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None of these processes announce themselves with a dramatic color change or obvious warning sign

Individuals with ASD often exhibit significant gut microbiota dysbiosis, and the signaling molecules produced by these gut microbes can promote the synthesis of neurotransmitters (173, 174)

M.Van De WouwM.ClarkeG.StantonC.DinanT

Patients should maintain realistic expectations and prioritize evidence-based approaches to metabolic health, including dietary modification, physical activity, and adherence to prescribed medications

A single-item literacy screener was included to evaluate health literacy 17 (How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy?) and there was a single-item measure of health status 18 (How would you rate your overall health?)