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23 Why this matters for autism risk: Children with autism consistently show altered gut microbiomes compared to typical children, including: Reduced bacterial diversity Increased harmful bacteria Decreased beneficial bacteria Altered metabolite production affecting brain function Increased intestinal permeability ("leaky gut") Functional Medicine Solutions: Proceeding with Caution and Protection The Precautionary Principle in Practice Given the emerging research on acetaminophen and neurodevelopmental risks, functional medicine practitioners advocate for a precautionary approach—especially during pregnancy and early childhood