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125,131,132 Genitourinary autonomic neuropathy Genitourinary autonomic neuropathy involves bladder dysfunction, such as decreased bladder sensation, urinary retention, recurrent urinary tract infections, and incontinence, alongside sexual dysfunction

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The elevated Gln levels and Gln/Glu ratio observed in our adult ASD group may reflect an altered Gln-Glu cycle, potentially driven by modifications in astrocyte function or Gln transport, as suggested by previous postmortem studies [15]