Podcasts about tongue tie

In this episode, Lisa talks with Maya Bundesen-Magier, occupational therapist, mother of two, and founder of MapMyMilk, a digital tool created to help breastfeeding families track maternal diet and infant symptoms with more clarity.Maya shares how her own experience with food reactivity in her babies led her to create a better way for families and providers to look for patterns without relying on fear, extreme elimination diets, or guesswork.Lisa and Maya cover the overlap between tongue tie symptoms and food reactivity, including reflux, fussiness, poor sleep, stool changes, breast refusal, and feeding discomfort. They also talk about why symptoms should not be viewed in isolation, and why a functional, whole-baby approach matters before assuming that one issue explains everything.This conversation highlights the importance of clinical integrity, individualized care, and using better tools to support breastfeeding families who are trying to understand what is really going on with their baby.In this episode, Lisa and Maya discuss:Why food reactivity and tongue tie symptoms can overlapHow MapMyMilk helps families track food intake and infant symptomsWhy extreme elimination diets can leave parents feeling afraid to eatThe importance of looking at patterns instead of guessingWhy a tongue tie release may not resolve symptoms if food reactivity is also presentThe role of IBCLCs and other trained providers in helping families sort through complex symptomsWhy data, clinical support, and individualized care matterFind out more at https://www.mapmymilk.com/ Use code TONGUETIE20 for 20% off either our monthly subscription (regularly $7.99) or lifetime access (regularly $54.99).More from Tongue Tie ExpertsExplore additional resources, including downloads, free guides, and links mentioned in this episode—along with access to our courses and new book:

When looking into tethered oral tissues, it is easy to focus entirely on visual structural appearance. However, judging a restriction by looks alone frequently misses the true clinical picture. Real progress happens when healthcare providers shift the diagnostic paradigm away from what a tie looks like and focus entirely on how it affects dynamic function over a patient's lifespan.In this episode, Hallie sits down with Dr. Richard Baxter, DMD, MS, FAAPD, a board-certified pediatric dentist, founder of the Alabama Tongue-Tie Center, and lead author of the bestselling book Tongue-Tied. Dr. Baxter shares his personal and professional insights into the complexities of identifying oral restrictions, moving past basic anatomical definitions to explore how a tiny string under the tongue can alter systemic, long-term health.About the Guest: Dr. Richard BaxterDr. Richard Baxter is a board-certified pediatric dentist, a Fellow of the American Academy of Pediatric Dentistry (AAPD), a Diplomate of the American Board of Laser Surgery, and the founder of the Alabama Tongue-Tie Center. As an internationally recognized speaker and creator of the Tongue-Tied Academy, he has dedicated his career to educating healthcare providers and parents on the structural and functional impacts of oral restrictions. Having experienced a tongue-tie himself and treated his three daughters as infants, his dedication to the field is deeply personal. He resides in Birmingham, Alabama, with his family.Key Topics & TakeawaysSymptoms Over Appearance: Why a visual exam never tells the full story and why diagnostic protocols must prioritize symptom functional profiles over pure aesthetics.Groundbreaking Research in Complex Profiles: Dr. Baxter shares fascinating insights from recent research surrounding oral restrictions and their structural correlations to cerebral palsy.Buccal and Lip Ties Exploded: Clarifying the distinct functional impacts of cheek and lip restrictions, and how they play a role in infant feeding dynamics.The Interdisciplinary Standard: Best practices for post-operative care, follow-up timelines, and maintaining clear, collaborative communication lines across the therapy team.Soundbites"Common does not mean normal." "Digestion starts in the mouth.""Untie the shoelaces for proper function."Timestamps00:00:00 – Intro Hook: The Shoelace Analogy breakdown.00:01:03 – Guest Welcome: Dr. Richard Baxter joins the show.00:02:43 – Clinical Debate: Treating oral restrictions based on symptoms vs. appearance.00:06:51 – Collaborative Care: How a therapist should present a concise, one-page case review to a doctor.00:09:13 – The Post-Op Rule: Why myofunctional therapy is essential (The knee surgery comparison).00:11:51 – Clinical Truths: Why "common" does not mean "normal" when tracking snoring or mouth-breathing.00:13:08 – Complex Case Study: Dr. Baxter's landmark research on tongue-tie releases in children with Cerebral Palsy.00:20:27 – Digestion & The Nervous System: How poor swallowing mechanics trigger chronic fight-or-flight states.00:26:49 – Emerging Research: Survey insights on identifying and treating Buccal (cheek) ties globally.00:32:24 – The Bed-Wetting Link: The surprising connection between airway stress, heart peptides, and nocturnal polyuria.00:48:28 – Reclaiming "No-Man's Land": Why releasing ties between 6 months and 4 years old is critical for core brain development.Links & ResourcesRead the Best Selling Book: Tongue-Tied by Dr. Richard BaxterExplore Clinical Resources: Visit TongueTie.comWatch and Learn: Tune into Dr. Baxter's YouTube ChannelWORTH A LISTEN: CONTINUE YOUR JOURNEYEpisode 200: Functional Impact: When A Tongue Tie Is ACTUALLY A Tongue TieEP 348: Tongue Ties, Sleep Apnea & More: The Patient-Centered Approach to Airway DentistrySTAY CONNECTED & GROW YOUR PRACTICEJoin the conversation: Get behind-the-scenes insights, clinical pearls, and real conversations over on Substack. Hosted on Acast. See acast.com/privacy for more information.

In this episode, Lisa discusses one of the most common concerns after tongue tie release: reattachment. But rather than focusing only on whether tissue has “grown back,” she widens the conversation to include aftercare, feeding function, healing, follow-up, and the importance of an individualized care plan.Lisa explains why persistent or returning symptoms after frenotomy do not always mean reattachment. Feeding challenges may be related to incomplete release, healing patterns, oral motor habits, body tension, milk supply, latch mechanics, reflux, or the baby needing help learning to use new tongue mobility.She also reviews current research and guidelines on revision, recurrence, massage, stretching, and follow-up care, highlighting that the evidence is still evolving and that not all studies or professional organizations define aftercare the same way.Using her CAREFUL™ framework, Lisa explains how professionals can think through these cases more clearly by listening to parent concerns, assessing function, relating symptoms to possible causes, educating families, focusing on function, understanding scope and referral needs, and looping back with follow-up.The key message: Preventing reattachment is not just about keeping tissue apart. It is about helping feeding function improve.Mentioned in this episode:Lisa's course, Professional's Guide to Tongue Tie in the Breastfeeding Infant, teaches the CAREFUL™ approach and helps professionals move beyond “Is there a tie?” into a more functional, dyad-centered way of supporting breastfeeding families.Learn more at: tonguetieexperts.net/professionalLisa's parent book, Tongue Tie for Parents, is available on Amazon for families looking for clear, supportive guidance about tongue tie and breastfeeding.More from Tongue Tie ExpertsExplore additional resources, including downloads, free guides, and links mentioned in this episode—along with access to our courses and new book:

At age 42, Ryan had a tongue tie release procedure. Why?Over the past couple of years, I have been learning a lot about airway health. I have two previous podcast episodes on the topic. Episode 109: Improve Your Airway, Improve Your HealthEpisode 111: Fixing the Airway: Effects on Sleep, Behavior and HormonesAnd through that learning, I realized that Ryan had many of the symptoms of a restricted airway. After having him evaluated by our integrative dentist (contact info below), he helped us understand that Ryan had a class 3 tongue tie that was keeping his tongue from being in the proper position for optimal breathing AND creating a lot of tension in his body. His symptoms were snoring, grinding his teeth, waking up in the middle of the night, general tightness in his jaw, neck and shoulders and also plantar fasciitis. Yes, a tongue tie can affect your feet! We explain how in this episode. Ryan joins me in this episode to share about his airway health journey and the results of the tongue tie - it's been truly amazing!  We are so thankful that we learned about this and have been able to find some relief for Ryan.  I hope this info blesses you and those you know too, it's share worthy stuff!For a consultation or info from Roberts Integrative Dentistry:Myofunctional Therapy Info: https://robertsintegrativedentistry.com/oral-myofunctional-therapy/Roberts Integrative Dentistry Phone and Email:  (417) 246-3029 and office@robertsintegrativedentistry.comMyofunctional Therapy can be performed virtually.New Resource: Breast Health Guide - dailywellnesscommunity.com/breast-health-guide→ Please take 1 minute to show your support of the show!  Apple Podcasts: Sign in and scroll to the bottom to review!https://podcasts.apple.com/us/podcast/daily-wellness-podcast/id1651051841Spotify: Leave a rating and follow the show! (Click on the 3 dots.) https://podcasters.spotify.com/pod/show/melisha-meredithYouTube: Subscribehttps://www.youtube.com/@DailyWellnessCommunity-podcastConnect with Melisha and the Daily Wellness Communityinstagram.com/dailywellnesscommunity/facebook.com/dailywellnesscommunityWebsite: dailywellnesscommunity.comEmail us at: info@dailywellnesscommunity.comSome products I mention may be affiliate links, which means I may receive a small commission if you decide to make a purchase through one of my links. Our family greatly appreciates your support, it helps us keep creating the free resources we make for you all!DISCLAIMER: The content in the podcast and on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider with any questions you may have. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.

Hey Friends~  If you've ever wondered whether your child's mouth breathing, poor sleep, unclear speech, or constant frustration could mean something deeper… this episode is for you. Today, I'm talking with Luba Patlakh about tongue ties, therapy, when parents should seek help, and what real support looks like—whether surgery is involved or not.  We also talk about practical communication strategies and how families can advocate for the care their children truly need. This conversation is eye-opening, hopeful, and full of practical next steps for parents.  Always cheering you on!  Dinalynn CONTACT the Host, Dinalynn:  hello@thelanguageofplay.com WEBSITE:  https://www.thelanguageofplay.com/ Have a QUESTION or COMMENT? Leave a voice message!  https://castfeedback.com/play  

In this episode, Lisa talks with Dr. Sergio Suarez, an osteopathic physician, about how osteopathic medicine can support babies with feeding challenges, tongue tie symptoms, and body tension.Dr. Suarez explains what Osteopathic Manipulative Medicine actually is, how DOs are trained, and why the structure-function connection matters so much in infant feeding. He shares how gentle hands-on care can help identify and release tension patterns that may affect latch, tongue movement, digestion, comfort, and overall feeding function.Together, they explore where osteopathic care may fit before and after a release, why some babies need more support than a frenotomy alone, and how families can make more informed decisions when they are feeling caught between conflicting opinions.This conversation is a thoughtful look at tongue tie care through the lens of function, body tension, and collaborative support for the breastfeeding dyad.In this episode, we discuss:What osteopathic medicine is and how not every DO uses these techniquesWhy structure and function matter in infant feedingHow body tension may affect latch, tongue movement, and comfortWhy tongue tie care should focus on function, not just appearanceHow osteopathic care may support babies before and after releaseWhy parents need education, options, and a trusted teamDr. Sergio Suarez is a board-certified osteopathic physician with training in family medicine, neuromusculoskeletal medicine, and osteopathic manipulative treatment. In his current practice, he works with patients of all ages, including infants and families navigating feeding challenges and tongue tie. He also serves as an adjunct professor of osteopathic manipulative medicine at Touro College of Osteopathic Medicine.Links mentioned:Dr. Suarez - https://www.suarezosteopathic.com/The American Academy of Osteopathy (AAO): https://www.academyofosteopathy.org/ The Osteopathic Cranial Academy: https://cranialacademy.org/More from Tongue Tie ExpertsExplore additional resources, including downloads, free guides, and links mentioned in this episode—along with access to our courses and new book:

In this MamasteFit Podcast: Birth Story, Roxanne (certified nurse midwife) interviews Victoria about two very different births: her first, a 39-week elective induction with Cytotec and high-dose Pitocin, limited eating/mobility, epidural issues, frequent cervical checks, infection/fever, and a postpartum hemorrhage with painful clot removal—followed by postpartum anxiety and breastfeeding struggles due to her baby's near level-four tongue tie. For her second pregnancy, Victoria re-took MamasteFit's childbirth course, used our pelvic pain program, advocated more strongly, and aimed for an unmedicated birth. After being told in triage she wasn't in active labor, her water broke at home, EMS took her to a different hospital, and she delivered quickly with the empowered experience she was wanting. She closes with advice to trust your body and set boundaries.00:00 Episode Preview00:30 Meet the Hosts01:17 Victoria Joins the Show01:33 First Pregnancy Prep03:41 Elective Induction Begins07:05 Pitocin Epidural and Slow Progress13:39 Pushing and Baby Arrives18:18 Postpartum Hemorrhage Scare20:27 Tongue Tie and Postpartum Anxiety24:59 Second Birth Goals and Prep29:09 Early Labor Signs at 38 Weeks32:37 Night Labor Builds35:19 Hospital Triage Reality Check39:19 Sent Home Defeated40:54 No Break Contractions42:29 Water Breaks and 91146:05 Ambulance to Closest Hospital47:48 Fast Unmedicated Birth50:04 Golden Hour and Breastfeeding53:00 Postpartum Recovery and Healing57:20 Advice Trust Your Body01:01:54 Wrap Up and Induction Tips————

This week on Parents You've Got This The Expert Guide to Parenthood Podcast we delve into the controversial topic of ties - tongue ties, lip ties and buccal/cheek ties. These medical conditions can be controversial and difficult for parents to navigate, as the medical community is often divided in their opinions on diagnosis and treatment.Back in the podcast chair is our resident Lactation Expert, IBCLC and mother of 3 Rowena Gray to share her expertise and insights.We discuss:What tongue, lip and buccal ties areWhy there is so much controversy around their diagnosis and treatmentHow different types of ties may impact a baby breastfeeding and eatingDifferent treatment options for ties and how the procedure is performedTies in older childrenWound care tips, signs of infection and after careRisks of having a tie released or semi releasedWhy it is left to a parent to seek advice and make the decision around treatmentNever forget Parents You've Got This Parents You've Got This - The Expert Guide To Parenthood Podcast is proudly supported by Mustela natural origin skincare, by parents' side since 1950.Follow us Social :Instagram: @parentsyouvegotthis_auThreads @parentsyouvegotthis_auTikTok: @partentsyouvegotthis_auFacebook:@parentsyouvegotthis__________________________________Parents You've Got This offers antenatal and postnatal parenting education and Masterclasses from the planning phase to early preschool.Learn more: parentsyouvegotthis.com.auCredits: Producer Dean Thomas, Camera person Tim Hehir, Content and Hosts Parents You've Got ThisThank you Think HQ for the beautiful podcast recording space

In this episode of the Tongue Tie Experts Podcast, Lisa Paladino, CNM, IBCLC shares a clinical thinking framework she has primarily taught inside her professional trainings - until now.One of the most common questions Lisa hears from professionals is not simply “How do I identify a tongue tie?” but something deeper:How do I think through these cases?How do I avoid missing something important?How do I support families without creating fear or confusion?The challenge is often not a lack of knowledge - it's the absence of a clear framework for clinical reasoning.In this episode, Lisa introduces the CAREFUL™ framework, a model developed from more than three decades of working with babies and families. This approach is designed to help professionals slow down, consider the full feeding picture, and provide thoughtful, family-centered care.Lisa also discusses:• Why feeding challenges cannot be understood through anatomy alone• The importance of caring for the parent–baby dyad• How structured clinical thinking improves confidence and decision-making• Why interdisciplinary collaboration is essential in tongue tie care• How a careful, measured approach builds trust with both families and colleaguesThis episode offers a look into the thinking process Lisa teaches in her professional education programs and reflects the philosophy behind Tongue Tie Experts.If this episode resonates with you, consider sharing it with a colleague. The more we strengthen how professionals approach these cases, the better outcomes we create for babies and families.More From Tongue Tie Experts:To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/LinksUse code PODCAST15 for 15% off all of our offerings.This podcast is meant for education and conversation only. It is not medical advice and does not replace formal education, professional training, or individualized care from a qualified healthcare provider. Always seek appropriate guidance for individual concerns. The views and opinions shared by our guests are their own and do not necessarily reflect those of the host or Tongue-tie experts.

When most pediatricians aren't even acknowledging oral ties, Dr Erick Galindo Valdes goes above and beyond.  In his practice, he releases oral ties with a laser and is the only physician in Guadalajara doing so.  Listen as Katie Oshita and Dr Erick Galindo Valdes discuss common vs normal, trusting the biological norm and how conversations like these advance the field. Listen herePodcast Guest: Dr. Erick Galindo is a dedicated pediatrician from Guadalajara, Mexico, with over 15 years of experience supporting children and families through all stages of childhood development. He has led a successful private practice since 2007 after completing his pediatric specialty training at the National Institute of Pediatrics in Mexico City. He is the founder of Centro TOTS Guadalajara, a clinic recognized for its specialized focus on the diagnosis and treatment of oral restrictions in newborns, infants, and children. Dr. Galindo is particularly known for his work supporting breastfeeding success by identifying and treating conditions such as tongue-tie (ankyloglossia) and other oral restrictions that may affect feeding, growth, and development.In addition to his pediatric training, Dr. Galindo has received advanced education in laser frenectomy techniques from internationally recognized experts. He strongly believes in a multidisciplinary model of care and works closely with lactation consultants, speech-language pathologists, and other specialists to provide comprehensive, individualized treatment.Dr. Galindo is an Ambassador for The Breathe Institute in Los Angeles and serves on the board of the International Consortium of Ankylofrenula Professionals (ICAP). His care extends beyond infancy, addressing oral function, speech, sleep, and overall development throughout childhood.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

What happens when a tongue tie is released - but feeding doesn't improve?In this episode, Lisa Paladino, CNM, IBCLC, explores an important clinical truth: a frenotomy releases tissue, but it does not teach a baby how to feed.Inspired by an actual professional discussion across disciplines, this conversation highlights why feeding is functional, not just structural, and why preparation, assessment, and follow-up matter just as much as the procedure itself.Lisa discusses:The difference between anatomy and functionWhy some families feel discouraged after a releaseThe importance of interdisciplinary careWhat true informed consent should includeHow coordinated support protects the parent–baby relationshipThis episode isn't about whether releases are right or wrong. It's about improving the process around them, and delivering better care for babies and families.If this resonates with you, share it with a colleague in another discipline. That's how change begins.More From Tongue Tie Experts:To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/LinksUse code PODCAST15 for 15% off all of our offerings.This podcast is meant for education and conversation only. It is not medical advice and does not replace formal education, professional training, or individualized care from a qualified healthcare provider. Always seek appropriate guidance for individual concerns. The views and opinions shared by our guests are their own and do not necessarily reflect those of the host or Tongue-tie experts.

A tongue tie update? Barbara and Nancy discuss a 2026 research study on tongue ties by Raol et al. and a commentary response in this episode of All Things Breastfeeding. One of the goals of LactaLearning is to provide recent studies that have the potential to impact clinical lactation practices. The debate over whether tongue ties are being over- or under-treated has been ongoing for several years. After reviewing the latest research on tongue ties for the upcoming edition (this edition is still at least a year away from being released), the research conclusion seems to be that there are absolutely cases where a tongue tie release appeared to be critical for an infant to be able to nurse effectively and/or without pain for the parent. On the other hand, it appears that more babies are undergoing this procedure, even though this may not have been the core issue. The Raol study looked at 476 infants and found “Conclusions: Although ankyloglossia may affect breastfeeding experiences, ankyloglossia alone does not appear to affect breastfeeding maintenance or infant weight gain. Improving breastfeeding outcomes should include multidisciplinary management to focus on all potential causes and not only ankyloglossia.” What was so different about this recent study? “Their study is unique in that none of the infants had a frenotomy or other surgical treatment of their ankyloglossia, and exclusive breastfeeding was assessed at 2–4 weeks, 3 months, and 6 months after delivery. Surprisingly, there were no differences in rates of exclusive breastfeeding at any time point, including at 6 months (82.3% [no ankyloglossia] vs 73.5% [assessed with ankyloglossia]; P?=?.25), and no differences in infant growth velocity at any time point.” Dr. Ann Will and Dr. Lydia Furman reported. What was also unique was that, instead of releasing the tongues, they provided great lactation support and were grounded in a community that valued breastfeeding. Could this be enough for many babies? There are flaws to the study as well. One issue was the way the authors identified tongue ties. It is not clear how many of the babies had more serious ties. Again, this is food for thought. If you work with breastfeeding/chestfeeding families and are passionate about lactation support, or you want to turn your passion for nursing into professional practice, visit LactaLearning.com and consider following us on social media! Instagram @lacta.learning Facebook LactaLearning Raol, N., Silamkoti, B., Syed, S. M., Hosek, K., Theetla, P., & Madireddy, A. (2026). Ankyloglossia, breastfeeding, and infant weight gain: a mixed-methods study. Pediatrics, 157(1), e2024070531.Witt, A., & Furman, L. (2026). Untreated Ankyloglossia: A Broader Perspective. Pediatrics, 157(1), e2025073238.Bristol Tongue Assessment ToolMartinelli Tongue Tie Assessment Lingual Frenulum Protocol for InfantsThomas, K., Kliff, S., & Silver-Greenberg, J. (2023). Inside the booming business of cutting babies' tongues. New York Times, 18.LeFort, Y., Evans, A., Livingstone, V., Douglas, P., Dahlquist, N., Donnelly, B., Leeper, K., Harley, E., Lappin, S., and Academy of Breastfeeding Medicine. (2021). Academy of breastfeeding medicine position statement on ankyloglossia in breastfeeding dyads. Breastfeeding Medicine, 16(4), 278-281. https://www.nytimes.com/2023/12/18/health/tongue-tie-release-breastfeeding.html Responses to the above article: https://www.liebertpub.com/doi/10.1089/bfm.2024.29263.editorial https://www.thestewartcenterforoptimalhealth.com/2024/03/17/breaking-down-the-nyt-article-inside-the-booming-business-of-cutting-babies-tongues The post All Things Breastfeeding Episode 108: Tongue Tie Update appeared first on The Breastfeeding Center of Ann Arbor.

From his first release 28 years ago on his daughter to being a board member of ICAP, Stefano Colasanto has spent his career focusing on oral dysfunction.  How this interacts with breastfeeding is where Katie Oshita comes in.  Together they discuss how this amazing organ, the tongue effects so much in the body and the resulting dysfunction when there are restrictions.  Listen here for more.Podcast Guest: Dr. Stefano Colasanto, graduated with honors in Dentistry in Rome in 1989, with a thesis about the links between posture and malocclusion. In 1992, he attended the Tweed Foundation in Tucson (Arizona). He specialized in Functional Orthodontics in 1991 and in Orthodontics in 1994 in Rome with a thesis about "Implications of postural regulator function". From 1992 to 1998, he attended and organized several courses in Applied Kinesiology.In 2000, he obtained a Diploma in Osteopathy from the CERDO school in Rome, where he became the head of teaching for diagnosis and manipulative therapy within the oral cavity. Since 2002, he has applied Myofunctional Therapy to dysfunctional patients, according to Garliner's principles. In 2004, he attended the annual course of the Italian Academy of Gnathology Neuro-Muscular according to Jankelson. In 2006, he attended the annual Planas in Barcelona (Spain) and the Course in "Neurostomatology" at the University of Chieti. In 2007, he co-authored the book "The New Orthodontics". In 2010, he was a professor in the Master of "Neurophysiology and pathology of static and dynamic postures" at the University of Pisa, in the Master in "Myofunctional therapy in postural field" at the University of Rome "La Sapienza", and since then at the Master in "Dentistry in developmental age "at the same University. Ordinary member of the Italian Orthodontic Society (SIDO) since 1995 and of ROI (Italian Register of Osteopaths) since 2001.In 2024, he translated “Tongue Tie” by Richard Baxter into Italian. In his clinic in Rome, he primarily studies the correlations between TMJ problems, malocclusion, swallowing, and posture using the osteopathic approach.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

When a new mother begins to breastfeed her child, she spends much of her time focusing on bringing in her milk supply and getting the perfect latch. But sometimes a tight frenulum, or tongue-tie, greatly hinders this process. How do you know if your baby has this problem? What are your options for treating it? And how effective are these treatments? Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, IBCLC and Certified Nurse Midwife Lisa Paladino explains how to recognize tongue tie symptoms, when breastfeeding pain needs evaluation, and what to expect from treatment.Learn how to make an informed decision about treatment. We'll share questions to ask your doctor, the signs that your baby might have tongue tie, pros and cons of a frenectomy and when to wait on a procedure.Full show notes: fourthtrimesterpodcact.comConnect with Lisa Paladino tonguetieexperts.net | Instagram | Lisa's Tongue Tie for Parents Guide BookLisa's Book It Shouldn't Hurt to Nurse Your Baby: Healing the Six Most Common Causes of Nipple PainLearn more Breastfeeding No Judgement Guide - Say Goodbye To Breastfeeding Pain | Nutrition, Breastfeeding - Building Your Community | The Real Story Behind Breastfeeding (& How To Set Yourself Up For Success) | Manage Milk Supply, Proper Breast Pump Usage, Feeding On DemandResources FREE DOWNLOAD Customizable Birth Plan | FREE DOWNLOAD Customizable Fourth Trimester Plan | Postpartum Soups and Stews CollectionConnect with Fourth Trimester Facebook | Instagram

In this episode, host Lisa Paladino, CNM, IBCLC addresses a growing concern in the tongue tie and breastfeeding community: unproven claims about preventing tongue tie. With compassion for families and commitment to evidence-based care, Lisa discusses: • How unverified social media claims can unintentionally turn into perceived “facts” • Why ambiguous or absolute prevention messaging can lead to shame and blame for parents • The difference between empowerment and guilt-based health messages • A respectful, evidence-informed reframe of how we talk about risk, optimization, and biologyThis episode is for clinicians, parents, and anyone who wants to understand how to navigate health conversations with integrity.More From Tongue Tie Experts:To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/LinksUse code PODCAST15 for 15% off all of our offerings.This podcast is meant for education and conversation only. It is not medical advice and does not replace formal education, professional training, or individualized care from a qualified healthcare provider. Always seek appropriate guidance for individual concerns. The views and opinions shared by our guests are their own and do not necessarily reflect those of the host or Tongue-tie experts.

In this energizing episode of the Tongue Tie Experts Podcast, host Lisa Paladino sits down with Jessica Altemara for an inspiring conversation about ICAP (International Consortium of Ankyloglossia Professionals) and the upcoming conference.With genuine excitement and deep respect for the work being done, Lisa and Jessica share the story of how ICAP has grown into a leading organization in the tongue tie and infant feeding space, bringing together professionals across lactation, dentistry, medicine, and therapy.Throughout the episode, Jessica's passion and dedication to ICAP shine as she describes what makes this conference truly different - its powerful sense of community, commitment to interdisciplinary collaboration, hands-on, interactive workshops, and an expanding focus on research and evidence-informed practice.They reflect on ICAP's journey from a small, new nonprofit into an established professional home for those supporting families with ankyloglossia, breastfeeding challenges, and oral function concerns.Listeners will hear what to expect from the upcoming hybrid ICAP conference in April, 2026, why so many professionals return year after year, and how being part of the ICAP community supports not only clinical excellence, but also meaningful connection, confidence, and professional growth.Resources & Links Mentioned:

In this episode, Jessica shares the breastfeeding journey she never expected. After a smooth birth at a birth center, feeding quickly became complicated: flat nipples, an early nipple shield, a missed first feeding window, a significant tongue tie, and a baby who grew increasingly sleepy and underweight. What followed was weeks of pumping, weighted feeds, donor milk, tongue-tie revision, and the ongoing effort to understand why breastfeeding wasn't working despite doing everything “right.”Jessica describes the emotional strain of those early weeks, from feeling inadequate to questioning her own anatomy, and the constant fear she was letting her daughter down. This conversation brings needed attention to the realities behind many breastfeeding challenges and the gaps that leave mothers without the support they need. **********Send us a text Needed

Thinking of getting the snip? Heidi dives into the world of tongue ties with Lyndal Thomas, Pop Family's Head of Speech Pathology. Together, they explore their personal and professional journey of understanding and treating tongue ties, highlighting the impact on speech, eating, and overall health.  Lyndal shares her own experiences and insights from tongue tie surgery as an adult (aka a lingual frenectomy or tongue-tie release), offering a no-nonsense look at the challenges and triumphs faced by those with orofacial myofunctional disorders. Tune in for an enlightening conversation that blends personal stories with a peek behind the curtain of life as an orofacial myofunctional speech pathologist.   RESOURCES FROM TODAY'S SHOW Meet Lyndal Thomas: https://popfamily.au/team/lyndal-thomas  Download the free snapshot "How Tongue Ties Can Impact Everyday Life"

In this episode, Lisa Paladino, CNM, IBCLC, explores the complex, and often controversial, challenges that lactation consultants face when assessing and managing tongue tie in infants. From inconsistent training and ambiguous assessments to provider disagreements and family pressures, Lisa breaks down the barriers to effective care and offers actionable strategies to overcome them.Key Topics Covered:Inconsistent Training & Guidelines: Education on tongue tie varies widely, leaving many professionals with limited or conflicting knowledge. Lisa stresses the need for specialized, evidence-based continuing education and peer collaboration to build confidence and competence.Challenges in Assessment: Accurate diagnosis requires more than a visual check - functional assessment is key. Lisa highlights the importance of understanding oral mechanics and using supportive and proven assessment tools.Interprofessional Disagreements: Differing views among health care providers can confuse families and complicate care. Lisa advocates for respectful, evidence-informed communication and building a trusted referral network.Parental Pressure for Immediate Answers: Families often seek quick fixes amidst feeding struggles. Lisa emphasizes the value of compassionate education, managing expectations, and offering follow-up support.Limited Access to Qualified Providers: A shortage of experienced tongue tie professionals can hinder timely treatment. Lisa encourages exploring virtual consults, maintaining referral lists, and advocating for increased local training.Takeaway:Navigating tongue tie assessment and treatment is both controversial and challenging—but with the right tools, education, and collaboration, lactation consultants can support families more effectively and confidently.Resources & Links Mentioned:

Submit your question and we'll answer it in a future episode!Join our Patreon Community!https://www.patreon.com/badassbreastfeedingpodcastHave you experienced any of these common breastfeeding problems?  If so, what did you do about it?  Today Dianne and Abby are taking some of the most common breastfeeding problems and giving you the answers.  Tune in!If you are a new listener, we would love to hear from you.  Please consider leaving us a review on itunes or sending us an email with your suggestions and comments to badassbreastfeedingpodcast@gmail.com.  You can also add your email to our list and have episodes sent right to your inbox! Things we talked about:Painful Latch [4:12]Sore, damaged nipples [7:04]You shouldn't be suffering [12:50]Milk supply [13:38]Perceived low milk supply [21:52]Cluster feeding [27:12]Plugged milk ducts [31:33]Returning to work [34:36]Poop [37:48] This episode is sponsored by Pumpin' Pal! Pumpin' Pal's angled flange replaces the flange that comes with your pump and is the perfect upgrade for your pumping comfort and posture. Use code BADASS for $4 off at www.pumpinpal.com.Today's episode is brought to you by Cimilre Breast Pumps! Cimilre breast pumps range is size from ultra tiny pumps as small as a sticky note, to fully adjustable pumps with 85 setting combinations. Use code BADASS for 15% off at www.cimilrebreastpumps.com.Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/nipple-pain-with-older-babies-and-toddlers/https://badassbreastfeedingpodcast.com/episode/cluster-feeding/https://badassbreastfeedingpodcast.com/episode/when-your-milk-supply-is-fine/  Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/     Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast~https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby~Abby Theuring  https://www.thebadassbreastfeeder.comDianne Cassidy http://www.diannecassidyconsulting.com Music we use~Music: "Levels of Greatness" from "We Used to Paint Stars in the Sky (2012)" courtesy of Scott Holmes at freemusicarchive.org/music/Scott Holmes

In this episode, Hallie Bulkin addresses what she calls "one of the most misunderstood topics in our field" : tongue tie diagnosis. She challenges the common clinical practice of relying on visual assessment—hearing clinicians say, "it looks tied" or "it's a mild tie"—and emphatically states that function is what determines a diagnosis, not appearance.Hallie introduces a 4-step framework for making confident, clinically sound decisions : Function, Form, Impact, Decision. She emphasizes that the appearance-based mindset often leads to both over- and under-diagnosis of ties, and that true diagnosis requires observing the tongue's mobility, coordination, and control within the entire system.Hallie also stresses the importance of addressing compensatory movements, which she believes mask true movement and should not be taught as a form of "survival mode". For optimal outcomes, treatment must focus on function and consider the whole connected system—airway, jaw, spine, and nervous system.In this episode, you'll learn: ✔️Function is the key determinant of a tongue tie diagnosis, not the visual appearance of the tissue✔️ The risk of the "appearance-based mindset" leading to over- and under-diagnosis✔️ A four-step clinical reasoning framework for assessment: Function to Form to Impact to Decision✔️ Why a short or tight-looking frenulum may not restrict movement, while a hidden posterior tie can create major functional restriction✔️ Compensatory strategies often mask the need for a release and take more energy, leading to a "survival mode"✔️ Diagnosis requires a functional limitation PLUS a meaningful impact on the person's life (e.g., feeding, speech, sleep quality)✔️ Why functional readiness must be assessed to determine if and when the body is ready for a lingual release.✔️ The release is not a "magical instant fix"; therapy before and after is crucial for neuromuscular reeducation and success.✔️ Treatment must consider the whole connected system (airway, jaw, cervical spine, nervous system), not just the tongue in isolation.RELATED EPISODES YOU MIGHT LOVEEp 347: Airway First: The Pediatric Dentist's Essential Role in Treating Tongue Ties and Growth IssuesEP 348: Tongue Ties, Sleep Apnea & More: The Patient-Centered Approach to Airway DentistryOTHER WAYS TO CONNECT & LEARN

Does tongue tie impact pediatric sleep disordered breathing? In this episode of the Back Table ENT Podcast, otolaryngologist Dr. Brennan Dodson and speech language pathologist Allegra Bereszniewicz discuss tongue-tie and the pediatric airway with hosts Dr Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS The discussion covers the anatomy and pathophysiology of tongue tie, surgical techniques for its release, and the importance of pre- and post-operative myofunctional therapy. They delve into patient selection, the impact of tongue tie on sleep-disordered breathing, and contrasting surgical methodologies, including frenuloplasty. The episode also features an insightful case study with visuals, examining Dr. Dodson's surgical approach in detail. Additionally, they touch on insurance considerations and the challenges within current medical practice regarding tongue tie diagnosis and treatment. Check out detailed surgical techniques at the end with case presentations! --- TIMESTAMPS 00:00 - Introduction01:29 - Understanding Tongue Tie and Pediatric Airway06:17 - The Role of Myofunctional Therapy10:37 - Scientific Evidence and Research on Tongue Tie15:52 - Clinical Approaches and Patient Evaluations35:00 - Pre-Op and Post-Op Procedures39:02 - Post-Surgery Recovery and Exercises40:32 - Surgical Techniques and Tools44:31 - Post-Operative Care and Pain Management48:59 - Patient Selection and Considerations01:02:41 - Sleep Studies and Outcome Measures01:12:30 - Incision Techniques and Dissection Tools01:17:24 - Closure and Post-Operative Care01:23:51 - Innovations and Techniques in Surgery01:28:09 - Final Thoughts --- RESOURCES Dr. Brennan Dodson https://www.bridgerent.com/ Allegra Bereszniewicz MS, CCC-SLPhttps://grospeech.com/about/

Birth and babies are a family affair in India.  Families are large and support is deeply tied to the culture.  Dr Shivika Agarwal and Katie Oshita discuss how family support impacts breastfeeding, what it's like to be a release provider and an IBCLC, and how bias affects medicine. Listen here.Podcast Guest: Dr. Shivika Agarwal is a Senior Dental Consultant and International Board Certified Lactation Consultant (IBCLC) with over 15 years of experience in pediatric dentistry and lactation care. She specializes in tongue and lip tie releases, breastfeeding support, and pediatric sedation dentistry.Dr. Agarwal leads clinical care at Tooth Tales Clinic and serves as a Lactation Consultant at GIMS Greater Noida, where she has supported over a thousand families. She is also an educator and mentor, having lectured for postgraduate programs and delivered national and international webinars on oral ties and breastfeeding.A member of ILCA, ICAP, and ALPI, Dr. Agarwal is passionate about improving breastfeeding outcomes and integrating dental and lactation sciences to support families with evidence-based, compassionate care.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

In this episode of the Tongue Tie Experts podcast, Lisa Paladino addresses a controversial Instagram post regarding tongue tie treatment. She emphasizes the importance of empowering parents in their decisions, clarifying misconceptions about tongue tie procedures, and advocating for a holistic approach to infant care. Lisa stresses the need for responsible communication in the field, aiming to support families rather than create fear or confusion. Takeaways:Misleading information can create fear among parents.Education and experience should guide parental decisions.Bodywork is beneficial but not the only solution.Each baby requires an individual evaluation.Communication should prioritize the well-being of families.Influencers should be responsible in their messaging.Special thanks to the sponsor of this episode: IAOM (International Association of Orofacial Myology) Visit their website here:https://iaom.com/More From Tongue Tie Experts:To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/LinksUse code PODCAST15 for 15% off all of our offerings.A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

Airway health is absolutely critical to growth and development.  When our brain isn't getting enough oxygen, we don't sleep, grow or feel as good.  Dr Roche and his wife Kate started the National Tongue Tie Center in Ireland 8 years ago to address this integral part of health.  Now they see patients as a whole person, not just a part of their body.  In this episode Katie Oshita discusses with Dr Roche and Kate why they saw the need for the Center, and how it has changed.  Listen here to learn more about tongue tie in Ireland.Podcast Guest: Dr. Justin Roche is a Consultant Paediatrician and IBCLC with over two decades of experience in the field of tongue tie. He has worked as a consultant in hospital and community paediatric settings and together with Kate he founded the National Tongue tie Centre in Ireland of which he is the Medical Director. At the National Tongue Tie Centre the team provides multidisciplinary care to infants, children and adults. They have developed a pathway of care to bring Functional Frenuloplasty to infants and children from 3 months of age. Having historically used scissors, then diode laser, he has spent years refining his CO2 laser skills to advance surgical technique to work with the tissue planes for selective fascial release. Justin has completed extensive post-graduate training in tongue tie, lectures internationally on the topic and has produced courses to share this knowledge.Kate is the Clinical Director at the National Tongue Tie Centre in Ireland and leads a team of Therapists and Lactation Consultants to provide the highest quality of rehabilitative care to infants, children and adults with oral dysfunctions. She is a Chartered Physiotherapist, IBCLC and Paediatric Feeding Therapist. Having trained at the University of Liverpool, she worked in both Leeds and Southampton, where she led and delivered the regional neonatal service for pre-term and high-risk infants, before moving to Ireland. She is a member of the Irish Society of Chartered Physiotherapists and registered with CORU. Kate has travelled overseas many times over the years to complete further training in Feeding Therapy, Orofacial Myofunctional Therapy and Craniosacral Therapy, and now lectures internationally.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

Sick while breastfeeding or pregnant? Click here to learn all Dr. Morgan's top natural and effective remedies to help yourself through colds, flus, allergies, and UTIs! What if the real reason for low milk supply isn't your body at all?In this episode, we sit down with Lynnelle King, an International Board Certified Lactation Consultant and craniosacral therapist. She brings decades of experience, a deep background in lactation and tongue and lip ties, and the perspective of a mother of eight who runs a busy clinic helping women succeed at breastfeeding when nothing else has worked.We open up the conversation on low milk supply. From true insufficient glandular tissue to tongue ties and structural issues, we get into the realities behind why breastfeeding can feel impossible. This is a grounded, practical look at the different causes and what mothers often miss when they're told their bodies “just don't make enough milk.”Timestamps:[00:00] Introduction[13:10] Why true insufficient glandular tissue is rare, and what breast changes signal it[16:40] How using a supplemental nursing system can build more milk-making tissue [17:10] The reality of grief when supply is low and the role of donor milk[18:12] How undiagnosed tongue and lip ties quietly reduce supply[37:41] Why toxic exposures in utero can affect breast development[38:50] Why implants and reductions affect milk supply in completely different ways[56:40] What happens to milk supply when you get pregnant again[1:05:05] The link between stress hormones, oxytocin, and the let-down reflexResources Mentioned:Healthy as a Mother podcast episode on A Deep Dive into Lip and Tongue Ties | Apple or SpotifyMastitis Manual by Dr. Morgan MacDermott | WebsiteImmune Wellness class with Dr. Morgan MacDermott | WebsiteSNS Tube | AmazonBreath by James Nestor | Book or AudiobookNipple Shield | AmazonNinni Co-Pacifier | Website Use Code MORGM10 for 10% off Learn more from Lynnelle on her website. You can also follow her on Instagram.Find more from Dr. Leah:Dr. Leah Gordon | InstagramDr. Leah Gordon | WebsiteDr. Leah Gordon | WebsiteFind more from Dr. Morgan:Dr. Morgan MacDermott | InstagramDr. Morgan MacDermott | WebsiteUse code HEALTHYMOTHER and save 15% at RedmondFor 20% off your first order at Needed, use code HEALTHYMOTHERSave $260 at Lumebox, use code HEALTHYASAMOTHER

Send us a textIn this episode, occupational therapist and IBCLC Michelle Emanuel joins us to explore the hidden ways tongue-tie affects babies long before birth. She explains how oral restrictions begin in the embryo, influence fetal positioning, and impact birth outcomes including torticollis and C-sections. We dive into the anatomy of the tongue, how it connects to breathing, posture, and feeding, and why many tongue-ties remain hidden or misdiagnosed.We discuss feeding positions, tummy time, swaddling, and infant sleep, and, of course, SIDS, including airway safety, sleep surfaces, toxins, and the importance of ventral (tummy) time for development and sleep.Michelle shares insights on when a frenotomy is truly needed, the risks of unnecessary or too-early releases, and why myofunctional therapy and whole-body approaches are critical for optimal long-term outcomes. This episode is a must-listen for parents, birth professionals, and anyone seeking a deeper understanding of how tongue-tie influences health even before your baby is born. Watch this episode in full video format on YouTube.Michelle's WebsiteInstagramOur Patreon Event with Michelle**********Our sponsors, Patreon, and contact info below: Needed

In this conversation, Dr. Toni Engram, a biological dentist, discusses the interconnectedness of oral health and overall well-being. She explains the principles of biological dentistry, the importance of understanding the mouth as a gateway to the body, and shares her personal journey with autoimmune disease. The discussion covers the implications of root canals, the controversy surrounding mercury fillings, and the significance of tongue ties in children. Dr. Engram emphasizes a holistic approach to dental care, advocating for individualized treatment plans and the use of safe, effective products for oral health.Chapters00:00 Introduction to Biological Dentistry02:56 The Mouth-Body Connection06:08 Personal Healing Journey: Crohn's Disease09:11 Root Canals and Their Implications12:09 Mercury Fillings: Risks and Removal17:59 Tongue Tie and Its Impact on Health26:55 Understanding Mouth Breathing and Its Consequences30:03 The Impact of Tongue and Lip Ties on Development33:59 A Holistic Approach to Dental Health38:59 Innovative Testing and Treatment in Dentistry46:34 Fluoride and Water Quality Awareness

If you've ever wondered whether a baby truly needs tongue tie treatment—or if you've been confused by the conflicting information out there—this episode is for you.In today's conversation, Lisa Paladino CNM, IBCLC, breaks down the three essential questions every parent and professional should ask before moving forward with treatment. You'll learn why not every frenulum is a problem, why function matters more than appearance, and how to make sure nothing else is being overlooked in your baby's care.By the end, you'll feel clearer and more confident about how to approach tongue tie decisions, whether you're a parent searching for answers or a professional guiding families.What You'll Learn in This Episode:Why not every frenulum equals a tongue tieHow to know if a tie is actually causing a problemOther factors that may mimic or complicate tongue tie symptomsThe importance of a full, holistic assessment for both baby and parentWhy informed decision-making matters mostResources & Links

In episode 607, Tina and James invite Caitlin Finley to go over what the group found with regard to the best available evidence around surgical frenotomy. We look at the effect the surgery has on breast pain, self-reported breastfeeding improvement, and infant weight gain. Tune in as you might be impressed with the absolute benefits. […]

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In this episode of the Smarter Not Harder Podcast, Dr. Scott Wustenberg joins Jodi Duval to explore how foundational neurological principles can transform our understanding of supplements, neurodevelopment, and chronic illness. Together, they dive into the brain-centric roots of dysfunction and how precise, science-backed interventions—like neuro-supportive gummies—can optimize outcomes across the lifespan. Dr. Wustenberg is a seasoned Australian chiropractor, medical nutritionist, and educator with over 20 years of clinical experience. He is the founder of Advance Rehab in Brisbane, CEO of Optimal Sleep Airway Health, and creator of the OptiHuman Project. His work is rooted in chiropractic neurology, sleep and airway medicine, and functional nutrition. Join us as we delve into: Why chewing is essential to vagus nerve activation and nutrient absorption How tongue ties, oral development, and sleep fragmentation contribute to neurodevelopmental challenges The 5 foundational rules of human health—and how they apply to anxiety, ADHD, and autism Why Dr. Wustenberg created functional health gummies—and how they're changing the game for compliance This episode is for you if: You're a parent, clinician, or educator working with neurodivergent individuals You've struggled with supplement compliance in children or adults You're curious about the deep connections between airway development, sleep, and cognitive health You want a practical, compassionate lens on healing through brain-first, body-wide support You can also find this episode on… YouTube: https://youtu.be/JysFE8ZpLJ8 Find more from Dr. Scott Wustenberg: Website: https://www.optimalsleepairwayhealth.com OptiHuman Project: https://www.optihuman.com.au  Advance Rehab Clinic: https://www.advancerehab.com.au  Find more from Smarter Not Harder: Website: https://www.troscriptions.com/pages/podcast Instagram: https://www.instagram.com/troscriptions HOMeHOPe Symposium: https://homehope.org/homehope-symposium Get 10% Off your purchase of the Metabolomics Module by using PODCAST10 at https://www.homehope.org Get 10% Off your Troscriptions purchase by using POD10 at https://www.troscriptions.com Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.

In honour of World Breastfeeding Week today I sit down with Dr. Amber Hart, a Melbourne-based GP and International Board Certified Lactation Consultant. Dr. Hart shares her expertise on the realities of breastfeeding, the importance of antenatal education, and addresses the controversial rise in tongue tie diagnoses. Amber offers a refreshing perspective on supporting new mothers through their feeding journeys whilst prioritising mental wellbeing and realistic expectations.Get our how-to Breastfeeding Guide HERESee omnystudio.com/listener for privacy information.

Send us a textWelcome to the July Q&A! Today, we kick off the show with a conversation about your experiences of unnecessary, frequent stressors that we have the power to change or eliminate: For Trisha, it's taking phone calls while grocery shopping. Next, we get into your questions, beginning with:Did taking folic acid in pregnancy cause my baby's tongue tie?Is having the cord wrapped three times around a baby's neck a legitimate reason for c-section?Is it true that I can't have a VBAC (vaginal birth after cesarean) if it has been just 18 months since my last birth?And in the extended version of today's episode, available on Patreon or Apple Subscriptions, we discuss:Intrauterine growth-restricted (IUGR) babies and whether induction of labor is the right choice. Also, whether or not a baby needs to be born by cesarean for too low or too high heart rates in labor. And finally, whether fundal massage is still needed even if you a woman is administered  Pitocin in the third stage of labor. As for Quickies, we covered many topics including: Post-breastfeeding bras, OP (posterior) babies, magnesium and pre-eclampsia, fetal ejection reflex with an epidural, supporting the perineum to prevent tearing, our top tip for a successful VBAC. As for the personal questions of the month, we share our favorite ice cream flavors as well as our favorite flowers. In Cynthia's case, she didn't know the name of her all-time favorite flower and had to text a friend urgently in order to answer the question. Just goes to show, some friends can know us just a little better than we know ourselves!**********Our sponsors:Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample packUse promo code: DOWNTOBIRTH for all sponsors. Primally Pure: From soil to skin, Primally Pure products are made with down-to-earth ingredients that feel and smell like heaven for the skin. Promo code: DOWNTOBIRTH for 10% off. ENERGYBits: Get the superfood Algae every mother needs for pregnancy, postpartum, and breastfeeding. Promo code: DOWNTOBIRTH for 20% off. Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Watch the full videos of all our episodes on YouTube! Work with Cynthia: HypnoBirthingCT.com Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

Planning for a birth that makes breastfeeding easier? Check out my FREE guide on setting yourself up for breastfeeding success:https://bit.ly/los-birthpractice-workbook---------------------------------In this episode of Lo's Lactation Lab, host Lo Nigrosh is joined by a new mom, Sharon Funk. Despite taking all the right classes and preparing thoroughly, she was unprepared for the intense physical and emotional hurdles of early motherhood. This episode sheds light on her honest journey, from unexpected complications with latching, nipple pain, and clogs to learning about tongue ties and navigating oversupply. It's a must-listen for new and expectant parents seeking an authentic perspective on feeding a newborn.Sharon Funk is a first-time mother of a 17-month-old daughter. With a background in proactive parenting, attending numerous baby prep classes, and infant safety training, Sharon believed she was ready for motherhood. However, she found that no class truly prepared her for the complexities of breastfeeding. Sharon's story offers heartfelt insights, practical lessons, and a testament to resilience that many new parents will resonate with.Expect to LearnWhy formal breastfeeding classes often don't prepare you for real-world challenges.The impact of gestational diabetes on newborn feeding protocols in hospitals.How to navigate tongue ties and why early diagnosis matters.Managing oversupply, clogged ducts, and dealing with inflammation and wrist injuries.The importance of bodywork, partner support, and listening to your instincts in the feeding journey.Episode Breakdown with Timestamps[00:00] - Introduction [01:03] - Meet Sharon: Background and First-Time Mom Experience[02:43] - Childhood Exposure and Pre-Birth Preparation[06:04] - Hospital Experience Post-Birth[10:20] - First Attempts at Latching and Pumping Challenges[14:13] - Discovery of Baby's Tongue Tie[20:21] - Incremental Feeding Progress and Single Pumping Strategy[25:45] - Clogs, Pain, and Seeking IBCLC Support[31:30] - Diet, Inflammation, and Pain Management[39:57] - Tongue Tie and Final BreakthroughsFollow Lo Nigrosh:LinkedIn: https://www.linkedin.com/in/lo-nigrosh-16371495/Website: https://www.quabbinbirthservices.com/ Facebook: https://www.facebook.com/quabbinbirthservices/Listening LinksSpotify: https://open.spotify.com/show/2F54fe1szmemB9n7YUJgWvApple Podcasts: https://podcasts.apple.com/us/podcast/los-lactation-lab/id1614255223YouTube: https://www.youtube.com/@loslactationlab3967Don't forget to subscribe for more episodes on pregnancy, birth preferences, and expert advice to guide you through the journey!#lactationjourney #breastfeedingmoms #maternalhealth #postpartumtruths #momtough #nursinggoals #ibclcjourney #exclusivebreastfeeding #resilientmothers #supportmoms #hiddenpain Become a supporter of this podcast: https://www.spreaker.com/podcast/lo-s-lactation-lab--5834691/support.

Planning for a birth that makes breastfeeding easier? Check out my FREE guide on setting yourself up for breastfeeding success:https://bit.ly/los-birthpractice-workbook---------------------------------In this enlightening episode of Lo's Lactation Lab, continuation of conversation with Lo Nigrosh, Rachel Best returns to share her groundbreaking approach to coordinated care for infants with feeding challenges. Together, they explore how multidisciplinary collaboration between SLPs, OTs, dietitians, and lactation consultants leads to transformative results for babies and parents navigating complex feeding journeys. Rachel emphasizes the importance of whole-body evaluation, interprofessional communication, and empowering families in their care journey.Rachel Best is a Speech-Language Pathologist(SLP), Certified Orofacial Myologist (COM), and International Board Certified Lactation Consultant. She is the founder of Small Steps Therapy, a multi-location practice in Rhode Island and Massachusetts dedicated to collaborative, evidence-based pediatric care.Expect to LearnWhy a collaborative care model is key to effective infant feeding supportThe connection between tongue ties, torticollis, and full-body tension in babiesHow coordinated sessions with multiple specialists can change outcomesStrategies for families to find collaborative providers when multidisciplinary clinics aren't availableInsight into the cultural and historical shifts affecting infant feeding practicesEpisode Breakdown with Timestamps [00:00] - Introduction and Rachel's Practice Expansion[02:48] - Small Steps Therapy[05:36] - Building a Transdisciplinary Infant Team[11:22] - In-Room Collaboration with SLP, OT, and Dietitian[13:49] - Tongue Tie Isn't a Fad: Cultural and Historical Context[19:00] - Symptom-Based Tongue Tie Evaluation[21:08] - Advice for Families Without Access to Coordinated Clinics[25:49] - Insurance Tips and Closing ThoughtsFollow Rachel Best:LinkedIn:https://www.linkedin.com/in/rachel-best-4a0a9692Company:https://smallstepstherapy.com/Follow Lo Nigrosh:LinkedIn: https://www.linkedin.com/in/lo-nigrosh-16371495/Website: https://www.quabbinbirthservices.com/Facebook: https://www.facebook.com/quabbinbirthservices/Listening Links:Apple Podcasts: https://podcasts.apple.com/us/podcast/los-lactation-lab/id1614255223Spotify: https://open.spotify.com/show/2F54fe1szmemB9n7YUJgWv?si=2eea7f1cfba64867YouTube: https://www.youtube.com/@loslactationlab3967Rachel Best - Part 1: https://youtu.be/FtZN8_5ezdgDon't forget to subscribe for more episodes on maternal health, infant feeding, and interdisciplinary care!#BreastfeedingHelp #ParentSupport #PediatricCare #FeedingJourney #TeamBasedCare #LactationSupport #InfantFeeding #MaternalHealth #FunctionalFeeding #BottleVsBreast #SmallStepsBigWins #InfantHealth #FunctionalFeedingBecome a supporter of this podcast: https://www.spreaker.com/podcast/lo-s-lactation-lab--5834691/support.

Planning for a birth that makes breastfeeding easier? Check out my FREE guide on setting yourself up for breastfeeding success:https://bit.ly/los-birthpractice-workbook---------------------------------In this heartfelt episode of Lo's Lactation Lab, host Lo Nigrosh speaks with Rachel Best, a Speech Language Pathologist (SLP). Rachel shares her emotional breastfeeding journey, revealing the struggles she faced when all three of her children were born with tongue ties. She discusses the intense pain, lack of support, and how these challenges led her to become an IBCLC herself. This episode provides valuable insights into the importance of self-advocacy, the need for professional support, and the realities of breastfeeding when things don't go as planned.Rachel Best is a registered Speech Language Pathologist, Certified Orofacial Myologist, and an International Board Certified Lactation Consultant (IBCLC). She is the founder of Small Steps Therapy, a private practice that provides multidisciplinary care for families, including lactation support and feeding therapy. Rachel's personal breastfeeding challenges motivated her to help others and provide informed, compassionate support for parents navigating the complexities of feeding and infant development. Expect to LearnRachel's personal breastfeeding journey and the challenges of tongue tie in her children.The impact of tongue tie on breastfeeding and how it can affect both mother and baby.Why proper professional support is crucial for breastfeeding success.How Rachel's experience motivated her to become an IBCLC and support other families.The emotional toll of breastfeeding struggles and the importance of persistence and self-advocacy.Episode Breakdown with Timestamps[00:00] - Introduction and Welcome[04:12] - Rachel's Early Breastfeeding Experience[09:49] - Breastfeeding Prep and Emotional Struggle[13:49] - The Power of Persistence[15:44] - Breastfeeding in a Challenging Environment[19:00] - The Transition from Struggling to Empowerment[21:08] - The Importance of Support Systems[23:27] - Using Personal Experience to Support OthersFollow Rachel Best: LinkedIn: https://www.linkedin.com/in/rachel-best-4a0a9692Website: https://smallstepstherapy.com/Follow Lo Nigrosh:LinkedIn:https://www.linkedin.com/in/lo-nigrosh-16371495/Website:https://www.quabbinbirthservices.com/Facebook:https://www.facebook.com/quabbinbirthservices/Listening Links:Apple Podcasts:https://podcasts.apple.com/us/podcast/los-lactation-lab/id1614255223Spotify:https://open.spotify.com/show/2F54fe1szmemB9n7YUJgWv?si=2eea7f1cfba64867YouTube:https://www.youtube.com/@loslactationlab3967Don't forget to subscribe for more episodes on breastfeeding, parenting challenges, and expert lactation advice. Share your own experiences and tips in the comments below!#breastfeedingrealities #postpartumtruth #breastfeedingpain #maternalhealth #supportmoms #normalizecomfort #latchmatters #feedingtruths #momlifeunfiltered #parentinggoals #feedingwithoutpainBecome a supporter of this podcast: https://www.spreaker.com/podcast/lo-s-lactation-lab--5834691/support.

Ronda Holman is The Airway Champion. She is the Co-Founder of Airway Coach a revolutionary approach to helping humans learn to help themselves breathe better while they sleep by developing protocols and systems to be preformed daily. She is a 25 year, US Airforce trained, dental assistant who has spent her entire career looking at airway disorders and their negative effects in the mouth.She has dedicated the last  5 years helping patients and strangers understand the negative affects of oral breathing on their oral health. Ronda runs the airway protocol for her general dental practice helping patients rule out sleep apnea and find custom solutions to breathe better while they sleep.Ronda not only has a passion to help people discovered the root cause to so many non-communicable diseases, but she grew up with an undiagnosed airway disorder herself. After connecting the signs to the symptoms it is her mission to help others learn to see the signs so they can advocate for themselves. Many people do not understand the bio mechanics a breathing. Nor do they understand the detrimental effects over breathing/mouth breathing has on sleep quality. Ronda had extraction retraction orthodontics completed when she was 12 years old. She was diagnosed with upper airway resistance syndrome when she was 37 years old. Ronda then made a choice to either live with struggling to breathe during sleep every night and continue to watch her oral health decline or make a change to improve her airway health. She shares her passion every day to help people understand the difference between sleep (surviving) and quality sleep (thriving) and its inter-relationship between airway health and breathing.Here is the link to all of the tools that have helped other humans breathe better while they sleep. https://msha.ke/airwaycoachSHOWNOTES:

In this episode of the Tongue Tie Experts Podcast, host Lisa Paladino, CNM, IBCLC, speaks directly to dentists — whether you're already performing frenotomies or considering a laser purchase. Drawing on over a decade of experience supporting families and collaborating with dentists, Lisa outlines six essential considerations for best practices in tongue tie release.Key Takeaways:

BIO:Dr. Neel Bulchandani is an intra- and inter-disciplinary healer specializing in solving complex problems related to sleep, airway, feeding, and mobility. He uses systems thinking and a kaleidoscopic approach (nod to Thomas Edison) in order to help all ages -- babies to adults. He began as a chiropractor 17 years ago, and then 9 years ago, when his daughter was born with a tongue tie, he went down the rabbit hole of tethered oral tissues and airway/feeding centered health. Already curious and delving into fascia and visceral work (organs), Neel dove even deeper in order to help figure out the surrounding issues related to his daughter's feeding issues. He developed a Floor of the Mouth Protocol, and has online courses for both practitioners and patients where he aids them in freeing tongue and mouth tension. He has created an Airway Map comprised of 70 areas in the body that are often restricted when there are issues with the mouth, like tongue tie, narrow palates, etc. He's begun a tour across many cities in 2025 to teach other practitioners his method, and will be in Phoenix in June, Boise in July, Chicago in August, Minnesota in September, and Sarasota and Dallas in November. He's married to Dawn, and dad to 3 (Serenity, Cypress, and Zephyr). He does in-person and virtual appointments, and is based in Santa Barbara. He also sees patients in Agoura Hills, Woodland Hills, Los Angeles, and the Bay Area.SHOWNOTES:

In this engaging episode, Lisa Paladino highlights the power of interdisciplinary teamwork in healthcare, especially in tongue tie management and lactation consulting. Drawing from her nursing career, she emphasizes the value of nurturing environments for new providers, open communication amid controversies, and the continuous journey of professional development. Lisa offers actionable insights on building strong networks of resources and referrals, empowering practitioners to confidently enhance patient care.Key Takeaways:Interdisciplinary Collaboration: Essential for effective healthcare and tongue tie management.Mentorship & Support: Personal experiences shape a nurturing and positive work environment.Education & Communication: Critical for addressing controversies and empowering new practitioners.Building Networks: A strong referral system enhances patient care and professional growth.This episode is a must-listen for healthcare professionals looking to expand their skills, build robust networks, and transform patient care through collaboration.Links mentioned: Insiders, educational materials link. Resources & Links:

In this episode, Lisa Paladino, CNM, IBCLC, explores the complex—and often controversial—challenges that lactation consultants face when assessing and managing tongue tie in infants. From inconsistent training and ambiguous assessments to provider disagreements and family pressures, Lisa breaks down the barriers to effective care and offers actionable strategies to overcome them.Key Topics Covered:Inconsistent Training & Guidelines: Education on tongue tie varies widely, leaving many professionals with limited or conflicting knowledge. Lisa stresses the need for specialized, evidence-based continuing education and peer collaboration to build confidence and competence.Challenges in Assessment: Accurate diagnosis requires more than a visual check—functional assessment is key. Lisa highlights the importance of understanding oral mechanics and using supportive and proven assessment tools. Interprofessional Disagreements: Differing views among health care providers can confuse families and complicate care. Lisa advocates for respectful, evidence-informed communication and building a trusted referral network.Parental Pressure for Immediate Answers: Families often seek quick fixes amidst feeding struggles. Lisa emphasizes the value of compassionate education, managing expectations, and offering follow-up support.Limited Access to Qualified Providers: A shortage of experienced tongue tie professionals can hinder timely treatment. Lisa encourages exploring virtual consults, maintaining referral lists, and advocating for increased local training.Takeaway: Navigating tongue tie assessment and treatment is both controversial and challenging—but with the right tools, education, and collaboration, lactation consultants can support families more effectively and confidently.Resources & Links Mentioned:

What if you already have what it takes to breastfeed your baby—and just need the right support to unlock it?This question is at the heart of my conversation with Lisa Paladino, Certified Nurse Midwife, IBCLC, and a fierce advocate for women and babies. Lisa has decades of experience helping families navigate the powerful, joyous, and sometimes confusing, emotional, and occasionally challenging terrain of breastfeeding. Not just a brilliant clinician, but a graduate of both my Women's Integrative and Functional Medicine and Herbal Medicine for Women training programs… and now, a lifelong friend.Lisa is the passionate founder of Tongue Tie Experts. She's spent decades supporting parents through the intense, sacred, and often confusing path of breastfeeding—especially when things don't go as planned.Lisa's journey from hospital-based nurse and midwife to fierce advocate for women's rights and breastfeeding education is one you won't forget. And what we unpack in this conversation might change how you see everything from nipple pain to infant sleep—and even adult airway health.In this episode, we dive into:What exactly is an IBCLC—and why it mattersThe silent struggle of mastitis, milk supply issues, and painHow breastfeeding shapes your baby's airway—and possibly lifelong healthThe heartbreak of not making enough milk—and how to support yourselfSetting yourself up for breastfeeding success before the baby comesWhy so many moms stop breastfeeding before they want to—and how we can change thatAnd yes… we go there with nipple toughening myths, lactation cookies, pumping in broom closets, and airplane glares. Because we've all been there—or know someone who has.

My guest is Dr. Staci Whitman, DMD, a board-certified functional dentist for kids and adults. We discuss the critical importance of oral care and the oral microbiome for brain and bodily health. We examine the negative effects of common oral care product ingredients such as alcohol, astringents, and bleaches. We also explore the history and real impact of fluoridated drinking water on oral, bone, and systemic health. Then we discuss healthy, lesser-known solutions for bad breath, canker sores, cavities, and teeth whitening. We cover how teeth can be made to repair their own cavities and the connection between oral health and cardiovascular health, male and female fertility, dementia, and cancer. This episode goes far beyond the best approaches to brushing and flossing and will be a valuable resource for anyone seeking to improve their oral health and appearance at any age. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman Eight Sleep: https://eightsleep.com/huberman BetterHelp: https://betterhelp.com/huberman Joovv: https://joovv.com/huberman Function: https://functionhealth.com/huberman LMNT: https://drinklmnt.com/huberman Timestamps 00:00:00 Dr. Staci Whitman 00:02:04 Oral Health & Oral Microbiome 00:05:01 Oral Healthcare Ingredients, Sodium Lauryl Sulfate (SLS); Canker Sores 00:08:45 Sponsors: Eight Sleep & BetterHelp 00:11:38 Cavities & Teeth De-/Remineralization, Fluoride 00:19:14 Cavities, Tool: Meal Frequency, Fasting 00:21:51 Sugar, “Dissolvable” Carbs & Cavities, Tools: Feed the Rainbow, Clean Diet 00:27:41 White Teeth, Bleaching, Hydroxyapatite, Mouth Breathing 00:34:34 Antibiotics, Gut & Oral Microbiome, Tool: Probiotics 00:36:20 Mouthwash, Alcohol, Astringents, Cardiovascular Risk, Bad Breath 00:39:54 Sponsors: AG1 & Joovv 00:42:21 Saliva, Dry Mouth, Salivary Analysis, Tools: Hydration; Nasal Breathing 00:47:23 Mouth vs. Nasal Breathing, Hard & Soft Tissue Issues 00:54:19 Deviated Septum, Therapies, Kids & Adults, Mouth Breathing & Sleep Disorders 01:00:42 Gum Health, Flossing; Sexual Health 01:01:50 Shifting to Nasal Breathing, Mouth Taping, Tools: 3-Minute Test, Kiss The Sky 01:05:53 Chewing Gum, Mastic Gum, Tool: Xylitol; Chewing Food, Breastfeeding 01:11:28 Sponsor: Function 01:13:15 Gum Disease, “Leaky Gums”, Cardiovascular Disease, Dementia, Cancer 01:20:05 Antibiotics, Ozone Therapy, Oil Pulling, Mold, Tool: Coconut Oil; Facial Trauma 01:28:07 Nicotine Gum & Pouches, Oral Health; Coffee, Teeth Whitening 01:34:16 Whole Foods, Hydroxyapatite Toothpaste; Tool: Testing Oral Microbiome 01:39:39 Water Fluoridation, History, Other Fluoride Sources, Neurocognitive Issues 01:54:57 Drinking Water & Fluoride, Toothpaste, Cavities 01:59:51 Sponsor: LMNT 02:01:07 Water Fluoridation & Levels 02:04:52 Oral Health & Fertility 02:07:03 Toothbrushing, Flossing, Waterpik, Tool: Toothbrushing & Meals 02:13:23 Teeth Spots & Markings, Fluorosis, Hypoplastic Enamel 02:19:10 Oral Health, Women, Pregnancy, Menopause & Burning Mouth 02:23:16 Geographic Tongue; Lip Balm; Mouth Breathing, Symmetrical Chewing 02:27:09 Tongue Tie, Chewing & Speech Function, Intervention 02:32:27 Red Light Therapy, Peptides & Exosomes 02:34:40 Mercury Fillings, Ceramic Composites, Retainers, Sealants 02:39:08 Dentists, Depression, Anxiety, Suicide; Insurance 02:45:05 Recap, Top Behavioral Tools for Oral Health, Tongue Scrapping 02:52:10 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures

Welcome to Part 2 of our 'Postpartum Realness' series! In this episode, we dive into the raw and transformative postpartum experience, sharing real stories from our listeners about what surprised them most after birth. From sleep deprivation and breastfeeding struggles to postpartum mental health and the emotional duality of new parenthood, we explore the highs and lows with honesty and compassion. As midwives, we also discuss how the holistic midwifery model supports parents through these challenges, offering insights into newborn bonding, maternal recovery, and the importance of community care. Whether you're planning a home birth, seeking postpartum support, or simply curious about midwifery care, this episode is for you! If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Links: Get your breast pump, lactation support, and maternity compression garments for free at aeroflowbreastpumps.com/birthhour and use promo code BIRTHHOUR15 at for 15% off supplies and accessories. Know Your Options Online Childbirth Course - use code 100OFF for $100 off Beyond the First Latch Course (comes free with KYO course) Support The Birth Hour via Patreon!