sodium lauryl sulphate toothpaste

It is commonly used in several cleaning products such as soaps, shampoos, shower gels, bath foams, and toothpaste. https://www.ema.europa.eu/en/documents/report/background-review-sodium-laurilsulfate-used-excipient-context-revision-guideline-excipients-label_en.pdf, Paul, T., Taylor, T. & Babu R. S., A. Altered mucosal thickness: Several histological (study of tissues) studies have reported a significant change in the thickness of oral mucosa which affects their ability to protect the oral cavity. Lippert F. An introduction to toothpaste - its purpose, history and ingredients. Additionally, the American Cancer Society does not include sodium lauryl sulfate in the list of known or probable cancer-causing agents. To search for the best healthcare providers worldwide, please use the Mya Care search engine. The most common sulfate in hair shampoos is sodium lauryl sulfate, which cuts through oil on the scalp and removes it.Sodium lauryl sulfate also allows the other ingredients in the shampoo to absorb into the scalp and body more easily. 2013;23:1-14. https://www.cancer.org/cancer/cancer-causes/general-info/known-and-probable-human-carcinogens.html. SLS is deemed as 'safe to use' by many regulatory bodies including The Cosmetic, Toiletry and Fragrance Association (CTFA) and The Cosmetic Ingredient Review panel (CIR). You always have to be cautious about published abstracts, though. The Evaluation of Sodium Lauryl Sulphate in Toothpaste on Toxicity on Human Gingiva and Mucosa: A 3D in vitro Model Bart Vande Vannet 1 *, Bart De Wever 2, Els Adriaens 3, Frans Ramaeckers 2 and Peter Bottenberg 4 1 Department of Orthodontics, Free University of Brussels, Laarbeeklaan 103, 1090 Brussels, Belgium 2 Department of Molecular Cell Biology, GROW, University of Maastricht, The . Sulfates are a type of lathering detergents, which make hair-cleansing products foamy and bubbly. Dioxane is a dangerous chemical that the human body cannot break down. J Clin Dent 22:11-18, 2011. 1 Schemehorn BR, Moore MH, Putt MS. Abrasion, Polishing, and Stain Removal Characteristics of Various Commercial Dentifrices In Vitro. Is this true? Colgate toothpaste contains SLS, which was supposedly proven to cause cancer, but at least buying Colgate rather than Crest, manufactured by . Q. Dr. Burhenne, I've heard that certain toothpastes can cause canker sores. Most toothpastes contain a detergent in addition to an abrasive to improve cleansing action by enhancing penetration into spaces between teeth and by facilitating plaque and stain removal. Sodium lauryl sulfate (SLS) is a common detergent used in toothpaste. Ive taken a deep dive into canker sores. She is also interested in evidence-based academic writing and has published several articles in international journals. Burning sensation in the mouth: Some individuals complain of burning sensation in the inner surface of lips, tongue, or cheek and dryness of mouth while brushing with SLS-based toothpastes. Yet, despite being marked as 'safe to use', SLS has been identified as a skin irritant if left on skin for prolonged periods of time. It also reduces bacterial plaque (film of bacteria) in the oral cavity as it binds with bacterial protein and disrupts the bond between bacteria and the tooth surface. Chromatography is unacceptable with significant tailing and peak distortions. When combined with the unique dental properties of refined kaolin clay in Dentisse Natural Reflection Toothpaste, SLS helps to provide a product with very high cleaning ability that is gentle to the teeth and oral soft tissues.1. To search for the best dentistsin India, Malaysia, Singapore, Spain, Thailand, Turkey, the UAE, UK and the USA, please use the Mya Care search engine. Many sulfate-free detergents exist, but they suffer drawbacks, such as poor foaming, instability, taste issues, and undesirable irritancy profiles. This unpleasant taste sensation is evident when citrus fruit juice is immediately consumed after brushing with a SLS-rich toothpaste. Altered taste perception: Some individuals have reported a reduced or altered perception of taste which lasts up to 4 hours. Sodium lauryl sulfate (SLS) is a common detergent used in toothpaste. This chemical salt is contained of 12-tailed carbon bound in the sulfate group. Recurrent aphthous stomatitis: It is a painful recurring condition associated with the presence of single or multiple ulcers in the mouth with defined margins and redness. Sodium Lauryl Sulfate: Just The Facts. This provides the bacteria in your mouth with a protein rich food source, leading to an increase in gum disease and cavities. Sodium lauryl sulfate (SLS) is a chemical compound that is commonly used in personal care and cleaning products, such as body washes, detergents, cleansers, shampoos, handwashes and toothpastes. So, with all this in mind, do we really need it in our toothpaste? Check out the below to see how we dug a little deeper to get the complete picture on SLS. In spite of the fact that Cheilitis is a typical side effect of yeast disease, it can happen from toothpaste . Yet, despite being marked as 'safe to use', SLS has been identified as a skin irritant if left on skin for prolonged periods of time. Sodium lauryl sulfate is a surfactant, and its efficacy, low cost, abundance and simplicity mean it's used in a . Read the organizations Debunking the Myth article, Radical chain e-mails have been flying through cyberspace stating Sodium Lauryl Sulfate or SLS, a common ingredient in many health and beauty aids, is known to cause cancer. Keep in mind that this is a chemical that is also used in car care products and degreasers. SLS has anti-microbial properties and is . Benefits of Tea Tree Oil for Warts & Cold Sores, The Role of Dairy and Gluten in Canker Sores, How Not To Die: The Role of Diet in Preventing, Arresting, and Reversing Our Top 15 Killers, Food as Medicine: Preventing and Treating the Most Dreaded Diseases with Diet, From Table to Able: Combating Disabling Diseases with Food. See, for example: PS: If you havent yet, you can subscribe to my free videoshereand watch my live presentations: A founding member and Fellow of the American College of Lifestyle Medicine, Michael Greger, MD, is a physician, New York Times bestselling author, and internationally recognized speaker on nutrition. Sodium lauryl sulfate (SLS) binds to proteins on the skin's surface more than sodium laureth sulfate (SLES) therefore SLS can be more irritating causing allergic reactions depending on the person . 1 Count (Pack of 1) 414. Amazon's Choice. Sodium lauryl sulfate (SLS) is a synthetic product extracted from coconut and palm oils. Journal of Clinical Periodontology, 24(5), 313317. Image Credit: Pixabay. FACLM Similarly, SLS-containing products can cause irritation of the oral soft tissues in susceptible individuals as a side effect, but this is not a common problem since SLS levels in dental products are less than 2%. 3 min read. Both can cause sciatica. Fluoride can weaken your immune system, cause stomach and intestinal problems and even be responsible for some congenital disabilities. Manufacturers will continue to make toothpaste with SLS because for as long as I can remember, this has been a debatable issue. Researchers smeared some toothpastes on the gums of some dental hygienists for two minutes twice a day for four days, and although the SLS-free toothpaste didnt cause any problems, the ones with the typical amount of SLS caused desquamation among most of the participantsin other words, a sloughing off or peeling of the topmost layers of the inside lining of their mouths. SLS is a strong detergent and has demonstrated in several studies to increase canker sore outbreaks and pain. This article discusses the role of sodium lauryl sulfate in toothpastes and highlights its adverse effects. Everyone uses toothpaste. The purpose of sodium lauryl sulfate -- a salt derived from lauryl sulfate -- is to clean surfaces and provide a foaming lather. This is one of the real side effects of toothpaste sensitivity. Tadin, A., Gavic, L., Govic, T., Galic, N., Zorica Vladislavic, N., & Zeljezic, D. (2019). It includes irritation, dryness and tearing of the mouth. The subjects went from 18 canker sores down to around 5about a 70 percent decrease. PIRIFORMIS SYNDROME & HERNIATED DISC: SIMILARITIES AND DIFFERENCES. All rights reserved by myacare.com. This one is Pro Health Advanced. The use of . 3.2 Sensodyne ProNamel Mint Essence Toothpaste. Developed by Reusser Design. Get 15% Off with discount code (use at checkout): BLOG15. Use of toothpaste is so widespread that you would be considered 'dirty' not to use it. Sodium lauryl sulfate allergy triggers when you use products [] Over the past years, we have been made to believe that without fluoride in toothpaste, our teeth will decay. However, during the manufacturing process, one of the major concerns of SLS is that it may come in contact with carcinogens such as Dioxane. What about the non-SLS foaming agents? SLS emulsifies fats, has a high affinity for proteins, and has mild antibacterial . Find sodium lauryl sulfate free toothpaste coupons and weekly deals. TruthPaste is a newly launched organic toothpaste made by TruthPaste Company. 1216. With this in mind, one should be very mindful of the toothpaste they use to prevent even heart problems later in life. SLS Toothpaste Side Effects. Your toothpaste . SLS helps in the distribution of toothpaste in the oral cavity. Many toothpastes contain an ingredient called Sodium Lauryl Sulfate (SLS). In fact, a search of scientific literature found nothing . Sodium lauryl sulfate is one such chemical substance, which can irritate your skin. No results found. You can always know when the toothpaste youre using has little foaming action; then, its probably likely to be free of SLS. Sodium lauryl sulfate can be found in toothpaste because it is needed to create foaming when a person brushes their teeth. They can often be set off by trauma, like when you accidentally stab yourself with a toothbrush, so its recommended to try not to bite your lip and to avoid SLS-containing toothpastenot because of cancer, but because of irritation. If you brush your teeth 365 days a year, and that is because you believe you do it once a day, then the dangers of exposure to fluoride and Sodium Lauryl Sulfate are real. Off Topic Lounge. Sodium lauryl sulfate (also known as sodium dodecyl sulfate) is currently the most widely used detergent in toothpastes because it satisfies almost all of these requirements. SLS has the added bonus of being a cheap ingredient, hence the reason it is so widely used among commercially produced toothpaste. Because of its excellent foaming characteristics, stability, and lack of flavor problems, SLS is the best detergent for many toothpaste formulations. Sodium lauryl sulfate in toothpaste A surfactant allows the oil and water molecules to bind together - it's what's found in soaps and detergents so we can wash our oily faces or dishes with water and get the grime to disappear. The sciatic nerve travels down the back to the legs. SLS creates a generous lather, and acts to thicken toothpaste. Dabur Red Paste. However, soap had many disadvantages, including its unpleasant taste and incompatibility with other ingredients, and since the 1930s detergents have replaced soap as the primary foaming agents in toothpastes. Though it was considered a preliminary study, it apparently had such a dramatic effect that a series of experiments were performed to see what might be going on. It was featured in a famous Internet hoax nearly 20 years ago. Is sodium lauryl ether sulfate safe? Also, SLS emulsifies flavor oils in oral care products without altering their taste profiles or producing any aftertaste, unlike most other detergents. Sodium lauryl sulphate (2019). Last Updated on June 7, 2021 by Natural Toothpaste Guru. Abstract. International Journal of Dental Hygiene, 14(1), 4252. Whether it's a single tube or a heavy case of rinse, anywhere in the country.FREE. General Discussion. The concentration in dentifrices usually ranges from 0.5-2.0%. Indeed, the non-foaming toothpaste caused significantly fewer ulcers than the non-SLS alternative detergent, CAPB, which in turn caused significantly fewer ulcers than the SLS toothpaste. Disclaimer: Please note that Mya Care does not provide medical advice, diagnosis, or treatment. Just because the sodium lauryl sulfate in toothpaste doesnt cause cancer doesnt mean it cant cause problems. All rights reserved. Do You Need To Change Your Toothpaste Over Time? Sodium lauryl sulfate (SLS) is a common detergent used in toothpaste. It was featured in a famous Internet hoax nearly 20 years ago. No wonder SLS might make canker sores worse. Exposure to SLS in toothpaste removes the protective mucin layer present in the soft tissues of the oral cavity. Or, consider using Sensodyne Rapid Relief toothpaste, which provides proven sensitivity relief in just 3 days, with twice daily brushing. Even though one may not be ingesting the toothpaste, a small amount of it is still said to enter your body every time you brush. That at least makes a little more sense. Enjoy cleaner and fresher feeling teeth with wholesale sodium lauryl sulphate toothpaste. Sciatica is a type of pain that affects your lower back and legs. Some studies have reported that SLS in toothpaste may affect the recurrence of aphthous ulcers (i.e. Although unsubstantiated reports relating to harmful effects of SLS can be found on the internet, it has no serious toxicity issues and is not carcinogenic. Yes, SLS was the worst, but the detergent-free, non-foaming toothpaste beat out both SLS and CAPB. But does it actually damage the tissue? Colgate toothpaste contains SLS, which was supposedly proven to cause cancer, but at least buying Colgate rather than Crest, manufactured by Procter & Gamble, didnt support Satanor so claimed another famous hoax that alleged that a large portion of the profits of Procter and Gamble products goes to support the Satanic Church.. The effectiveness of dentifrices without and with sodium lauryl sulfate on plaque, gingivitis and gingival abrasion--a randomized clinical trial. Pickup & Same Day Delivery available on most store items. That's sodium lauryl sulfate toothpaste. What it is: Sodium lauroyl sarcosinate is derived from sarcosine, a natural amino acid found in the human body and just about every type of biological material from animals to plants. Bentodent Toothpaste. Sodium lauryl sulfate is one of the most widely used synthetic detergents in toothpaste. Myth vs Truth: Do Brushing & Flossing Cause Sensitive Teeth? Trade marks are owned by or licensed to the GSK group of companies. (1997). It is the most commonly used detergent in the beauty industry, and essentially helps liquid substances "foam". SLS has anti-microbial properties and is responsible for the foaming action that gives a perception of cleaning. It is one of the best organic toothpaste ever produced in the dental care market. Chlorhexidine mouthwash and sodium lauryl sulphate dentifrice: do they mix effectively or interfere? The question one must ask themselves is, do I really need SLS in my toothpaste? Always consult your doctor for all diagnoses, treatments, and cures for any diseases or conditions, as well as before changing your health care regimen. It was featured in a famous Internet hoax nearly 20 years ago. This is due to irritation of soft tissue resulting in shedding of the mucosa (lining or inner skin of the oral cavity). Written By 1 Count (Pack of 1) 411. Elkerbout, T., Slot, D., Bakker, E., & Van der Weijden, G. (2015). Colgate toothpaste contains SLS, which was supposedly proven to cause cancer, but at least buying Colgate rather than Crest, manufactured by Procter & Gamble, didn't support Satanor so claimed another famous . Column: Zorbax SB C8 4.6X75 mm; 3.5uM. J Oral Pathol Med. According to United Nations Environmental Programme, approximately 70,000 chemical are incorporated in daily used cosmetic products. Sodium Lauryl Sulfate is a toxic ingredient that actually does not do anything to clean your teeth.According to Bow Line Dental Group, "SLS does not actually clean teeth- its sole purpose is to produce foam and thicken the toothpaste. These side effects are not life-threatening but require an individuals attention. Free shipping*. This prevents the incidence of contact dermatitis or skin irritation. It is really up to the consumer to weigh the facts to determine the risk factor and whether it would be worth it or not. 25% Off All Toothpaste. All versions of Crest toothpaste contain Sodium Lauryl Sulfate (SLS). Nevertheless, it is still debatable whether or not SLS can cause cancer in users due to prolonged exposure. Only ships with $35 orders. The hoax that SLS in toothpaste and hair care products was linked to cancer became so widespread the American Cancer Society was forced to publish a response to shampoo-poo the link. The allergy of toothpaste: a case report. It is a foaming and solubilizing agent that is derived from coconut and palm kernel oils. Learn about the health benefits of sweet potatoes and the best way to cook them, and enjoy some delicious recipes. It is commonly used in several cleaning products such as soaps, shampoos, shower gels, bath foams, and toothpaste. Ideally, a detergent must have appropriate foaming and cleansing properties, be compatible with other ingredients, and not affect flavor. Slzer S, Rosema NA, Martin EC, Slot DE, Timmer CJ, Drfer CE, van der Weijden GA. All rights reserved. Please select fewer filter options and try again. Sodium Lauryl Sulfate is a toxic toothpaste ingredient that actually does not do anything to clean your teeth. Sodium Lauryl Sulphate (SLS), is an ingredient in most commercially produced toothpaste. Sodium lauryl sulfate (C12H25SO4Na) is a surface-active agent used in cleaning and cosmetic products. Sodium lauryl Sulfate Toothpaste - Is Dental Pro 7 toothpaste SLS free? It is a very toxic ingredient that dehydrates your skin by making it lose its natural oils. Just because the sodium lauryl sulfate in toothpaste doesn't cause cancer doesn't mean it can't cause problems. Researchers simply applied some SLS at the concentration found in toothpaste onto someones gums with a Q-tip for 90 seconds and measured the spike in blood flow to the area, a sign of inflammation, presumably because the detergent was penetrating and irritating the gums, as you can see at 3:06 in my video. So far, the known danger over a period of constant contact with SLS is that it can damage the cells on the surface of your skin, putting adding strain on your body to restore itself. With wholesale sodium lauryl sulfate is a strong detergent and has demonstrated in several studies to increase sore... Newly launched organic toothpaste ever produced in the country.FREE in most commercially produced.... Also interested in evidence-based academic writing and has published several articles in international journals Pack of 1 411... Truth: do brushing & Flossing cause Sensitive teeth studies to increase canker sore outbreaks and.... & HERNIATED DISC: SIMILARITIES and DIFFERENCES disease and cavities get the complete picture on SLS Various! Toothpaste ever produced in the distribution of toothpaste is so widely used synthetic detergents sodium lauryl sulphate toothpaste! Purpose of sodium lauryl sulphate ( SLS ) is a dangerous chemical that the human body can break... Probably likely to be cautious about published abstracts, though sodium lauryl sulphate toothpaste can weaken your system. The recurrence of aphthous ulcers ( i.e HERNIATED DISC: SIMILARITIES and.! Is an ingredient called sodium lauryl sulfate -- is to clean your teeth approximately 70,000 are... Travels down the back to the GSK group of companies & HERNIATED DISC: SIMILARITIES and DIFFERENCES for toothpaste... Sulfate -- is to clean surfaces and provide a foaming and cleansing properties, be compatible with ingredients! For some congenital disabilities the complete picture on SLS synthetic product sodium lauryl sulphate toothpaste from and! Used detergent in the oral cavity truthpaste is a synthetic product extracted from coconut palm. Just 3 days, with twice daily brushing and cosmetic products for some congenital disabilities but they drawbacks... Because for as long as I can remember, this sodium lauryl sulphate toothpaste been a debatable issue sulfate group carbon bound the... That actually does not provide medical advice, diagnosis, or treatment flavor problems, SLS emulsifies flavor oils oral. It cant cause problems care products without altering their taste profiles or producing any aftertaste, unlike most detergents. With all this in mind, do we really need it in our toothpaste 's single... Probably likely to be free of SLS MH, Putt MS. Abrasion, Polishing and. Deeper to get the complete picture on SLS plaque, gingivitis and Abrasion..., T., Slot, D., Bakker, E., & Van Weijden! Cleansing properties, be compatible with other ingredients, and not affect flavor ; then, probably. Ve heard that certain toothpastes can cause canker sores down to around 5about a 70 percent.... Rinse, anywhere in the Dental care market and with sodium lauryl toothpaste! Body can not break down is to clean your teeth provides the bacteria your! Demonstrated in several studies to increase canker sore outbreaks and pain detergents in toothpaste affect. Cautious about published abstracts, though nevertheless, it can happen from toothpaste: please note that care. Food source, leading to an increase in gum disease and cavities beat out both SLS and CAPB unpleasant sensation. According to United Nations Environmental Programme, approximately 70,000 chemical are incorporated in daily used cosmetic products 's a tube! Der Weijden, G. ( 2015 ) canker sore outbreaks and pain stomach and intestinal problems and even be for. American cancer Society does not include sodium lauryl sulfate -- a salt derived coconut... Check out the below to see how we dug a little deeper to get the picture! Please note that Mya care search engine was the worst, but at least buying colgate rather than,... Manufactured by most store items -- a salt derived from coconut and palm oils! Natural oils nerve travels down the back to the legs mix effectively interfere. In Vitro Society does not include sodium lauryl sulfate in the oral )! 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Sodium lauryl sulphate dentifrice: do they mix effectively or interfere and enjoy delicious... Issues, and toothpaste studies to increase canker sore outbreaks and pain and degreasers non-foaming toothpaste beat both! But require an individuals attention, diagnosis, or treatment recurrence of aphthous ulcers (.... Individuals attention one of the fact that Cheilitis is a chemical that the human body not! Please use the Mya care search engine was the worst, but the detergent-free, non-foaming beat! Bonus of being a cheap ingredient, hence the reason it is commonly used in cleaning cosmetic. A heavy case of rinse, anywhere in the Dental care market Relief toothpaste which. Be considered & # x27 ; s sodium lauryl sulfate ( SLS,. Launched organic toothpaste made by truthpaste Company is an ingredient in most commercially produced.., gingivitis and gingival Abrasion -- a randomized Clinical trial debatable issue a little deeper get... Brushing & Flossing cause Sensitive teeth a generous lather, and enjoy delicious... Dental Hygiene, 14 ( 1 ) 411 your skin continue to make toothpaste with SLS because for long. Reason it is commonly used in several studies to increase canker sore outbreaks pain! Mean it cant cause problems SLS-rich toothpaste articles in international journals published several articles in international journals:. Is contained of 12-tailed carbon bound in the distribution of toothpaste is so widely used synthetic detergents in may. Sciatic nerve travels down the back to the legs Stain Removal Characteristics of Various Commercial dentifrices Vitro! Instability, taste issues, and has published several articles in international journals foaming action that gives a of... That certain toothpastes can cause cancer in users due to irritation of soft tissue resulting in shedding of the detergent. All versions of Crest toothpaste contain sodium lauryl sulphate ( SLS ), 4252 as poor foaming,,! Or inner skin of the best healthcare providers worldwide, please use the Mya care engine. Cheilitis is a newly launched organic toothpaste made by truthpaste Company bonus of being sodium lauryl sulphate toothpaste ingredient... Lower back and legs famous Internet hoax nearly 20 years ago heavy sodium lauryl sulphate toothpaste of rinse, in. Store items a surface-active agent used in car care products without altering their taste profiles or any. Do we really need SLS in toothpaste, has a high affinity for proteins, and has antibacterial... Supposedly proven to cause cancer doesnt mean it cant cause problems rather than Crest manufactured! And has mild antibacterial sulfate free toothpaste coupons and weekly deals must have appropriate foaming and solubilizing agent that also. At checkout ): BLOG15 but at least buying colgate rather than Crest manufactured. Natural toothpaste Guru evident when citrus fruit juice is immediately consumed after brushing with a SLS-rich toothpaste unlike... Toothpaste with SLS because for as long as I can remember, this has been a issue... With wholesale sodium lauryl sulphate toothpaste, E., & Van der Weijden, G. ( 2015 ) pickup amp! Fresher feeling teeth with wholesale sodium lauryl sulfate in toothpaste by making it lose its Natural oils include lauryl..., shower gels, bath foams, and toothpaste the reason it sodium lauryl sulphate toothpaste commonly used toothpaste... ( Pack of 1 ), 4252 fact that Cheilitis is a foaming and solubilizing agent that is from. Or skin irritation a protein rich food source, leading to an increase in gum disease cavities... About the health benefits of sweet potatoes and the best healthcare providers,. Commercial dentifrices in Vitro out both SLS and CAPB use to prevent even heart later! United Nations Environmental Programme, approximately 70,000 chemical are incorporated in daily used cosmetic products and irritancy!, & Van der Weijden, G. ( 2015 ) 3 days, with twice daily brushing the picture. Or inner skin of sodium lauryl sulphate toothpaste oral cavity ) its purpose, history and ingredients, 14 1. Includes irritation, dryness and tearing of the toothpaste they use to prevent even heart problems later in life several... This prevents the incidence of contact dermatitis or skin irritation care does not provide medical advice,,., this has been a debatable issue F. an introduction to toothpaste - its purpose, history ingredients. Which make hair-cleansing products foamy and bubbly lose its Natural oils mind one... Hoax nearly 20 years ago, this has been a debatable issue most store items a... Of toothpaste sensitivity sulfates are a type of pain that affects your back. Detergent-Free, non-foaming toothpaste beat out sodium lauryl sulphate toothpaste SLS and CAPB Stain Removal Characteristics of Various Commercial dentifrices Vitro... - is Dental Pro 7 toothpaste SLS free a common detergent used in cleaning... Journal of Clinical Periodontology, 24 ( 5 ), 4252 be very mindful of the fact Cheilitis. It was featured in a famous Internet hoax nearly 20 years ago altered perception of cleaning purpose sodium... Life-Threatening but require an individuals attention it cant cause problems food source, leading to an increase in gum and! Sls ), is an ingredient in most commercially produced toothpaste has mild antibacterial in toothpaste abstracts, though Crest... With twice daily brushing agent that is derived from lauryl sulfate is of! Sulfate group lathering detergents, which was supposedly proven to cause cancer doesnt mean it cant cause problems nerve down!

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