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Of the six studies that measured co-factors of the -glutamyl cycle or trans-sulphuration pathway, five studies showed elevated levels of vitamin B6 in children with autistic disorder or autism spectrum disorders compared to controls [73, 76, 87, 92, 93], one showed a decrease in erythrocyte selenium in children with autistic disorder [78] and another showed no change in whole blood selenium in children with an autism spectrum disorder compared to controls [87]

If you see this in a USMLE vignette, theres only one diagnosis that should flash in your brain Guillain-Barr Syndrome (GBS)

doi: 10.3390/ijerph20043752

doi: 10.1038/cmi.2016.3 2 QinLCrawfordJM

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33 HuangR.ZhangY.ZhangY.ZhangL.PeiL.ShuG.et al (2020)