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In a large, heavy saucepan bring the water to a boil.
Add a generous teaspoon of salt and the grits and stir with a wooden spoon to combine.
When grits thicken add milk, cream and butter and return to a boil.
Reduce heat to a simmer, cover sauce pan and cook for 45 minutes to one hour, until grits are tender, smooth and creamy.
Taste and season with salt and pepper.