“…These studies suggest that the addition of bicarbonate to systems in solubility equilibrium with fluorite will drive the precipitation of calcite and dissolution of fluorite according to Le Châtelier's principle, thereby increasing fluoride concentrations (and likely bioavailability) in solution. These studies also highlight the relationship between hardness and alkalinity, which is depicted for surface waters across the United States in Supporting Information, Figure S3 of Parker et al (2022). The relationship between hardness and alkalinity in natural waters and the empirical evidence that alkalinity is a TMF for fluoride suggest that a model interaction term between these water quality parameters may be best suited to explain observed variability in fluoride toxicity.…”