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Results: Of 524 patients (median age 76 years, 48.3% women), 207 (39.5%) were treated in the late window

Fireground Specific Nutrition Practices: Pre/Post Exposure Pre-Incident Hydrate before and during shift Maintain good electrolyte balance Consume antioxidant rich foods Avoid ultra-processed foods that can add xenobiotic burden Support gut integrity - avoid going on shift fasted Post-Incident Firefighters experience a toxic window post-fire when skin absorption is elevated due to heat, sweat, and vasodilation Strategic post-incident recovery can support detox efficiency: Immediate rehydration + electrolytes Protein to support glutathione and tissue repair Fruits/vegetables for antioxidant support Soluble and insoluble fiber to enhance GI elimination Avoid alcohol for ~24 hours as it impairs detox enzymes Non-Nutritional Strategies to Reduce Toxic Load 1

Dhillon AS, Tarbutton GL, Levin JL, Plotkin GM, Lowry LK, Nalbone JT, et al