It seems the answers to these questions are either intuitive or irrelevant.
> - how is the fluid itself cleaned?
See the intuitive and imaginative answer would say something along the lines of white blood cells would consume the toxins.
How is bacteria during an infection cleaned? White blood cells consume them!
Why would this point even add to your discourse? It has no relevance. Either the fluid gets cleaned or it doesn’t. Either way there is a correlation between brain health and the fluid.
Also it’s not like a fucking snow globe. Or mouth wash. It’s not just a fluid reused and swashed back and forth.
Again, this is why I’m asking what your background is. Did you even read the article?