The report, titled the “NTP Monograph on the State of the Science Concerning Fluoride Exposure and Neurodevelopmental and Cognitive Health Effects: A Systematic Review” has been an ongoing source of controversy due to its findings and delays in its release. It is also a pivotal piece of evidence in the ongoing lawsuit brought against the EPA by the Fluoride Action Network. Through the Freedom of Information Act (“FOIA”), Plaintiffs obtained email communications between the NTP and the Centers for Disease Control and Prevention (“CDC”) regarding the NTP monograph. These emails confirm that the NTP considered the May 2022 monograph to be the NTP’s final report. (pg 4). A court order has led to the National Toxicology Program (NTP) releasing a finalized systematic review of fluoride's neurotoxicity that was blocked by government officials and concealed from the public since May 2022. Documents obtained through the Freedom of Information Act show government agencies that promote fluoridation, allied with dental interests, have tried to water down the report. When the NTP held firm, these agencies got HHS Assistant Administrator Rachel Levine to block its release. The NTP’s 6-year Systematic Review has undergone an unprecedented peer-review process with five separate review processes done since 2019. The review consists of a monograph and a meta-analysis. A monograph is a specialized piece of in-depth scientific writing on a focused area. The meta-analysis reported that 52 of 55 studies consistently found that people had lower IQ when exposed to higher levels of fluoride. Asked whether its meta-analysis had identified any safe dose of fluoride, NTP responded that they found "no obvious threshold" for total fluoride exposure or water fluoride exposure. NTP cited their report's graph showing a steep drop in IQ of about 7 points over a fluoride range from 0.2 to 1.5 mg/L. At its May 4, 2023, public meeting, the National Toxicology Program’s (NTP) Board of Scientific Counselors (BSC) voted unanimously to accept the BSC Working Group’s systematic review of the report. NTP director Richard Woychik, PH.D. is now ultimately responsible for deciding on the final publication. He said in his closing remarks that he will be working with the members of the working group and the NTP authors to make the revisions and try to get the report to publication as quickly as possible, hopefully in the next several weeks. ... https://www.youtube.com/watch?v=RhDWayx3TzE