“…The recent surge in frequency may be partly attributed to increased awareness/ diagnosis; however, intrinsic and extrinsic factors (including environmental chemicals, diet alterations, metabolic status, and microbiota changes) cannot be excluded (Rizzo et al, 1997;Bello, 2007;Newschaffer et al, 2007;Deth et al, 2008;Rogers, 2008;Leeming and Lucock, 2009;Currenti, 2010;Landrigan, 2010;Beard et al, 2011;LaSalle, 2011;Chaste and Leboyer, 2012;Krakowiak et al, 2012;Jones et al, 2013;Lyall et al, 2013;Gore et al, 2014;Sullivan et al, 2014). While extensive heterogeneity exists in ASD patients, this class of disorders is typified by a range of symptoms including decreased verbal communication and social skills, outright withdrawal, insistence on sameness in the daily routine, engagement in repetitive behaviors, and heightened response to external stimuli.…”