokiniana. Or is it geared toward the mouth? But certain people should avoid getting fillings with it. What has been your experience when testing for Lactobacillus species? Take one pill at breakfast and another at lunch for the first five days. Drink lots of filtered water. http://www.ncbi.nlm.nih.gov/pubmed/24445426, Mutter: Amalgam Risiko fr die Menschheit. I just had 3 amalgam fillings removed a week ago, and a 4th a week earlier replaced with a crown. Populus Nigra This herbal extract made from the black poplar tree is very effective at removing toxic metals and chemicals from the body. http://www.merckmanuals.com/professional/dental-disorders/common-dental-disorders/caries. If you choose to have it removed, I'd make sure to do some detox ahead of time such as castor oil packs, dry brushing and cleaning up your diet as much as possible for a month or two before having it removed. If Folate (L-5-methyl-tetrahydrofolate) methylates mercury as well as methycobalamin, what would be a safer option to supplement? But as an active form of B12 you can take adenosylcobalamin. They lie in the hands of the treating dentists, naturopaths and the patients themselves. The symptoms came back and this time it took about 2 months for the symptoms to go away, although the forgetfulness didnt go away completely. Yes, protective equipment was used during the dental treatment, 3. Getting the Mercury out of my teeth was the best thing I ever did! Should you detox in the way you describe in your article regardless of the method of removal of the amalgam? What can I do? A dental PPO insurance often covers 40-80% of the cost of amalgam filling replacement. Shortly thereafter he got a horrible rash under his wedding ring. Look for a dentist who offers these services! I had them replaced with 'white ones'. Dental amalgam: A brief history. However, Lactobacillus species was always undetected although I was taking probiotics during 1 of the 3 tests. After amalgam teeth filling, the patients sometimes feel the fever. I was not able to find any books by Dr. The existence of other medical issues, the number of amalgam fillings within the mouth, alcohol, lead exposure, genetic predisposition, gender, dental plaque, milk or seafood intake, and other variables all impact this unique response to dental amalgam. the use of such amalgam fillings has been banned in Europe for pregnant and breastfeeding women, as well as . Great job! Depending on whether the mice were fed with inorganic or organic mercury, the redistribution caused accumulations in brain, liver or other organs. I'd wait until you get them removed to start this detox program. If not, is here anything we can do to address his edema? I think the body can really elimenate any poisons with the right detox plan! Is It Possible to Control Your Behavior After Getting Your Wisdom Teeth Removed? Tooth-colored, plastic and glass materials called composite resin fillings. The effectiveness of this strategy may be measured by the improvement in symptoms and laboratory testing results. Mood Swings. I dont know a product that contains active folate that isnt bound to methyl. Taking freshly ground flaxseed can help this. I was recently informed I am heterozygous for the MTHFR gene mutation and was given B12 (Methylcobalamin) & Folate (L-5-methyl-tetrahydrofolate) in a supplement form (drops). I did not have cancer or MS. Required fields are marked *. As a filling is removed, mercury in the amalgam can vaporize, enter the bloodstream, and weaken the immune system. ), spit it out. I would find a biologically-trained dentist to talk to about your situation. Genetic tests can show if there is a problem with any of these two genes. Nothing brought the burden of mercury in the human body as much into consciousness as dental amalgam fillings made of amalgam and other composites. Mercury is released into the body when: the dentist places or removes the amalgam in the tooth. Wow! For example, patients who have more amalgam fillings have higher . Detoxing only with homeopathic remedies and bio-resonance is not enough as to my experience. Other variables that can affect eating after a filling, ncbi.nlm.nih.gov/pmc/articles/PMC4264581/, my.clevelandclinic.org/health/articles/10906-fillings, ncbi.nlm.nih.gov/pmc/articles/PMC3414241/, researchgate.net/publication/323763472_Post-operative_sensitivity_and_posterior_composite_resin_restorations_A_review, dental.columbia.edu/patient-care/dental-library/sensitive-teeth, mouthhealthy.org/en/nutrition/nutrition-concerns, How to Handle Sensitive Teeth After a Filling, 15 Soft Foods to Eat After Having Your Wisdom Teeth Removed, The 9 Best Teeth Whitening Products for 2023. I do have a few fillings I have had since childhood so will check into getting those removed. Vitamin C IV. As well I reacted to porcelain, stainless steel and some of the anesthesia (lidocaine) and quite a number of safe materials. Eating before this numbing agent has worn off may cause you to accidentally bite your tongue, cheeks, or lips. The subject of removing some of my 5 fillings came up. I remember them using a lot of water and suction but there was no ventilation or extra oxygen. TH1/TH2 Immunbalance Funktioniert mein Immunsystem normal? The impact of the inorganic selenite (sodium selenite) is contradictory. Concerning Methylcobalamin adverse effects can happen only when high doses are given and the patient has a mercury burden. I have many amalgam fillings from childhood and adulthood and have been wanting to have them removed. Some people may have an allergy or sensitivity to mercury or other components (e.g., silver, copper, tin or zinc) of dental amalgam and may report or experience health effects, including allergic . It is Itchy, red, and puffy! 614 775 9300 So I recommend to take Adenosylcobalamin when there is a burden of mercury and a high-dosed B12 therapy is needed for any other reason. Spacing out the removal process of each amalgam allows the immune system to recover from the release of the mercury and helps minimize the impact on your health. At the same time the omega 3 fatty acids EPA and DHA, that are contained in sea fish and sea algae, protect against the toxic effects of methyl mercury. Hi Carrie, Thank you Yet in the long run it makes absolutely sense to detox from heavy metals. Also the good old chlorella algae contains vitamin B12, which helps mobilizing heavy metals. Safety measures likecofferdam, breath protection and the needed detoxification are often forgotten. Counterbalancing deficiencies with the matching nutrient reaches its limits when poor nutrition is in the way or toxic elements interact with the ingested substances in often unknown manners. That was 8 years ago and after I had them out I developed seasonal migraines (don't know if it was related). Amalgam is a mixture of mercury, silver, and other metals that has been used in dentistry for decades as an inexpensive alternative to tooth-colored materials like composite resin or porcelain when restoring cavities on the back (posterior) teeth. I started researching about mercury poisoning a while ago, anad last Christmas I had half of them removed by a very skilled dentist, who my whole family has been going to lately, but who didnt follow any safety protocol. Vitamin B12. I too will be seeing Dr. Pfister. Unfortunately I have no reliable information or neutral research results about that. I had my fillings replaced some years ago but these precautions were not taken. While I'm saving for all the dental work I'll need to do, I am working on improving lymph quality and circulation. Furthermore, because ALA has a half-life of approximately 3-4 hours, this must be taken regularly and in small doses to maintain the high body levels. Refuse mercury (amalgam) fillings at the dentist. Especially when side-effects like headache, foggy thinking or other neurological symptoms appear, the dose should be minimized. Epub 2009 Mar 27.http://www.ncbi.nlm.nih.gov/pubmed/19328848, Zorn et al: A relationship between vitamin B12, folic acid, ascorbic acid, and mercury uptake and methylation. And Ive just wondered and wondered why this whole time and my symptoms started when my amalgam fillings started having problems! (2011). Yes I had prophylactic treatment, 2. I just found out about him, but he passed away a couple of years a go. Then even the costs for the extraction of the old fillings are being paid. Aufl. But unless this has happened, its of utmost importance to be aware about the heavy metal burden and to give credit to this fact during the therapy with micronutrients. Inorganic mercury from amalgam fillings enters your lungs at a rate of about 80%, and this mercury travels throughout your body, affecting your kidneys, brain, lungs, liver, and digestive system. Hello! In fact, the therapeutic bandwidth is high. I've never read such an informative post on this topic. Clay baths supposedly are great for heavy metal detox. thank you for this great info! Thank you!! Where can I get all of your recommended supplements in one place? If so, could you give an indication of how many drops daily please? Dont rush and panic, though also dont let it sit too long . All connected?? I had NO IDEA of the important role our teeth play in our general BODY health! 2, 11, 12 Amalgamation is the name given to the process of mixing liquid mercury (approximately 42 to 50% by weight) with the other alloys to form a highly plastic material that hardens following precipitation. I see that the pure radiance c and biosuperfood should be done for 6 months. And if you remove mercury fillings, be sure to hire a dentist that uses safe protocols recommended by The International Academy of Oral Medicine and . wird berall gewarnt, darf man keinesfalls machen wegen des Verschleppungs-Effektes!, d.h. dass durch die chemischen Chelatoren (DMPS, EDTA, DMSA) das Quecksilber aus dem Krper in das Hirn verschleppt und transportiert wird. Caledonia might be able to talk methylation more. 19 Eating, drinking, clenching, and grinding all wear down your fillings. New Albany, Oh. 4. Radical Medicine by Dr. Louisa Williams Your email address will not be published. I just had 3 of my 5 amalgams removed and replaced and one crown prep done for future delivery, One thing she followed all protocol except for nitrile rubber dam was not used, I still have two left to go do I need start detoxing this minute or do I wait till the last two are also removed or replaced & how long will it take to get your products if order today? The most commonly accepted methods of assessing mercury exposure are to test urine or blood. He tried again to wear his ring after a break for several months and the same rash appeared. Still there would be the glue. This is the dental detox protocol we use for our clients at Biodynamic Wellness. Thank you. I've never read anywhere that mercury could close the detox pathways, but I do know that MTHFR does play a role in how the body detoxes. (n.d.). But I'm trying again to help my Sjogrens. It's never a good idea to detox while pregnant or breastfeeding, so I'd wait until you aren't breastfeeding to do the detox. Thanks! Caries. Since anything above 0 parts per billion (ppb) of mercury is toxic, its imperative to take proper precautions when removing these fillings. Additionally, this can impact what type of dental work you have done. I would consult with a biologically trained dentist to see what they have to say. The biological traits of amalgam represents antigen with antibody reaction. Due to the contamination of the oceans, sea fish is the main source of organic methyl mercury (MeHg) absorbed through food. must be the specific clay- not all clay is equal! as these all pertain to healing the body) and see what steps you can start taking. The little shrimp like animal stands in the beginning of the food chain. Yet due to oxidation of Hg or electric reactions between the different metals that are used in amalgam, Hg turns into Hg2+. Thank you, Sue. Im taking care of my diet and eating fresh fruits and vegetables, doing a herabal liver cleanse, avoiding red meats, dairy, eggs, processed foods, etc. Thus, polymorphisms of the COMT gene or MTHFR gene can cause methylation disorders. The water-soluble vitamin B12 is administered in high-dose therapy with 1000g daily. I am going to look into finding a good eco-dentist to have my amalgams removed. Thank you. Thats not unusual, but there are also many different signs of mercury poisoning. It is made by mixing approximately equal parts of elemental liquid mercury (43 to 54 percent) and an alloy powder (57 to 46 percent) composed of silver, tin, copper, and sometimes smaller amounts of zinc, palladium, or indium . If there is a burden of mercury, high doses of methyl cobalamin should not be administered. I am thinking of having my wife take her filling out. I have had 15 mercury fillings for 20 years . Do not succumb to the fad of taking cilantro supplements or cooking stews and beverages with a lot of cilantro. Since then I have purchased your cook book for myself and for my sister. These include silver, mercury, tin and copper. There have been over 250 specific symptoms associated with mercury toxicity. The FDA says mercury from dental amalgam can bioaccumulate in bodily fluids, tissues, kidneys, and the brain. What (and how) to eat when you're having dental issues. After the dental restoration you can start with the proper detoxication. I could feel the particles hitting my face. Prepare for detox and support immune function by focusing on a nutrient-dense diet to optimise gut and immune function. I plan to space my removals out over 6 months or so. Im so sorry to hear! Amalgam fillings contain mercury, an incredibly toxic substance to the human body. I have two fillings and have been wanting to get them removed for years. Amalgam fillings are manufactured materials used to treat cavities left by dental disease. @ hixxy - I second the Cutler supports (not chelators). However, I am not very sure that white amalgams are any safer. and it will help my mother realize and believe me ! Nothing brought the burden of mercury in the human body as much into consciousness as dental amalgam fillings made of amalgam and other composites. Very informative post! With cofferdam, breath protection? So the intake of probiotics helps in these cases. About the Lactobacillus species I can say that in the laboratory tests that I use for my patients they are always detected (feces analysis), but the amount is often to low. Thank you very much for the article. Is it possible to detect Lactobacillus species in a gut flora test? 2 or 3 movements per day is thought to be optimal. If you have amalgam fillings, you must avoid certain supplements and vitamins to prevent mercury poisoning. Can you tell me how soon can I try getting pregnant after having my amalgam fillings removed please, Legally, I can't give personal health advice unless you're a client. Avoid metals in the first place (by filtering your water and drinking it from glass, for example, and living farther from industrial sites) . I hope you see this message and help me. Inactive molecules like hydroxo or cyan cobalamin are converted to active principles within the system. The uptake of trace elements and minerals, the consumption of DHA und EPA containing fatty acids makes sense in any case. Hello I gound this article google for amalgam fillings remove and how detox after. durable. What about calcium montmorillonite clay? In addition, the process of removing the mercury amalgams (even if I find an eco-dentist that uses oxygen, a dam, etc) might add even more mercury toxicity to my body. I have had exposure to mercury twice in the last year after being diagnosed with Hashimoto's, also. 2009 Jun 15;46(12):1626-32. doi: 10.1016/j.freeradbiomed.2009.03.017. Mercury accumulating in the brain, for example, has a half-life of decades. (This part he hasnt written yet :D). Charcoal tablets can be used as an antidote to bind mercury and other heavy metals in the gut and inhibit a reabsorption of the toxins. This is the cheapest tooth filling material available and is relatively easy to apply. Here's the number: 858.259.6000. yes the methylation of inorganic mercury can be a problem, cause the organic form methyl mercury is much more toxic. watch out what supplements you take when you know that you have heavy metals in you (as desribed in this article) ! I went to a dentist who wasnt trained to take the proper precautions and ended up very sick. I think I remember your theory that the mercury was absorbed by your thyroid, and it makes sense, but were any tests done to show this? One also have to consider the adhesive Dentist use to glue the amalgam onto the tooth, as in the case of inlays. You may also have tooth pain or notice discoloration, Here are 15 healthy foods to eat after you've had your wisdom teeth removed. Ive used foods, essential oils and homeopathics with little improvement. Good luck to your husband and a speedy detox . Both substances are used for heavy metal detoxification. The change in oil color from golden to white as well as the change of texture from thick to thin youll notice upon spitting out the oil indicates the degree of lipophilic (fat-loving) toxic chemicals, metals, and microbes that have been absorbed into the oil from the oral mucosa, as well as throughout the entire body as the blood circulates through the oral mucosa. Please help Do I keep trying to get in to the doctors hopefully they dont charge me because my family is not rich the only family I have is my mom, and its hard for her to make rent every month. Continue reading to learn more about the supplements to avoid amalgam fillings. Nebennieren-Schwche chronisch mde und erschpft, Wann Basenpulver schaden und welche helfen, Drei Dinge die den Lymphfluss jeden Tag trainieren, Theme developed by TouchSize - Premium WordPress Themes and Websites. Worst part of all of this is Im breastfeeding. Then the results of scientific studies and expert articlesabout the harmful impacts of amalgam, written by medical doctors and naturopaths, reached a greater audience. After my amalgam removal, how long do you recommend I wait before breastfeeding my child. Mitochondrial therapy the Alternative)Aurum Verlag,4. Only with the ALA I am careful, as this goes through the blood-brain barrier, so I use ALA only after previous DMSA or DMPS-chelation which is prompt and almost always problem-free. I just had my 8 fillings safely removed. Thank you. more then the daily requirement of 3 g. Thank you for your passion and your research Depending on the combination of the nutrients, also higher concentrations were found in muscles and hair. Hello! They test for over 18,000 dental and orthotic materials. Having it fall out by itself, while not ideal, saves you some money! Mitochondrientherapie die Alternative. Do you have data from before and after blood tests from a large population of people? If he'd like to book a consult with me at our office, Biodynamic Wellness, he can call: 858.259.6000. Putting aside the fact that different responses to mercury vary, the impacts of such exposures are more pervasive since signs of mercury poisoning could indeed take several years to occur. I dont know. We avoid using tertiary references. OH MY GOSh I HAVE Hashimoto! This plan is geared towards helping remove heavy metals from the body. Inactive forms like hydroxo cobalamin and cyano cobalamin are changed into the active components inside the body. Right now, I would not be able to survive detox. Dont be cavalier about removing an amalgam filling. 2 The . Thank you for this post! Mandy, Hello, I have a tooth with a mercury amalgam. Im really good at listening to my body even my doctors told me its oddly fascinating how aware of whats going on in my body I am. Yet vitamin D does not enhance the uptake of mercury. I have an opening tomorrow morning and also one next week. Thats even 300 times (!) I have had thyroid issues too but nothing major. After the amalgam filling removal procedure, discuss supplements and treatments to aid in the detoxing process. Alternatively EPA and DHA can be taken with cleaned fish oil or algae. Shes had no problems she knows of. You'll have to wait longer with an amalgam filling (silver) than with a composite filling (white . Thank you very much, Thank you very much for your reply. Maybe I didnt get better, due to my leaky gut reabsorbing the chlorella again. If we should, then what difference does it truly make if you have it SMART removed? However, SCENIHR state that the half-life of mercury in the body is only "20-90 days". Diese Website benutzt Cookies. 4. I'm curious what you did to rid yourself of mercury since you, like me did not know what was happening to you when they removed your fillings wrong. Until your mercury fillings are safely removed by a qualified professional, you can minimize their toxic influence with one simple step: avoid all hydrogen peroxide products by choosing a toothpaste formulated . Thanks for your feedback! Porcelain. Would it show up in the blood? I have been battling for 9yrs for my health. Although it sometimes is called "silver amalgam," amalgam actually consists of a combination of metals. refering to your last comment I can say that ceramic seems to be the best material to use instead of amalgam or other metallic filling materials. Metallomics. We can do the consult over the phone. Composite fillings benefits. Ive had a dozen of fillings in my mouth for the longest time, some of them are 30 years old. Dental amalgam is a dental filling material used to fill cavities caused by tooth decay. Dentists have been using amalgam in . Having a seemingly simple filling removal ruin my health made me very passionate about educating others regarding safe dentistry. Most people dont realize amalgam fillings are actually about 50% mercury. The COMT gene is responsible for the normal production of the COMT enzyme (catechol-O-methyltransferase), which uses methylation to metabolize neurotransmitters and drugs. To detox aluminium it will need EDTA, best in the form of calcium disodium EDTA. Populus Nigra assists in transporting toxins, including heavy metals and chemicals, across the blood brain barrier. Eur J Clin Nutr. I have had Lyme disease for over 21 years and Im pretty sure your Dr tested you at a local lab (like Quest) their test are not accurate. Yet the criticism against amalgam is there since it was invented back in 1831 (Mutter, 2002). Good luck. I was hoping 10 days of pump and dump would be enough. I know I need to get these fillings out but I do not have the money right now. no I dont know Hal Huggings. http://www.homeopathy.at/cleanup-kofferdam-ausleitung-bei-liegenden-plomben, My own experience is: Required fields are marked *. We share some recommended tips for eating following a tooth filling. ScientificWorldJournal. Thats why most supplements are free for sale. As a former dental assistant 30 years ago, I not only have many amalgams, but daily exposure in the opertory that was not known to be dangerous back then. It's best to wait until you've had them out to then detox. Q: if mercury entered my body during the process is it still likely to be there? Getting a filling is a common dental procedure that is used to treat cavities and protect . PLoS One. My wife is now on a careful detox program similar to the one here available. It is very informative. I donalready have Pure Radiance C. I would very much appreciate your advice. Learn to know how dietary supplements can interactwith heavy metals that have accumulated in the body. All rights reserved. Dental materials and their selection. Im truly panicking. 1-3 MSM capsules (increase to 5 capsules a day if you have root canals and mercury fillings) 6. He developed a protocol for people with Mercury amalgams. What are the alternative options to active form of Folic acid in my case. Due to badly damaged tooth that cant wait till weaning? That makes micronutrients apparently a perfect alternative for self-treatment. Several small human studies have found that chlorella, a type of algae, may support mercury . Anxiety is a common mental health condition that affects millions of people worldwide. In a study form the 1980s Japanese scientists observed the redistribution of mercury to the brain in a mouse model. All my issues started after I had 4 amalgam fillings replaced without a rubber dam being used . Thank you for the information!! I have been grain free for just 3 days and I noticed lower inflammation but also exhaustion and fatigue. Contact our office and they can help! I am almost 68 years old and I heard that you get real sick after taking them out. Amalgam fillings consist of about 50% mercury and depending on the composition of up to 40% silver, 30% copper or tin and small amounts of zinc and other metals. Start Cilantro. The U.S. Food and Drug Administration has approved the use of chelation therapy with EDTA for treating lead poisoning and continues to investigate its potential and safety as a new drug for reducing coronary heart disease . In my opinion a save and complete detoxification is only possible with the Klinghardt-Triad wild garlic coriander chlorella and the chelators DMSA/ DMPS and EDTA. Megadoses viamin C, vitamin B12 and folic acid lead after exposition to Hg2+ to higher amounts of MeHg in brain and liver (Chapman, 2000) (Zorn, 1990). How long do you take the organic sulfur for after removal? Q: do white fillings contain mercury? route of:- tooth out - implant in. Along with waiting for your filling to properly set, other things that can affect eating post-filling include: Your dentist will most likely administer a local anesthetic to reduce pain during the filling procedure. I will be getting some tests done to see if they are leaking. Please keep in mind, this needs to be used along with the rest of the protocol. If you have to take Vitamin B12 supplements in high doses daily perhaps because of nitrosative stress then take only adenosyl cobalamin. Carrie, do you have any information that confirms this? 2014 Oct;68(10):1148-53. doi: 10.1038/ejcn.2014.114. They wore masks but nothing with ventilation. I am in healthcare and was mandated to take the flu shot starting a few years back. It doesn't always mean something is wrong, but of course, talk to you practitioner to see what they have to say since they know your full health history. Thanks! I cant find anything anywhere online for this situation. Why is it best to remove them and then detox. But also magnesia and the essential trace elements copper, zinc, iron and selenium are easier metabolized in the presence of vitamin D. Unfortunately the uptake of toxic elements like lead, arsenic, aluminium, cadmium and strontium are supported through vitamin D (Schwalfenberg, 2015) (Moon, 1994). Besides I had to get 3 out a few years ago and my teeth crumbled when they took them out. Environ Health Perspect. There is always hope! The final step is to include items that can aid the detoxing of heavy metals from our bodies. So, please read through them again and you'll see that I made sure to respond each person. Up your daily intake of fresh water to at least 2 litres per day. 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