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Filled with purified water. Check this product to ensure that it has no leaks or other damage before giving it to your baby. Clean by washing in warm, soapy water. Rinse thoroughly with clear water. DO NOT BOIL. Air dry. Do not put this product in the dishwasher. Do not put this product in the microwave. Refrigerate teether to help soothe babys sore gums. Cool only in a refrigerator. Do not place in the freezer compartment.