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*Correspondence: Simona Alibrandi, simona.alibrandi@unime

Tylenol use during pregnancy appears to be one piece of this larger environmental puzzle.[] THE TIMELINE: TYLENOL INTRODUCTION AND RISING NEURODEVELOPMENTAL DISORDER RATES The temporal correlation between widespread acetaminophen use and neurodevelopmental disorder prevalence is striking: ACETAMINOPHEN INTRODUCTION AND ADOPTION[] 1955: Tylenol (acetaminophen) introduced for clinical use in the United States 1960s-1970s: First use in pregnancy for pain and fever management 1980s: Widely recommended as first-line agent for pain and fever in pregnancy Late 1980s-1990s: Increased use for post-vaccination symptom management in infants (replacing aspirin due to Reyes syndrome concerns) 2000s-present: Routine use in newborns/infants after vaccination

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