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The 1999 Horvath study and the 2011 Kushak study should be required reading for any practitioner working with autism: lactase deficiency alone affects most children with autism and gut symptoms, and replacement enzymes can dramatically reduce gas, pain, and bloating after meals

Common types include: Hydroxocobalamin commonly used in the UK for deficiency treatment Cyanocobalamin often used in supplements and some injections Methylcobalamin used in certain therapeutic settings Each form has different absorption rates and clinical uses

Antenatal diagnosis Antenatal diagnosis is possible and can be made by: Mutation analysis of chorionic villi (the method of choice if the mutation in the family is known)

The question is always who builds the right support around it