Altitude sickness isn’t just an Everest problem. It’s a risk for any hiker venturing into high country above 3,000 meters (9,842 feet), from the Rockies and Andes to the Himalayas. Mountaineers and high-altitude climbers have understood this for decades: success at altitude isn’t about strength alone, but about pacing, acclimatization, and knowing when to stop.
Those same lessons apply directly to trekkers heading for Everest Base Camp (EBC). You can train for months, buy the best gear, and still get humbled by one thing on the trek to Everest Base Camp: altitude. One day you feel strong and excited. The next morning you wake up in Namche Bazaar (3,440 meters / 11,286 feet) with a pounding headache, no appetite, and legs that suddenly feel heavy. That’s altitude sickness, and it’s the reason many trekkers turn back before they ever reach Base Camp.
The good news? Altitude sickness is often preventable. Not with “super fitness,” but with smart pacing, proper acclimatization, good daily habits, and the right decisions at the right time.
This guide breaks everything down in a clear, practical way: what altitude sickness is, why it happens on the Everest Base Camp route, how to acclimatize properly, what symptoms to watch for, and what to do if you feel unwell. Follow these principles, and you’ll give yourself the best chance of reaching Everest Base Camp safely, and actually enjoying the journey.
What Is Altitude Sickness and Why Is It a Concern on the Everest Base Camp Trek?
Altitude sickness, also known as Acute Mountain Sickness (AMS), occurs when your body doesn’t have enough time to adapt to lower oxygen levels at high elevation. According to the Himalayan Rescue Association, symptoms can range from mild discomfort to life-threatening conditions if ignored.
It usually starts mild, but it can escalate quickly.
The three types you should know
- AMS (Acute Mountain Sickness): AMS, the most common form, begins with dizziness and difficulty sleeping; the key is recognizing AMS early so it doesn’t progress.
- HAPE (High Altitude Pulmonary Edema): This condition happens when fluid builds up in the lungs, making breathing difficult even at rest. Additional oxygen and medication are needed.
- HACE (High Altitude Cerebral Edema): An urgent medical emergency requiring immediate evacuation, HACE involves swelling of the brain that causes confusion and loss of coordination.
Why Altitude Sickness Is Common on the EBC Route
Everest Base Camp sits at 5,364 meters (17,598 feet). At this altitude, oxygen availability is roughly 50% of sea-level concentrations, according to data summarized by the CDC’s High-Altitude Travel Guidelines.
You can’t “power through” that change. Your body needs time.
The EBC trek adds extra stressors:
- Long walking days
- Cold temperatures
- Dehydration (very common at altitude)
- Poor sleep in teahouses at higher villages
These same challenges become even more pronounced for trekkers who combine the trek to Everest Base Camp with climbing Island Peak Nepal, where altitude exposure is higher and recovery margins are tighter.
Altitude sickness has nothing to do with strength. Even very fit trekkers can develop AMS if they ascend too quickly.
When Altitude Sickness Usually Starts on the Trek
Symptoms often appear above 2,500 meters (8,200 feet). On the EBC trek, this can happen quickly, especially after reaching Namche Bazaar.
Higher-risk points along the journey include:
- Namche Bazaar (3,440 meters / 11,286 feet)
- Dingboche (4,410 meters / 14,468 feet)
- Lobuche (4,940 meters / 16,207 feet)
- Gorak Shep (5,164 meters / 16,942 feet)
From around 3,000 meters (9,842 feet) onward, doing a short body check every evening becomes essential.

How to Prepare for Altitude Before the Everest Base Camp Trek
A smoother trek starts before you even land in Nepal. Preparation won’t guarantee you avoid AMS, but it helps your body cope better with stress and fatigue.
Get Your Body Trek-Ready
Aim for 8–12 weeks of training, including:
- Uphill hiking (stairs, hills, treadmill incline)
- Long walks for endurance
- Leg and core strength training
- Practice hikes with a backpack
Fitness won’t prevent altitude sickness, but it reduces overexertion, which does lower risk. This becomes especially important if your itinerary includes Island Peak climbing after Everest Base Camp, where accumulated fatigue can increase susceptibility to AMS.
Medical Check-Up
Before you travel to high-altitude destinations, speak to a medical professional if you have:
- Asthma or lung conditions
- Heart issues
- Previous history of altitude sickness
- Concerns about taking Diamox
Also ensure your travel insurance covers high-altitude trekking and helicopter evacuation, particularly if you plan additional objectives like peak climbing.
The Best Acclimatization Techniques for the EBC Trek
If there’s one rule that saves trekkers every season, it’s this:
Go slow—especially above 3,000 meters (9,842 feet). A safe itinerary includes at least two key acclimatization days:
Namche Bazaar (3,440m / 11,286 ft)
Stay two nights. Do a day hike to Everest View Hotel or Khumjung, then sleep back in Namche.
Dingboche (4,410m / 14,468 ft)
Stay two nights. Hike to Nagarjun Hill or the Chhukung ridge area, then descend to sleep.
These aren’t “rest days”, they’re altitude training days. Skipping them is one of the most common mistakes trekkers make, especially those planning to continue on to Island Peak after the EBC trek.
Hike to a higher point during the day, then return to a lower elevation to sleep. Keep acclimatization hikes steady and controlled, not exhausting missions.
Medications for Altitude Sickness: What Actually Helps
Diamox is commonly used to help with acclimatization by improving breathing at altitude. Medical guidance from sources such as the Mayo Clinic and CDC recommends it only under professional advice.
A typical preventative dose:
- 125 mg twice daily, starting 1–2 days before ascent or early in the trek
(always follow medical advice)
Diamox can help, but it never replaces proper acclimatization or descent if symptoms worsen.
Natural remedies, such as garlic soup, ginger tea, and warm fluids, can improve comfort and hydration. However, they do not replace slow ascent, acclimatization days, or descent, especially at higher elevations encountered during Everest Base Camp trekking and Island Peak climbing.
Symptoms of Altitude Sickness: What to Watch For
Early Warning Signs (AMS)
- Persistent headache
- Nausea or loss of appetite
- Unusual fatigue
- Dizziness
- Poor sleep
If symptoms are mild, do not ascend further until they improve.
Dangerous Symptoms (Medical Emergency)
According to the International Society for Mountain Medicine:
- Breathlessness at rest
- Confusion or unusual behavior
- Poor coordination
- Persistent cough or chest tightness
These require immediate descent and medical attention.
What to Do If You Get Altitude Sickness on the Trail
If symptoms are mild:
- Rest at the same altitude for 24 hours
- Hydrate and eat light, high-carb meals
- Reassess the next morning
If symptoms persist or worsen:
- Descend at least 300–500 meters (1,000–1,640 feet)
No summit, no Base Camp photo, and no peak climb is worth risking your life.
Medical Support on the EBC Trail
The Himalayan Rescue Association clinic in Pheriche, seasonal service, is the most-known medical support point. Some lodges have oxygen or emergency resources, but availability varies, another reason proper insurance is essential.
Daily Habits That Make a Huge Difference
Hydration & Food
- Drink 3–4 liters of fluids daily
- Eat high-carb meals (rice, pasta, potatoes, lentils)
- Snack regularly, appetite often drops at altitude
Dehydration makes AMS worse quickly.
Pace: Slow Beats Strong
Walk with:
- Steady breathing
- Short breaks
- No rushing or racing others
A slow trekker reaches Base Camp more often than a fast trekker who crashes in Dingboche.
Avoid These at Altitude
- Alcohol
- Smoking
- Sleeping pills or sedatives
They reduce oxygen efficiency and worsen sleep quality.
Should You Hire a Guide to Reduce AMS Risk?
A good guide helps by controlling the pace of your trek and can help with:
- Monitoring symptoms
- Managing accommodations
- Making tough calls to stop when trekkers want to push on
A knowledgable guide becomes especially important if you plan to combine the trek to Everest Base Camp with climbing Island Peak in Nepal, where acclimatization margins are tighter. If you’re unsure about altitude, hiring a guide is one of the smartest safety upgrades you can make.
Learn From Experience
If there’s one thing experienced Himalayan guides agree on, it’s this: your itinerary matters more than your fitness. You can be strong, fast, and well-trained, but if you rush the ascent, altitude sickness can still catch you off guard.
Rest days in Namche Bazaar and Dingboche aren’t optional. They’re essential for a safe Everest Base Camp trek and absolutely critical if you plan to continue on to Island Peak.
Mild AMS is a warning, not something to push through. Severe symptoms are emergencies that require immediate descent. Knowing the difference can prevent serious consequences.
And finally, remember that descending is not failure. It’s smart decision-making. Everest Base Camp, and even Island Peak, are incredible goals, but real success is returning healthy, with clear memories and respect for the mountains that allowed you to experience them.
About the Author
This sponsored article was written by Samita Maharjan of Magical Nepal.
The post Guest Idea: How to Avoid Altitude Sickness on the Everest Base Camp Trek appeared first on Earth911.
https://earth911.com/inspire/guest-idea-how-to-avoid-altitude-sickness-on-the-everest-base-camp-trek/
Green Living
Earth911 Inspiration: What Provides Survives — Simon M. Lamb
Today’s quote is from writer, businessman, and conservationist Simon M. Lamb. In his book, Junglenomics: Nature’s Solutions to the World Environment Crisis, he suggests that nature provides solutions to help us reform our environmentally destructive economic practices.
Lamb writes, “As in nature, so in economics — what provides survives.”
Earth911 inspirations. Post them, share your desire to help people think of the planet first, every day. Click the poster to get a larger image.
Editor’s Note: This poster was originally published on March 27, 2020.
The post Earth911 Inspiration: What Provides Survives — Simon M. Lamb appeared first on Earth911.
https://earth911.com/inspire/earth911-inspiration-what-provides-survives-simon-m-lamb/
Green Living
Stop the Summer Reading Slide With Eco-Themed Kids’ Books
Summer is a time for playing outside and enjoying the environment. At least one study has shown that playing outside as a child is an important predictor of protecting the environment as an adult. But parents need to ensure kids keep up their reading skills, which often slide over the summer.
These books with environmental themes, sorted by reading level, will improve both your kids’ literacy and their environmental awareness. We suggest reading them in a treehouse or on a picnic blanket in the sun.
Earth911 teams up with affiliate marketing partners to help fund our Recycling Directory. If you purchase an item through one of the affiliate links in this post, we will receive a small commission.
Picture Books
A Leaf Can Be …
by Laura Purdie Salas
A leaf can be a … shade spiller, mouth filler, tree topper, rain stopper. Find out about the many roles leaves play in this poetic exploration of leaves throughout the year. Pair it with the companion volumes A Rock Can Be … and Water Can Be … for a full nature-cycle set.
The Tantrum That Saved the World
by Megan Herbert and Michael E. Mann
A little girl inherits a huge problem she didn’t ask for — and then channels strong emotions into positive action. Co-written by climate scientist Michael E. Mann, the second half explains the science of climate change in age-appropriate language and closes with a kid-friendly action plan.
Seeds of Change: Wangari’s Gift to the World
by Jen Cullerton Johnson
It’s never too early for children to see examples of strong women who make the world a better place. This picture-book biography of Nobel Peace Prize winner Wangari Maathai illustrates the often-overlooked intersection between ecology and justice, which makes this example even better.
We Are Water Protectors
by Carole Lindstrom, illustrated by Michaela Goade
New to this list. Winner of the 2021 Caldecott Medal, the first awarded to a Native American illustrator, this lyrical, gorgeously painted book follows an Ojibwe girl who rallies her community to defend the water against a “black snake” pipeline. It introduces the youngest readers to Indigenous environmental stewardship and the idea that water is life.
Books for Younger Middle Grade
The Magic School Bus and the Climate Challenge
by Joanna Cole
Trust the beloved kids’ science series Magic School Bus to explain the facts of global warming in ways kids understand, and to give them ideas about how they can help. Ms. Frizzle takes the class from the Arctic to the equator to see the signs of a warming planet firsthand.
The Last Bear
by Hannah Gold
New to this list. There are no polar bears left on Bear Island, or so April’s father tells her when his research takes them to a remote Arctic outpost. Then April spots one: hungry, lonely, and far from home. Hannah Gold’s award-winning debut (a Waterstones Children’s Book Prize and Blue Peter Book Award winner) pairs a tender friendship story with a clear-eyed look at melting sea ice, illustrated throughout by Levi Pinfold.
Operation Redwood
by S. Terrell French
The environmental movement is too often associated with white people. In Operation Redwood, a biracial boy challenges his rich relatives to look past the profit motive and protect an old-growth redwood grove on property they own.
Books for Middle-Grade Tweens
Two Degrees
by Alan Gratz
New to this list. From the #1 New York Times bestselling author of Refugee, this fast-moving novel braids together three kids facing three climate disasters — a California wildfire, stranded polar bears in Manitoba, and a Florida hurricane — into one connected story. It won the 2023 Green Earth Young Adult Book Award and reads like a thriller, which makes it a strong pick for reluctant readers.
Gorilla Dawn
by Gill Lewis
Two children living in the Congo’s war zone risk everything to protect a captured baby gorilla from a life in captivity. Although not graphic, this book is intense. It addresses the impact of violence on children and wildlife and reveals the connection between the rare-earth minerals in consumer electronics and devastating destruction in Africa.
Squirm
by Carl Hiaasen
While not as overtly environmentalist as the well-known Hoot, Hiaasen’s eco-adventure features tween protagonists who care about animals and appreciate the natural world more than the adults around them — here, a Florida kid who heads to Montana to find his father and ends up tangling with poachers, a spy drone, and a grizzly. His characteristic irreverent humor is on full display.
The Last Wild
by Piers Torday
A boy who can talk to animals — but not people — fights against extinction in a world where a virus has wiped out nearly all wildlife. The first book in a gripping trilogy, it’s a natural conversation-starter about biodiversity loss and what a landscape looks like once the wild things are gone.
The Casket of Time
by Andri Snær Magnason
From poetry to nonfiction, books by Icelandic author Andri Snær Magnason are unified by environmental concern. Now available in English, his 2013 novel for tweens and teens, The Casket of Time, tells the story of Sigrun, a teenager whose TimeBox® opens too early. Her family entered the TimeBoxes to sleep out “the situation,” but now she finds herself among the few who are left awake to fix the world. Younger readers will enjoy his first children’s book, The Story of the Blue Planet.
Make the Most of Summer Reading
A few simple habits help these books do double duty — building reading stamina and environmental awareness at the same time:
- Read outside. Pairing a nature story with time in a backyard, park, or trail reinforces the connection the research points to between outdoor play and lifelong environmental care.
- Borrow before you buy. Most of these titles are available through your local library or its e-book app, which keeps reading low-cost and low-waste. Buy the keepers your kids want to read again.
- Talk about the action steps. Several of these books — The Tantrum That Saved the World, Two Degrees, Old Enough-style activist stories — end with concrete things kids can do. Pick one and try it together.
- Pass them on. When your family outgrows a book, donate it to a school, Little Free Library, or shelter so it keeps circulating instead of heading to the recycling bin.
Editor’s Note: This article was originally published by Gemma Alexander on May 10, 2019, and was most recently updated with new titles in June 2026.
The post Stop the Summer Reading Slide With Eco-Themed Kids’ Books appeared first on Earth911.
https://earth911.com/inspire/eco-themed-kids-books/
Green Living
How Clean Is Your Toothpaste?
In 2025, independent lab testing found that roughly 90% of the toothpastes it examined contained detectable lead. The brands implicated were not fringe products, including household names like Crest, Colgate, Sensodyne, and Tom’s of Maine, along with dozens of formulas marketed for children and many sold as “natural” or “green.”
That headline rattled a lot of medicine cabinets, and it deserves a careful look rather than a panic. Toothpaste is, after all, a cleaner we put in our mouths twice a day for a lifetime. Knowing what’s in it, what the science says about the risk, and which ingredients raise legitimate environmental and health questions is worth a few minutes. Here’s where the evidence stands now.
Toothpaste, a History
The history of oral hygiene dates back nearly 7,000 years to an abrasive powder made from materials like eggshells, pumice stone, or ox hoof ashes. Egyptians would wet the powder and rub it on their teeth. Later the Romans and Chinese sought to improve the flavor of their abrasive powders with herbal ingredients like mint and ginseng. Not much changed until the 1800s, when inventors added soap and chalk to the powder.
The first toothpaste tube, which was made of lead, was introduced in the 1890s. (Yes, lead has a long and unfortunate history with this product.) It was the first of many changes that followed in the 20th century, as a host of new chemicals both increased the effectiveness and the environmental and health risks of toothpaste. In 1955, Procter and Gamble released the first stannous fluoride cavity-preventing toothpaste. Fluoride remains the most common active ingredient in toothpaste today.
Personal care products of all kinds were largely homemade until the last century, and that is still an option today. You can make your own toothpaste and mouthwash at home using simple ingredients you already have in your kitchen. Talk to your dentist before giving up fluoride, though, which is proven to deter cavities.

The Heavy Metals Question
The 2025 lead findings came from Lead Safe Mama, a consumer-advocacy operation run by lead-poisoning-prevention activist Tamara Rubin. Its program crowdfunds samples and sends them to an independent, third-party lab. Across roughly 51 toothpastes and a few tooth powders, about 90% tested positive for lead, 65% for arsenic, just under half for mercury, and about a third for cadmium. All four are toxic; lead and arsenic are particularly concerning for children’s developing brains.
That sounds alarming, and the contamination is real. But context matters enormously here.
Where the metals come from
The contamination appears to be unintentional, traced to naturally sourced ingredients that carry trace metals when they aren’t purified: hydroxyapatite (often derived from animal bone or mineral sources), calcium carbonate (an abrasive), and especially bentonite clay, a natural “detoxifying” ingredient that was a recurring culprit in the highest-contamination products.
Rubin’s ingredient testing found the raw materials themselves were contaminated, which points to a supply-chain and sourcing problem rather than one or more bad actors.
The regulatory gap
None of the tested products exceeded the FDA’s federal limit for lead in toothpaste, which is 10,000 parts per billion (ppb) for fluoride-free pastes and 20,000 ppb for fluoride pastes. However, those thresholds are substantially higher than the limits set for food. By comparison, California caps lead in baby food at 6 ppb, and the proposed federal Baby Food Safety Act would set 10 ppb, neither of which covers toothpaste. Most tested pastes cleared the baby-food bar by a wide margin but sit far below the cosmetic ceiling.
Washington State has moved to close part of that gap. Its Toxic-Free Cosmetics Act set a 1,000 ppb lead limit for cosmetics, including toothpaste. A handful of products in the testing exceeded it, with the worst offender, a brand called Primal, containing 7,800 ppb. Companies have been given time to come into compliance.
What an independent risk assessment found
After the headlines, toxicologists reviewed the Lead Safe Mama results. A peer-reviewed screening-level risk assessment published in Public Health Toxicology in 2025 used Lead Safe Mama’s own data and deliberately conservative assumptions, including the worst-case scenario that a child swallows a full smear of toothpaste at every brushing. The conclusion: for cadmium and mercury, exposures fell below health-guidance values across the board. For lead and arsenic, on the other hand, a handful of products exceeded the most protective guidance levels under heavy-use scenarios, but the doses were still several times to several orders of magnitude lower than what children and adults already get from food, household dust, and soil.
The researchers’ assessment concluded that the heavy metals detected “are not anticipated to increase health risk” through typical use, and that a normal pea-sized amount is safe. That doesn’t make the contamination acceptable; no level of lead exposure is considered safe, and unnecessary exposure is still worth avoiding. But it reframes the story from “your toothpaste is poisoning you” to “your toothpaste is one more avoidable trace source in a world that has too many.”
A small set of products came back as free of all four metals, proving cleaner sourcing is achievable. They included Dr. Brown’s Baby Toothpaste, Spry Kids’ tooth gel, Orajel Training Toothpaste, and Miessence. (Earth911 will receive a small fee if you make a purchase through these links.) As of mid-2025, Lead Safe Mama listed seven products meeting its non-detect threshold.
Other Ingredients Worth Watching
Heavy metals aren’t the only thing in the tube that draws scrutiny. A few others come up repeatedly:
- Titanium dioxide. This white pigment (listed as CI 77891) does nothing for your teeth; it’s purely cosmetic, there to make the paste look bright white. The EU banned it as a food additive in 2022 over genotoxicity concerns, and the EU’s Scientific Committee on Consumer Safety has said a mutagenic effect from oral cosmetic use can’t be ruled out. It remains legal in toothpaste in both the EU and the US, and the FDA still permits it, but many manufacturers are dropping it voluntarily. Since it has no functional benefit, it’s an easy one to skip.
- Sulfates (SLS). Sodium lauryl sulfate, the foaming agent, is not linked to cancer despite a persistent internet rumor. It can be a skin and tissue irritant for sensitive people and has been associated with canker sores. SLS-free options are widely available if you’re prone to either.
- The sodium pyrophosphate used to prevent tartar can pass through wastewater treatment and feed algal blooms and create dead zones in waterways. Phosphates aren’t in every paste, and some mainstream brands offer phosphate-free formulas.
The Fluoride Debate Got Louder
Fluoride remains the most studied and most effective cavity-preventing ingredient in toothpaste, and major dental and pediatric organizations continue to recommend it. But the politics around it shifted sharply in 2025.
In May 2025, the FDA began action to pull ingestible fluoride supplements (drops and tablets that are swallowed) for children off the market, citing concerns about the gut microbiome and finalizing the move that October. It’s important to read what that action covers: the FDA explicitly distinguished swallowed supplements from topical fluoride in toothpaste and rinses, which you spit out and which it did not move against. The American Academy of Pediatrics and American Dental Association both pushed back hard, warning the broader anti-fluoride momentum could drive up tooth decay.
The underlying science is genuinely unsettled at the edges. A 2025 JAMA Pediatrics meta-analysis found an inverse association between fluoride exposure and children’s IQ, but mostly at exposure levels well above US water-fluoridation concentrations, with the dose-response uncertain at lower levels. The takeaway for toothpaste users is narrow: spitting out a topical fluoride paste is a different exposure than swallowing a concentrated supplement, and the evidence against topical use remains thin. If your water is already fluoridated and you’d rather avoid it, that’s a reasonable personal choice, and there’s now a better-supported alternative than there used to be.
Hydroxyapatite: The Fluoride Alternative That’s Earning Its Claims
Nano-hydroxyapatite is a synthetic version of the mineral that makes up tooth enamel, and has moved from niche fluoride alternative to credible option. A 2024 systematic review and meta-analysis in the Journal of Dentistry concluded that hydroxyapatite toothpaste can be an effective alternative to fluoride for preventing caries progression and remineralizing early lesions, with the added pitch of strong biocompatibility. A 2025 narrative review of recent clinical trials reached a similar conclusion, calling it a safe and effective option, especially for children or anyone at risk of fluoride overexposure, with possible added benefits for tooth sensitivity.
While the data is piling up fast, research on hydroxyapatite is earlier and thinner than fluoride’s decades of data, and some trials are industry-funded. Second — and this is the irony — hydroxyapatite is one of the ingredients flagged as a potential heavy-metals vector when it’s not well purified. The lesson isn’t to avoid it; it’s to favor brands that publish third-party purity testing.
Animal Welfare
It may surprise you that some toothpastes contain animal products. Propolis is sourced from bees. Unless specified otherwise, calcium phosphate and glycerin can be derived from animal bone and fat. If you’d rather not brush with animal byproducts, look for vegan-certified products.
Even toothpastes without animal ingredients may have been tested on animals. To avoid those, look for Leaping Bunny certified products. Vegan and cruelty-free aren’t the same thing, so a product can carry one certification without the other.
Packaging
Toothbrushes and toothpaste tubes can be recycled, but it’s not as simple as tossing them in the curbside bin. Most tubes are multi-layer plastic that local programs can’t process. That’s slowly changing: Tom’s of Maine, Colgate (though Bloomberg found the company’s recyclability claims aren’t well supported), and other brands are transitioning to recyclable plastic tubes.
Tube-free products sidestep the packaging problem entirely. Toothpaste tablets and chewables come in glass or metal-tin packaging, tooth powders ship in tins or jars, and some brands now use aluminum pods.
Sorting the Concerns by How Much They Matter
Not every flagged ingredient carries the same weight. Here’s a plain-language triage based on current evidence:
| Concern | What the evidence says | What to do |
|---|---|---|
| Heavy metals (lead, arsenic) | Real but small relative to diet and dust; below federal limits, above some state and baby-food limits. No safe level of lead exists. | Use a pea-sized amount; favor brands publishing purity testing; supervise kids’ brushing. |
| Titanium dioxide | Cosmetic only, no dental benefit; EU genotoxicity concerns; still legal in toothpaste. | Easy to skip — it does nothing for your teeth. Check the label for CI 77891. |
| Phosphates | Mainly an environmental concern (algal blooms), not a personal-health one. | Choose phosphate-free if available; not in every brand. |
| SLS (sulfates) | Not carcinogenic; can irritate sensitive tissue and trigger canker sores. | Go SLS-free only if you get canker sores or have sensitivity. |
| Fluoride | Topical use (spit out) remains well supported; concerns center on swallowed supplements at high doses. | Keep using it, or switch to clinically supported hydroxyapatite if you prefer fluoride-free. |
What You Can Do
You don’t need to throw out your toothpaste. A few practical moves address the real concerns without overcorrecting for the overblown ones:
- Use a pea-sized amount. It’s the single most effective step for cutting any ingredient exposure. The risk assessment found it erases most heavy-metal concerns, and it make the tube last longer, which reduces waste.
- Supervise young kids’ brushing. Children swallow more toothpaste than adults, so they’re the most relevant group for any ingestion concern. Use a rice-grain smear for under-3s and a pea for older kids.
- Favor transparency. Choose brands that publish third-party testing for heavy-metal purity, especially if your paste contains hydroxyapatite, calcium carbonate, or bentonite clay.
- Skip the purely cosmetic stuff. Titanium dioxide adds whiteness and nothing else. Check the ingredient list for “CI 77891” and pick a formula without it.
- Keep brushing with an effective active. Fluoride (spit it out) or clinically supported hydroxyapatite both prevent cavities. Don’t trade a proven benefit for an unproven fear.
- Ditch the tube where you can. Tablets, powders, and tinned formats avoid multi-layer plastic.
- Don’t run the tap. Leaving the water running while you brush can waste up to four gallons of fresh water each time, even with a low-flow faucet.
Toothpaste is cleaner than the scariest headlines suggest and messier than the industry would like to admit. The contamination is real, the regulatory ceiling is too high, and the fixes are simple. Brush well, use less, read the label, and don’t let the noise talk you out of caring for your teeth.
Related Reading
- Toothpaste Ingredients To Avoid
- How To Make Your Own Toothpaste
- Recycling Toothbrushes and Toothpaste Tubes
- Vegan and Cruelty-Free Certifications, Explained
Editor’s Note: This article was originally published by Gemma Alexander on January 3, 2022, and was substantially updated in June 2026, when we added the 2025 findings on heavy-metal contamination, the FDA’s fluoride-supplement action, titanium dioxide regulation, and clinical evidence on hydroxyapatite.
The post How Clean Is Your Toothpaste? appeared first on Earth911.
https://earth911.com/health/how-clean-is-your-toothpaste/
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