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To make fermented coconut water, the sweet water is mixed with a culture (milk kefir grains, water kefir grains, whey from yogurt or a powdered starter) and left to ferment for 18 to 48 hours in a warm place.
Coconut kefir is quite simply fermented coconut water. Typically, fermented drinks are recognized as dairy (milk kefir) and tea (kombucha) beverages, and not as much recognition has been given to coconut kefir.