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An argument championed by the US regime’s health leaders is that they are returning to core scientific principles. It’s an argument open to challenge. When Donald Trump proposed a link between using Tylenol (paracetamol) in pregnancy and ADHD and autism spectrum disorder in children (doi:10.1136/bmj.r2025),1 the roars of scepticism were soon followed by evidence syntheses that failed to find an association (doi:10.1136/bmj.r2368 doi:10.1136/bmj-2025-088141 doi:10.1136/bmj.r2438).234