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I am a science writer and a former Registered Massage Therapist with a decade of experience treating tough pain cases. I was the Assistant Editor of for several years. I’ve written hundreds of articles and several books, and I’m known for readable but heavily referenced analysis, with a touch of sass. I am a runner and player. • • Many massage therapists believe that “toxins” are “flushed” into the bloodstream by massage and then washed away by drinking extra water after you get off the table.

Exactly which toxins and how they are “flushed” by massage or washed away by water is completely unclear to anyone. Many therapists know it’s all rather vague but apply the: drinking water certainly won’t hurt, right? No, probably not (although unnecessary worries about dehydration and over-hydrating are biggers problems than most people realize). It’s polite and pleasant to offer post-massage water, but there’s no biological, detoxifying need for it. It’s about on par with a recommendation to “think positively” or “go for a short walk to get your blood moving” — fine things, but tepid medical advice. How many massage therapists are still out there telling their clients that massage gets rid of toxins in the body?

On any given day on Facebook, I see about half dozen people at least making that claim Would you maaahnd sharing with us exactly how that happens? — Which toxins are these, exactly? There are real “toxins” and some legitimate “detoxification” treatments.

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But casual and careless use of these terms is almost always a red flag, and a strong theme in all the bizarre and medically illiterate “.” It is accompanied by a more or less perfect ignorance of which toxins. Are we talking about lead poisoning here? What chemicals? Dihydrogen monoxide? Magnesium sulfate? The toxin-talkers do not know.

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Or, worse, they think they know — but give examples that are mythical, and/or absurdly extreme. The body deals with undesirable molecules in many ways. It eliminates some and recycles others; some are trapped in a safe place; and quite a few can’t be safely handled at all (metals).

Most alleged “detox” treatments are focused on stimulating an excretion pathway, like sweating in a sauna. But it’s not like sweating is broken and the sauna is fixing it! The only truly “detoxifying” treatments help the body eliminate or disarm molecules the body cannot process on its own. A stomach pump for someone with alcohol poisoning is literally “detoxifying.” So are antivenoms and chelation for heavy metals.

When massage therapists talk (or think) about detoxifying, they need to be much more specific: what molecule, how it normally works, and how massage or water intake supposedly improves the speed or effectiveness of normal biological waste processing (recycling, sequestering, or elimination). Metabolically speaking When pressed to be specific, most therapists will say “metabolic wastes” — chemical products of cellular activity — and never specify any exogenous toxin or poison that is remotely realistic as a target for “flushing” with massage or water. Metabolic wastes are much closer to the truth. The rest of the article will stick to the idea that the only “toxins” relevant to massage are waste metabolites. It’s also a really broad category, and it does not actually explain much, or narrow things down.