Here is the abstract of the study you cited (Guth et al 2020):
Recently, epidemiological studies have suggested that fluoride is a human developmental neurotoxicant that reduces measures of intelligence in children, placing it into the same category as toxic metals (lead, methylmercury, arsenic) and polychlorinated biphenyls. If true, this assessment would be highly relevant considering the widespread fluoridation of drinking water and the worldwide use of fluoride in oral hygiene products such as toothpaste…based on the totality of currently available scientific evidence, the present review does not support the presumption that fluoride should be assessed as a human developmental neurotoxicant at the current exposure levels in Europe.
Emphasis mine. Let me rephrase with a made up example:
Recently it’s been suggested that carbon dioxide is poisonous. If true, then the fact that humans are breathing carbon dioxide is worrisome. We reviewed the research, and carbon dioxide is not poisonous in the concentration to which humans are normally exposed. They would have to inhale 80-100% CO2 for an extended duration, and that scenario is highly unlikely because that concentration can only be achieved in a laboratory.
Your study is not saying fluoride is a toxin. It’s saying people have claimed it’s a toxin, they looked into it, and that conclusion is bogus. The study that’s routinely cited as claiming it’s a toxin is this one. Here is Guth et al’s analysis of that study:
In this publication, the authors cited one of their previous studies, a meta-analysis from 2012 of 27 cross-sectional studies investigating children exposed to fluoride in drinking water (Choi et al. 2012). There, a decreased IQ was observed in ‘fluoride exposed’ compared to ‘reference populations’. However, Choi et al. (Choi et al. 2012) also discussed limitations of their findings, e.g., that critical confounders were not considered and age adjustment of cognitive test scores were not reported in most studies included in the meta-analysis. Nevertheless, in the Lancet Neurology review (Grandjean and Landrigan 2014), the authors concluded that fluoride is a human developmental neurotoxicant, although no novel data and arguments were presented. Moreover, it was stated that ‘confounding from other substances seems unlikely in most of these studies’ (Grandjean and Landrigan 2014) without supporting this statement with data. Besides this questionable reinterpretation, further limitations of the meta-analysis have already been discussed in detail by other authors (Feldman 2014; Gelinas and Allukian 2014; Sabour and Ghorbani 2013; Sutton et al. 2015), e.g., the use of non-validated IQ tests (Feldman 2014), exposure of the children to a relatively highly polluted environment, the subsequent risk of possible confounding substances (Feldman 2014; Gelinas and Allukian 2014), and an overall low quality of the meta-analysis (Sutton et al. 2015). Moreover, in the time period after the introduction of fluoridation of drinking water, IQs in general have increased (Feldman 2014). This may be due to secondary factors, such as improved education.
The study you’ve cited does not say fluoride is a developmental neurotoxin. It very explicitly says it is not. Do not claim that it is.
Studies which are completely bogus, indefensible contortions of bad or nonexistent data. Those “studies” have been proven to be complete bullshit. The NTP found no evidence that fluoride exposure had adverse effects on adult cognition. As a scientist, I am telling you without a shadow of a doubt that the scientific research does not claim what you’re saying it’s claiming.