Hi Chelsea such great questions. No.1. "Can adjustments fully address potential issues or if there is ever a reason to combine body work with a cut to release." It depends on what degree of tie there is ie how much the tie is restricting the movement and the position of the tongue. If it's a significant tie and very little change occurs then cutting might make sense. If changes keep progressing then cutting becomes redundant. Attaining change however comes down to the confidence and the skill of the practitioner and frequency of care. You're in very good hands. What is important to acknowledge is that tightness of those tissues stays even when they are cut - so speech and swallowing issues can still manifest if restrictions aren't released. So cutting alone isn't the solution. When the tongue and other associated muscles remain tight - the tongue won't sit where we need it to, it can't move freely or it doesn't fire up and work in the way we want it to. Sometimes people refer to this as a “lazy tongue.” This can look like mouth breathing, snoring, speech issues, sleep apnoea, ear infections, tonsillitis etc So in addition to regular adjustments as the child grows and investing in their immune strength etc I do believe that parents need to focus on helping their child create good tongue movement. This involves exercises and awareness as the child grows. This is something that parents would need to do even if they had the tongue cut because cutting the extra bit of soft tissue that creates a tongue tie doesn't change the fact that the tongue and surrounding muscles are tight or shortened. Soon I will be placing into this course - some information and techniques for parents to do with older children to help with tongue function. No 2. "Another query I have is around identifying whether methylation and homocysteine are contributing factors now. Should I be getting a blood test to identify pathway issues so that I can help my child through breastfeeding or just focus on getting the nutrition right?"

It's great to do your research, explore options, ask questions. Speak to parents who've had it done and those who have not had it done. Ask about what they did and didn't do themselves with ongoing care. Weigh up their experiences. You might explore it all and decide to have a revision and it might help in the way you desire or alleviate concerns. That would be a good outcome and at least you know there's still a lot of work to be done as a revision won't address the other layers of restriction in the tongue or other tissues etc. So you'll need to address those and the root cause - methylation etc You are also now aware that with or without a revision - you have to ensure the tongue is positioned well and working well over the years as he grows. Those issues can still arise with a revision if the tongue and tissues stay tight or the tongue is poorly co-ordinated. I'll start adding Home Care suggestions. This morning here in Spain I was discussing with some parents who'd had their baby's tie cut at 8 weeks and they said that almost nothing changed. Breastfeeding was a little better but she was still swallowing air, falling asleep at the breast, not burping but vomiting large amounts of milk. She'd vomit after every feed. They'd done the work on her tongue wound that had been recommended with the procedure. What I found when I checked her was even though she'd had the revision - was under her tongue was very tight and so was one side of her jaw, the base of her skull on one side was jammed (subluxated) and she was rotating her head this way. She was rotated through her ribcage and hip - most likely her positioning in the womb. Creating tension in her diaphragm around her tummy. They messaged evening time saying they have noticed so many changes. Her suck is stronger, she's burping and holding down milk. I share this because in their situation a revision didn't give them the results they hoped for. Results really can be varied after revisions. I think it really comes down to parents getting good care and guidance with either path they take.

@Suzanna Dahl You're in the right place Suzanna. Great to have you here.

@Suzanna Dahl Start buy watching the videos so you get an understanding about methylation - grasping this will help with anything beyond the lisp that might be showing up with energy levels, digestion, mood and behaviour and cognitively. I'll be adding more home care exercises for older children this weekend.