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Social Communication Reduced or inconsistent eye contact Limited response to name Difficulty with back-and-forth interaction Reduced use of gestures Difficulty reading facial or social cues Speech & Language Delayed spoken language Echolalia or repeated phrases Unusual speech rhythm or tone Difficulty sustaining conversation Loss of previously acquired words Sensory Processing Sensitivity to sound, light or touch Strong food texture preferences Unusual response to pain Sensory seeking or avoidance Becoming overwhelmed in busy environments Repetitive & Rigid Patterns Hand flapping, rocking or pacing Strong need for routine Distress with unexpected change Intense or narrow interests Repetitive play or movements Regulation & Behavior Meltdowns or emotional dysregulation Anxiety or unusual fears Hyperactivity or impulsivity Difficulty shifting attention Sleep disturbance Physical & Developmental Feeding difficulties or restricted diet Constipation, diarrhea or GI complaints Motor delays or coordination problems Fatigue or poor stamina Uneven developmental progress A symptom is a clue—not a biochemical diagnosis