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However, when the researchers adjusted for other things , including siblings with autism, the increased risk was no longer statistically significant .[ref][ref] (Note that other researchers point out bias in that paper.[ref]) Another large study published in 2021 involving 73,000 children and mothers found that there was a 19% increase in relative risk of ASD with prenatal acetaminophen exposure.[ref] A 2025 meta-analysis of studies on acetaminophen use during pregnancy and infancy shows that the majority of studies and the higher-quality studies show a positive association between acetaminophen use and ADHD, ASD, or neurodevelopmental disorders.[ref] A couple of things to consider here

It is not used for vaccines or chemotherapy, which have separate codes

Mohammed YH, Yamada M, Lin LL, Grice JE, Roberts MS, Raphael AP, et al

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Relationship between oxidative stress, semen characteristics, and clinical diagnosis in men undergoing infertility investigation