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Deliverance from Allergies

Be not dismayed whatever betide
God will take care of you
Beneath His wings of love abide
God will take care of you
God will take care of you
Through everyday o’er all the way
He will care for you
God will take care of you
Through days of toil when heart doth fail
God will take care of you
When dangers fierce your path assail
God will take care of you
God will take care of you
Through everyday o’er all the way
He will care for you
God will take care of you (1)

 

As a newborn Caleb was introduced to commercial cow’s milk formula at just 6 weeks of age due to an undetected tongue tie.

Caleb projectile vomited for the first time upon being given caffeine in the pediatric intensive care unit just over a week postpartum. Projectile and excessive vomiting continued at home.

As a newborn the pediatrician told me egg whites in particular were a common allergy for babies, removing egg whites did make a difference in how much Caleb screamed. That was of course until we started to try to bottle feed, thank God for the special needs bottle!

On February 24, 2017 Caleb’s general pediatrician recommended I buy wheat baby cereal and put it in Caleb’s bottles to help his food stay down in his tummy to try to stop the vomiting and silent reflux. When we got home from getting the cereal as I parked the truck a very strong feeling of dread came all over my body. I sat there for a moment analyzing this feeling and thinking about the box of wheat baby cereal we had just went through what felt like climbing a mountain to get. I decided to listen to my God-given mother’s intuition and not add it to the bottles…

On March 15, 2017, Caleb’s Pediatric Gastroenterologist (G.I.) recognized immediately, before anyone else, that Caleb was allergic to corn, within just a few minutes of meeting. He also told me he didn’t think Neocate would work as I had just started the trial the night before. He was right about both!

Between 3 and 5 months of age, Caleb had a constant scaly red patch of skin between his eyes and suffered from silent reflux.

Caleb had a series of x-ray studies done of his esophagus and the opening to his stomach in addition to another series he had been through in February for analyzing his swallow.

At first Caleb’s body accepted Ready to Feed Alimentum (RTF Alimentum), a highly processed commercial formula created by hydrolyzing (pre-digesting) cow’s milk and the red patch and reflux went away…but then they came back and worse. His reflux got to the point that it would come up into his sinuses and out his nose! It was really bad.

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Caleb’s red excema patch between his eyes was accompanied by severe silent reflux, both went away with the removal of cow’s milk protein.

In May 2017 I credit God for helping me to “win the lottery” by getting a diet for myself that worked with Caleb so he could get away from formula, which was obviously not working, and back on his mother’s milk.

On May 25, 2017 Caleb tested positive for wheat, but just a trace positive. If I had been giving him wheat protein every bottle every few hours day and night for 13 weeks as originally instructed to do…that could have been an anaphylactic test result. The more the body is exposed to an allergen, the more sensitive it becomes and the more extreme the immune response. Praise God for our gift of intuition.

During the summer of 2017, since Caleb had tested negative to pork, chicken and cashews I invested in the highest quality corn free soy free local pork and chicken, organically raised and freshly butchered. I also bought organic cashews online and dutifully soaked and dehydrated them…vomiting and hives from the pork, bad poo poo from the chicken and terrible crazy diarrhea that just would not go away from the cashews…Except these symptoms wouldn’t start right away so it would make it confusing. I would think a food was working and after a week add a new food but then all of a sudden symptoms were happening. He was developing new allergies at a delayed rate as I introduced new food proteins into my diet! 

Sometime during that summer I also tried to add chocolate back into my diet, organic dark chocolate of course! Hives. Chocolate was out for mom.

In June or July 2017 I found that I was able to give Caleb, without an issue, egg yolk. Although he gagged on it if it was not watered into a liquid (I now know because of his tongue tie which was finally discovered on July 23, 2017 – a HUGE answer to prayer).

On July 26 I wrote “Allergy update: I tried to eat one cherry and one grape cause I love cherries, he got hives, too early too fast. He is gagging and unable to eat the thick baby food due to the tongue tie so we are going to stick with just broth and breastmilk for awhile longer and I will remain restricted. I also need to avoid chicken I found in addition to the pork, wheat, egg whites, dairy, corn, and salicylates. BUT his stools have improved as long as I keep allergens out and broth going in, he had a thick, creamy and a few “seeds” this past week (thank you LORD). I did try some sheep yogurt after which made sour and runny again, so I just need to be patient, long suffering, trusting, praying and PRAISING the Lord to get us through.”

Sometime in August or September 2017 Caleb had an extreme vomiting reaction to egg yolk. I didn’t realize it was the egg yolk at first as it had been a safe food for us for awhile. When I re-trialed a tiny amount though, the same thing plus diarrhea! Egg yolk was now out too!

As mentioned in my “Healing a Tongue Tie” blog, the Lord provided a prayer team of people to carry Caleb and I through. I got this message right when I needed it in August 2017, a message from a very powerful prayer warrior named Laverne:

“Thank you Lord for Caleb. Thank you Lord for Caleb this child shall be great before You and shall do exploits in Your name. I decree that no sickness or plague will come upon Caleb, in the name of Jesus. I decree soundness, health and wholeness into the spirit, soul and body of Caleb, in the name of Jesus. I speak wholeness, soundness and perfection into the heart, eyes, ears Skin, bones, teeth of Caleb, in the name of Jesus. Let the respiratory, digestive and circulatory systems of little Caleb be normal, strong and healthy, in the name of Jesus. I bind every negative reports from whoever in the name of Jesus. Lord, fill the parents with Your joy, glory, peace and love in the name of Jesus. Lord, keep your covering over this precious child that you love so dearly thank you Lord for hearing this prayer amen. Will keep praying especially over Caleb food.  Naomi, keep asking the Holy Spirit for guidance on what to feed little Caleb.  Blessing upon you and your family! Love Laverne! Hallelujah hallelujah it is well with little Caleb!”

I knew Laverne was right. I needed to ask God for specific guidance. I needed to know very specifically from Him what foods and how to prepare those foods so my son could be blessed by food, not cursed. Sure we could have just let things get to the point where invasive medical procedures began again, but I didn’t want to get there. So I approached God’s throne of grace, petitioning Him for His help daily…and just like He led the way for the tongue tie to be revealed He began to lead the way for how to get Caleb out of this mess. He tenderly and gracefully addressed our needs for health by providing answers for not only our physical needs, but also by providing answers for our mental and spiritual health as well, even with things that were way off my radar as I was very focused working with my son’s therapists each week and on trying to make progress with food. In fact the answers from God came into our lives so intertwined together that the physical I feel is inseparable from the mental or the spiritual answers. We needed them all.

My first clue came through two free DNA stool analyses for Caleb showing a comparison that revealed how vitally important it was for Caleb to have prebiotics (foods that feed probiotics) in his diet since we were relying so heavily on lamb stock and fat. Caleb needed his breastmilk sugars and he needed alternatives as well, complex fibers or carbohydrates of some sort. This was all very encouraging as my mother’s intuition had always told me how important my breastmilk was for my baby and now I had another confirmation of that. I had been struggling with my intuition since some well intentioned women were encouraging me to wean my son, but I just didn’t feel like that was what God wanted me to do. Getting that confirmation through those tests were good for Caleb and I both mentally and relationally as well since breastmilk continued to bond us at a deep level even if it were through a pump and bottle, we were trying back to breast efforts still as well.

God didn’t stop there, His answers continued to come and they came big as we journeyed up and out of the hole we had fallen into…but it did take some time and there were discouraging patches along the way, like in December 2017, right after his first birthday, Caleb ate a crumb of a wheat pretzel. This resulted in mucus for poop. Things kind of stayed discouraging until March when we made some major progress only to have afterwards a step back again. The ebb and flow was real. Like the pushing stage of labor all over again. I was ready for the birth of our deliverance.

On April 2018 after getting some more patch allergy testing I was nervous to try the ones that he tested negative for because of how Caleb had developed new allergies the last time I followed that road. I knew in my mother’s heart there had to be a way to address the root issue of all of this! I didn’t want to create new allergies but I needed a solution, my son needed a variety of foods for a sound nutritional diet. A solution that would feel right to my mommy’s heart. I needed that answer to prayer. I still needed God’s continued guidance. Thankfully juicing vegetables really became a major help and another stepping stone up and out for us. I began introducing all sorts of foods via the juicer which Caleb could swallow without gagging and they were easy and quick for him to digest. I juiced all kinds of veggies to get a power-shot of energy and vitamins into Caleb’s body and to help expand his diet. I started to try to add coconut oil to Caleb’s veggie juice and at first it was fine, but eventually on July 18, 2018 Caleb reacted with vomiting and again with a retrial. I was able to continue the juicing without the coconut oil. But my cry stayed before the throne of the Almighty God.

Summer 2018 rolled around and after relying heavily on lamb stock to supplement breastmilk Caleb’s body became ultra sensitive to meat and meat stock by getting hives from leftovers or from meat and meat stock that was cooked too long. I had started cooking a fresh thing of meat and its stock every night in a dutch oven and then flash freezing his meals every night for the next day and then defrosting for every meal in order to avoid hives. It was a lot to do every day! At the very same time I felt convicted by God to start trying to get out and make other mom friends and Caleb needed to start making friends too. My response to this was “how on earth am I supposed to have time to do that Lord?” I still needed to pump, I needed to do all that cooking, I needed to clean bottles and maintain as much order in my house as possible, and adding “social-time” in didn’t really feel like it was something I could swing or even a priority for that matter! However, the conviction persisted so I obeyed God and reached out to another mom I had met online and who also was following a lot of the same natural food ideas for her children too. She was also a Christian and a military spouse. We could relate on so many levels. She was another Godsend. God began to address mine and Caleb’s health by giving me a friend who was a blessing beyond blessings. Someone who could understand me and who was already there and actually well ahead of me in the trenches. She was another mother-warrior fighting for her children on her knees in prayer and on her bare feet in the kitchen. I just have to take a moment to say I am barefoot and proud. I wear my baby on my hip as a prized jewel. Our babies are precious beyond any paper degree or monetary income. If and when I can I will gladly pour myself out as a mother at home in the kitchen, changing diapers, kissing yayas (Spanish slang for owies) and cleaning up the 10-millionth mess of the day. God bless mother’s of all walks of life, working or stay-at-home, but there is no shame in staying at home.

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Caleb playing in the water mid-July at our first play date with our dear friends (not pictured). Alaska is a beautiful place to have a play date!

Laverne’s prayer was coming to fruition as my new friend introduced me to a fermentation system called Pickl-It. I had seen a brief improvement in Caleb’s situation when in March of 2017 I was able to work up to getting 2-3 tablespoons of commercial unpasteurized sauerkraut juice in him per meal and had been able to introduce a lot of food proteins with no problem, pretty much all vegetables (this was before I started juicing). However, we experienced a major setback when following instructions from some certified GAPS professionals online, I tried a fermented garlic brine recipe they provided and personally guided me through. I used a starter and fermented it for about a week. Caleb really like the brine and wanted a lot of it, but then his poor baby mouth broke out in some sort of reaction causing him to have a painful tongue and mouth. I had to pull that and the kraut juice. We struggled to get back to where we had been and although Caleb had been able to eat broccoli with 2-3 tablespoons of saurkraut juice he was unable to without…this was a clue, he needed ferments, but I needed a better solution, for us the mason jar even with a fancy lid didn’t cut it, we needed something else.

THANK GOD FOR PICKL-IT.

Rutabaga, pumpkin, beet kvass, rainbow carrot, red onion, french fries and pumpkin juice.

Pickl-It. Anaerobic fermentation. Pickl-It garlic cannot even be consumed until it has fermented for 6 months, saurkraut, 3 months (most ferments are moved to a fridge after being on counter for up to a week). Thankfully beet kvass took only only 21 days to prepare. Caleb’s body easily accepted EVERY Pickl-It fermented foodstuff. Pickl-It beet kvass was our game changer. Caleb and I were both able to easily add every food protein his body had not had a reaction to with ease, as long as it was fermented in the Pickl-It jar. Rice, lentils, potatoes, and so much more. I started to ferment everything, even safe foods from before like rutabaga and asparagus to maximize nutrients. Fermentation makes all foods easier to digest and the vitamins and nutrients more bio-available as I’ve learned from reading information from the founder, Kathleen. Her son recovered from having early-childhood schizophrenia and autism…because of prayer and Pickl-It (2). Kathleen has also shared with her customers that she was  unexpectedly rid of her severe cat allergy through Pickl-It fermented foods! The Pickl-It jar is truly airtight as opposed to the mason jar. This creates a higher quality ferment with a higher ratio of lactic acid bacteria versus acetic acid (acetic acid burns).

I should mention that in September 2018, shortly after starting Pickl-It, I introduced home-rendered cow’s ghee. I must not have strained it well enough resulting in traces of cow’s milk protein present in the ghee because Caleb got mucus for poop along with a trace of blood. I withdrew the cow’s milk protein and kept on focusing on what I knew worked, Pickl-It foods and goat ghee plus grass-fed lamb, bison and beef.

On September 28, 2017 I got another clue about Caleb’s physical needs after he got terrible stools from scraping a bowl I used to make fat bombs with honey…I re-trialed by increasing fat alone and got the same results. Ironically in my quest to get as much fattening foods into Caleb as possible too much fat caused problems too! I thanked the Lord for showing me everything I needed to know to custom tailor Caleb’s diet just for his body.

As Caleb and I continued to add more and more foods with Pickl-It. We finally began to feel like life could be a little bit more normal. Still I hated knowing that if I messed up on timing for ferments or if I made a mistake with a staple that we could be left too short on food. Then another friend shared with me a pastor online. She said “God will send you to the right sermon”. I ended up watching several of his sermons, one of them about spiritual warfare. At the end of the sermon the pastor tells about a time that a mom of a four year old boy brought her son to him for prayer because the boy had a LOT of allergies. The pastor followed his simple method for deliverance using spiritual warfare and the little boy went home and was completely delivered from all allergies! I was telling my sister about this on the drive to her house after Caleb and I flew down a few weeks ago and then lo and behold the very first sermon at her church in her little town of only 3,000 people was specifically about the same type of spiritual warfare that the pastor had talked about online, also there had been a sermon recently with the same exact sermon topic at my church in Alaska. I was wondering, “Lord, what are you trying to tell me?”.

The Spiritual. I decided to go visit the pastor that preached the sermon at my sister’s church. He admitted to me that the sermon was out of his comfort zone but agreed to pray for Caleb. He invited me to pray over Caleb too after he was done. I did. I prayed. I followed the advice from the sermon I had watched online and I repented for any authority I had given to anything else when Caleb was in the womb. I had struggled with fear and anxiety about my baby’s well-being throughout my pregnancy because it had taken me 5 years and 3 IUIs to get pregnant. I had a dream the week Caleb was born that a big scary fast black spider crawled onto my belly while I was sleeping and pierced through into my baby, i hit “it away” so hard that I woke myself up by slapping my belly… I repented for any way that this fear and anxiety could have given authority to any other spirit than the Holy Spirit and I prayed for the Holy Spirit alone to have authority in my son’s body and for him to be healed from all his allergies, in the name and by the blood of Jesus! Preparing for my meeting with the pastor I also went through some prayers ahead of time sent to me at the perfect time by another friend without me asking her, they were dealing with topics that the spiritual warfare sermons I had watched online dealt with too.

That spider in my dream the week Caleb was born might have pierced him but Jesus was pierced and hung onto the tree so that Caleb could be delivered from all plans or works of the enemy. (see 1 John 3:8)

Deliverance.

After this prayer time with the pastor I decided to follow the advice I had received from some of Caleb’s doctors to periodically retrial some of his allergens. We went home and I, in faith, ordered some pork, dairy, chicken and eggs to trial, I tried ordering the highest quality possible. I planned to slowly start trialing his allergen foods beginning Saturday. Well we didn’t make it that long. Friday morning I was curling my hair and overheard my niece tattling to her mom/my sister that Caleb was eating her Cap’n Crunch which she eats with cow’s milk!…I literally skidded on the wood floors trying to get to the dining room fast enough, but I was too late Caleb was sitting on the dining room table with highly processed cereal dye-colored cow’s milk running down his chin! I decided instead of running out to buy activated charcoal pills to wait and see what happened since the pastor and I had prayed over Caleb for him to be healed of his allergies with only the Holy Spirit in control. About an hour after eating highly processed cow’s milk infused with Cap’n Crunch he had a beautiful brown stool. He had not had a healthy stool with cow’s milk since he was a 3 months old! So I started feeling a bit braver and while we were at a car dealership for my sister in Louisville I decided to let him have some Dove mint hot chocolate in water (his first direct exposure to chocolate), then at a family fun center later he was refusing his banana I had brought but we were both hungry so I let him have some tater tots, barbecue sauce and a tiny bit of my sister’s Diet Coke…healthy poops continued!! So the next morning I actually let him drink cow’s milk, eat butter, and a little bit of egg and it was fine! He was not reacting! Then he had bacon and chicken! He has now trialed all previous allergens and so far so good! Praise God.

Caleb enjoying cow’s milk.

Deliverance. My son has been delivered. He still has some sensitivities that I have observed from letting him eat too many unfermented factory-processed foods, but he CAN eat them on occasion if he has to and will not have an over-reactive immune response in his intestines or otherwise. Pickl-It began as an answered prayer for Kathleen and her son, then it became our answer to prayer too. We are now successfully even doing Pickl-It Sourdough, pancakes, rolls, and even sourdough banana bread. Amazing. I’m getting ready to make my first batch of sourdough cinnamon rolls, hopefully they come out good! My baby will get to have an actual cake on his third birthday. Hallelujah. We have waited a long time for this. I can even look forward to making sourdough pizza with fermented veggies and fermented marinara sauce along with his favorite meats!

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Caleb enjoying Pickl-It sourdough pancakes and cow’s milk kefir in February 2019.

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This was Caleb’s “cake” from his second birthday. Fermented purple sweet potato never looked so good! Along with dates, honey and a maple syrup drizzle it tasted good too!

Pastor Jared was glad enough to take a photo with Caleb at a potluck event at the church called Kill It and Grill It. Not so sure Caleb felt the same about the photo but he had a lot of fun at the event, we got to taste things like raccoon BBQ, squirrel dumplings, pheasant dumplings and more! Caleb really liked the deer. What a cool event that we would not have gone to if it were not for God’s deliverance for Caleb. May God bless Pastor Jared, his wife and children with an abundance of His Spirit, Power and Might in Jesus’ name.

We are on our way out. We have left allergies behind and in Jesus name we will leave all sensitivities behind too. I continue to claim perfectly beautiful poop as God intended for my son to have at the beginning in Jesus’ name. God fights for my son. He sees inside Caleb’s body. He knows what my son’s body needs. I listen for His answers to prayer. He leads me to friends, to doctors, to therapists and to pastors, He leads me where we need to go. He is the Good Shepherd.

Hallelujah.

My body has been blessed as well. I don’t even have to wash my face and my skin is still clear and beautiful. I have naturally regular cycles for the first time in my life and the debilitating painful menstrual cycles are gone. If I eat too many potatoes the pain and the acne start to come back. These are clues, my body talking to me that my health too is found in a big way through anaerobic fermented food. I have faith that I will be able to conceive again, naturally this time and this time I will be ready. I will be drinking kefir every day and consuming fermented foods every regular meal , Lord-willing. I will bless and honor my body with the food it eats and the bodies of my children with God-honoring foods.

God didn’t just lead me to fermented foods, He led me to Him, He led me to perfectly matched Christian friends and He provided amazing medical professionals to support Caleb’s body with therapy and sound advice. We are made up of body, mind and spirit. I truly believe that we cannot attain true health without the Holy Spirit ruling supreme over our members physical, mental and spiritual. In Christ we are truly balanced. In Him we can truly thrive. My pastor in Alaska taught last summer that we reflect God not only with our physical image but also in that we are tri-part beings made up of the physical, the mind (emotion, imagination and intellect) and the spirit. He taught that it was important for our physical bodies and our minds to come under the authority of the Holy Ghost in order to fulfill God’s plans for us. For Caleb and I, I feel like God’s plan on our lives includes a requirement for a healthy body and a healthy mind under that leadership of the Holy Spirit. For example, my infertility was directly getting in the way of God’s calling on my life to be a mother but I now know that what I eat has a lot to do with how fertile I am! I strongly feel that Caleb and I are called to be as healthy as we possibly can mentally, physically and spiritually as an act of worship toward the One Who gave us life and our body to begin with.

How can God help you today? What are you facing that He can set you free from? He may do it miraculously all at once at the altar…or He may tell you to make a new friend and to try a fermentation system in addition to prayer like he did for me. However it may look like for you, trust Him. Seek Him. Cry out to Him. Bless Him.

“And they overcame him by the blood of the Lamb, and by the word of their testimony; and they loved not their lives unto the death.” Revelation 12:11

“But thus saith the LORD, Even the captives of the mighty shall be taken away, and the prey of the terrible shall be delivered: for I will contend with him that contendeth with thee, and I will save thy children.” Isaiah 49:25

Caleb enjoying some food while running errands with mom. Freedom!

References:
1. Songwriters: Jeremy Bose / Tiffany Arbuckle Lee

2. Read Kathleen’s (Pickl-It Founder) Story here:

part 1:
https://blogs.psychcentral.com/therapy-soup/2011/10/autism-schizophrenia-and-nutrition-heartbreak-hope/

part 2:
https://blogs.psychcentral.com/therapy-soup/2011/10/autism-schizophrenia-and-nutrition-ants-in-my-brain/

Part 3:
https://blogs.psychcentral.com/therapy-soup/2011/10/autism-schizophrenia-and-nutrition-a-child-thrives/

Part 4:
https://blogs.psychcentral.com/therapy-soup/2011/10/autism-schizophrenia-and-nutrition-an-expert-agrees/

The Beautiful

The hem of His flowing royal robe may be beautiful but the Him seated on the throne is astoundingly Gorgeous. I want to be clothed with Him, and not just at the hem. I want to draw closer to Him. To the Gorgeous One.

There is the miraculous, there is the beautiful, there is the divine found at the hem…but let us not stop there. Let us continue to draw closer to Him. The closer to Him and the further from the hem we go, the more of the beauty and honor and righteousness that adorn Him begin to also adorn us…and the longer the train of His glory that stretches behind you as you press ahead from the hem to the Him, the more of His honor and glory you can begin to share with others. 

Oh how divine a prospect, to be able to share the honor, the gorgeousness of God and His overflowing royal robes all around us. The train of His robe is long. There is room for more, much more. Come join us in the Beautiful. ❤️

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Tongue Tie, Travesty & Love

This part 2 in my tongue tie series.

I need to once again make sure God gets mad glory for showing me the great and hidden thing that caused us so much turmoil and damage…the tongue tie, the thing that none of our pediatricians knew! God tore away the veil and showed me something that has been oppressing mothers and babies for generations in my family. Still it is troubling to wonder how it was possible for an OBGYN (which by the way our OB was an answer to another prayer!), postnatal nurses tasked to aide with breastfeeding, a lactation consultant (who was so caring and sweet), four regular pediatricians (one of which was also a certified lactation consultant who in addition to learning symptoms visually examined my damaged breast), ER staff, an intensive care unit pediatrician, a pediatric pulmonologist, wound care staff, therapists who were also really caring for Caleb but one of which we saw every week for feeding, my primary doctor (who I consulted for mastitis and breastfeeding problems), my dentist (who I asked about Caleb’s tongue thrust and who told me his wife had a similar breastfeeding experience and also had to supplement), a pediatric gastroenterologist, an internal medicine allergist, and a pediatric allergist…how could all of these medical professionals have missed Caleb’s tongue and lip tie? Not to mention all of the previous pediatricians and doctors for the family members who came before us (see post Great and Hidden Things)!?

The Travesty

While it is especially important that I reiterate that I do not want even a hint of bitterness or unforgiveness to be in my heart or words, I do feel the need to share the following, again not in anger or slander, but as a warning that will hopefully protect someone else’s life and well being. I seek to hide myself in Christ’s compassion, love and grace toward every person…

Firstly, the historical impact of the formula companies and the shift from midwifery to hospital births both have a lot to do with the devastating gap in knowledge and therefore a great lack in treatment. For decades the influence of the formula industry’s advertising as a viable alternative to mother’s milk resulted in pediatricians automatically referring mothers who experienced feeding difficulties to the bottle, that is if they hadn’t already chose the bottle due to cultural popularity. Even in early 2017, when I reached out to doctors I was never told about Human Milk 4 Human Babies or Eats on Feets, two ways I could have supplemented Caleb with donor breastmilk as I got my supply back up (I went from having chronic clogged ducts and mastitis to almost no milk at at all due to the tongue tie). I was simply told that if tolerated to get Similac Pro-Advance. As I noted in my first tongue tie post, formula companies began directly advertising to pediatricians in the 1940s and then in 1959 began even providing free formula to hospitals and pediatricians as part of their overall marketing strategy…which worked (1,2)! Breastfeeding had to be “saved” through counter movements such as the Nestlé boycott of 1977 (1). Although Caleb had extreme difficulties even with bottle feeding many tied babies are able to thrive with a bottle (not to mention all of the tied babies that can actually breastfeed!), as a result many tongue ties were not caught for decades and the training for how to screen for them became obsolete. At the same time more and more women were convinced that hospital births were safer and they began to entrust their deliveries to OBGYNs who were not trained to check for and cut tongue ties at birth. Historically midwives would cut the tie immediately to allow the newborn infant to suckle. Dr. Richard Baxter shares in his book “Tongue Tied”, that an obstetrician textbook from the 1600s specifically instructs how to check an infant for a tie at birth and if present calls for a surgeon to cut it. (3) Sadly, between the shift toward hospital births, a cultural pushback against all surgeries for a time that started in the 1850s (4) and the aggressive marketing of formula during the last century (1,2) the void in how to check for and treat ties was complete and too many pediatricians, OBGYNs, and both occupational and speech therapists to this day are still not properly trained in the subject of tongue and lip tie in school or fellowship. As a result most modern standards of care do not include a proper, if any, evaluation for tongue tie. An exception is in the country of Brazil where, by law, infants must be evaluated for tongue tie at birth. (5)

Before-the-1940s-tongue

(6)

In addition to the lack of proper education the political hierarchy of the medical system gets in the way too. Dr. Ghaheri, an ENT who specializes in tethered oral tissues, shares that shockingly some hospitals today actually have gag orders on lactation consultants so they cannot tell a mother she and baby are suffering because of a tongue or lip tie (7)! This is incredulous and after having gone through the trauma I went through with my baby down right cruel and dangerously negligent. Primary doctors get offended when a lactation consultant catches the problem and “diagnoses” or even suggests/”refers” to a qualified ENT or dentist instead of letting the doctor do so (who again most likely lacks proper training). Even if the doctor were to make the referral it is important for the referral to be to an experienced release provider, not just any ENT or dentist. One significant marker of experience is the use of a laser or scissors without anesthesia. In the meantime while referrals to a preferred provider are being withheld or missed altogether babies are struggling to swallow, struggling to breathe, driving parents mad with colic and extreme sleep deprivation, being put on formula, prescribed proton pump inhibitors, having feeding tubes installed and being hospitalized for failure to thrive.

It is a travesty.

I have seen first hand these issues and the misdiagnosis my son having a restricted maxillary and lingual frenum from a handful of medical professionals, which led to a tonsil and adenoidectomy at the age of 2:11 because his tonsils and adenoids hypertrophied and caused obstructive sleep apnea, all were initially due to infant reflux which was caused by a restricted frenum and swallowing issues from birth… As an SLP, I was not taught how to accurately diagnose frenum restrictions and the impact even slight restrictions can have on the health and well being of an infant, child, or adult.” -Nicole Archambault Besson, EdS, MS, CCC-SLP (8)

But the damage doesn’t stop there, formula has been proven to create a completely different ecosystem in a baby’s gut with higher populations of pathogenic bacteria (9). Even if formula is not introduced, often times antibiotics or antacids are to address symptoms or conditions that tongue tie contributes to or even causes. These kill good bacteria and lead to candida overgrowth and low stomach acid (10) which also deeply changes the ecosystem of a baby’s gut. Both research and clinical evidence are increasingly linking the imbalance of the gut ecosystem to the development of neurological conditions like anxiety, autism, dyslexia and ADHD (11), to autoimmune conditions like fibromyalgia, lupus and Hashimoto’s (12) and to the development of immune system issues like allergies, asthma and intolerances (13)…and so much more.

Nutrition and Genetics

Sadly in addition to the influences above there seems to be an uptick in the occurrence of tongue tie overall and our diet plays a huge role. Specific vitamins, such as vitamin A, D and K2 are needed for the frenum to release properly in utero, especially vitamin A (14). Dr. Steven Lin recommends a diet high in grass-fed offal, eggs, oily fish and whole fat grass-fed butter or cream, as well as some carrots and spinach for 6 months prior to conception to try to prevent tethered oral tissues from forming in utero (14). Dr. Weston A. Price found that modern diets cause nutritional deficiencies that result in narrow mouths with crowded teeth (15). I wonder if what Dr. Weston A. Price found was actually that modern diets increase the occurrence of tongue tie because narrow mouths with crowded teeth and high palates are symptoms of…tongue tie.

Tongue-Tie-can-cause

(16)

In addition to vitamins A, D and K2, midline defects have also been linked to a deficiency in folate. It is estimated that 40% of the world population has at least one MTHFR variant (17) making them unable to process the synthetic form of folate: folic acid…yes the same folic acid that every OBGYN is trained to make sure moms take in prenatals! I tested myself and Caleb. We are both homozygous MTHFR which is the most severe form of the genetic variation. We cannot assimilate folic acid and it actually clogs up our precious folate receptors…

We, as a society, simply cannot rely on a vitamin pill for nutrition, especially when it comes to the critical nutrition we need for our babies in utero. We cannot rely on a modern diet full of “instant meals” and packaged foods. We need to eat real unprocessed food planted, stored and prepared with ancient methods like anaerobic fermentation. The Great Physician had it right all along. He didn’t create us first and then make us wait 5,000 years before we finally had the technology to build factories to create synthetic vitamins for our pregnant mothers. He gave us bioavailable nutrient dense foods from the beginning to create healthy babies.

Tongue tie has had a detrimental affect (one that we are overcoming in the name of Jesus I should add) on the health of my son, myself and my family members through the resulting recommendations of formula, invasive diagnostics and various “medicine” prescriptions, this on top of the damage from our standard American diet which played a role in it’s formation to begin with! We are made in God’s holy image and how we treat that image and what we feed that image really does matter.

A tiny string under the tongue is a testament to that.

Love or Anger

The implication of a tongue tie that is not caught at birth can be horrific on so many levels for not only quality of life and health, but also simply the ability to survive and thrive. This is in addition to the heartbreak associated with not being able to breastfeed, or the violated feeling that comes from having the micro-biome (the one that I worked so long and hard to pass on through an all natural labor) hit hard by unnecessary antibiotics just seven days later. When our ability to thrive and survive is threatened or when our gut ecosystem suffers we can become bogged down in ways that can directly thwart our God-given destiny (see post Bagworms). In light of all of the damage and trauma that tongue tie can cause it is easy to grow angry or bitter at industries or even certain people…but really there is only one true common enemy throughout—THE enemy. The efforts to convince people to eat processed foods are immense and how about the efforts to convince mothers to not breastfeed their own children which has been going on for centuries, think of the popularity of wet nursing before formula and bottle feeding became all the rage (2).

In his booked called “Love Never Fails” (18), Kenneth Copeland points out that when Jesus’ cousin and close friend John the Baptist was beheaded Jesus withdrew for prayer but was followed by the crowds. During this deeply emotional time the Bible says that Jesus responded with compassion and healed the sick. He didn’t lash out in anger or condemning words toward Herod or just ask the crowds to be leave him alone, instead he ravaged the kingdom of darkness with love and compassion because He knew that the real enemy wasn’t Herod or Herodias, it was Satan. When someone we love is deeply damaged by misguided nutritional or medical advice we can respond with sorrow and anger especially when the trauma is deep or when we are constantly reminded daily of the damage that was done to our child’s body. In the strength of Christ though we can respond in love which allows the true enemy to be stopped in His tracks. When we respond through faith in the love and grace of Christ the enemy can’t find any new footholds to stand on. Loving our enemies requires faith and as I am learning dying to myself. It is one thing to be polite or nice toward someone who openly opposes the truth and gaslights you in a detrimental fashion, but to love them!? However, I have to keep on reminding myself that when I step out in faith that faith forms a shield of protection against the enemy’s fiery darts. If I have learned anything it is that I really need that shield cause those darts are real and they can hurt us or our loved ones really bad. Thank God in Christ we have redemption, RESTORATION, PROTECTION (oh He is our Cleft in the Rock) and ultimately we have VICTORY. He alone can heal and restore. He alone can truly save. After what Caleb and I have gone through I do not want to create a new foothold for the enemy in my heart because of imperfect judgment or anger toward anybody or anything. Even though it certainly is not easy to respond to a slight in love I am seeking to walk in the love of Christ for everyone involved in our health journey, historically or present. In Christ alone are we made whole and restored, in Christ alone we live and breathe. It is He Who holds my head above the waters, no matter how torrential they get. With His mighty right hand He draws me up out of the waves, me and my precious child and He walks out onto those raging waters for us. No amount of anger or bitterness is worth jeopardizing my intimacy or lifeline with Christ. I trust in Him to be perfect in judgment and in provision. He has and He will continue to contend with those that contend with me and to save my children.

… … …

Part of love is compassion and the Lord truly has helped me to have compassion in the sense that much of what The Lord desires for our bodies to manage it’s health is, I’m finding, very different than the practices of conventional western medicine today. There are many well-meaning doctors out there but to evaluate the health of someone in a more holistic manner or to evaluate for tongue tie is not something that they are trained for or often approve of, even by the very medical associations that they receive their certifications and legal protections from. In order to follow the guidance of the Holy Spirit in treating a patient, as it should be, they would have to deviate from standards of care which would essentially mean transforming their practice and identity and removing themselves from the legal and monetary protections of their earthly associations. I listened to several of the speakers during the recent Candida Summit and one of them was Jack Wolfson, a board certified cardiologist (19) that practiced conventionally for years. When he made the leap to integrate holistic medicine with his conventional training it meant leaving the hospital he worked at with guaranteed income from people’s insurance and stepping out in faith by opening a cash pay cardiology clinic. He now sees people from all over the world because there is such a demand for his kind but at the same time so very few (if any other) holistic cardiologists. Another reason I find in my heart compassion is that I now realize that every doctor, every formula company, every manufacturer for vaccines, antacids or pharmaceuticals, every one of them is not only accountable to their medical associations and peers etc…but they are also and ultimately even more-so accountable to God. People made in God’s image are entrusted to their care to try to heal or care for that image to make it healthy and to function optimally for the glory of God. In light of this I realize I am not their judge, they already have a judge who is the original Image Bearer and because, as mentioned, much of what they may be doing is damaging toward that precious image it is with the fear of God that I do have compassion. They too are made in God’s holy image and they too are infinitely precious to God. He is their Judge. He has got this in hand and so we must pray! We must pray for doctors and for the medical community to listen to the Holy Spirit, to the Great Physician. Pray for more awareness and acceptance in the medical community about the horrendous damage that can happen from a tongue tie that is undetected or left intact. Pray for the doctors that are out there trying to educate their peers like Dr. Ghaheri or Dr. Baxter. Pray for our individual protection and freedom from the enemy’s agenda to essentially mutilate the image of God with generation after generation of antibiotics, proton pump inhibitors, misinformed nutrition and more. Too many are listening to another voice, a voice that harms and damages the image of God. Oh how precious is the Lord and His image that we bear, and may He be eternally glorified in our bodies and in our love for one another.

Even in our love for our enemies.

We have the victory. We have Jesus.

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(20)

For a list of symptoms and related conditions to tongue tie stay tuned for my next post.

References:
1. A HISTORY OF BABY FORMULA – HOW EMERGENCY BABY FOOD BECAME AN EVERYDAY MEAL FOR BABIES IN AMERICA
HTTP://DOMESTICGEEKGIRL.COM/UNCATEGORIZED/HISTORY-BABY-FORMULA-EMERGENCY-BABY-FOOD-BECAME-EVERYDAY-MEAL-BABIES-AMERICA/
2. A HISTORY OF INFANT FEEDING
HTTPS://WWW.NCBI.NLM.NIH.GOV/PMC/ARTICLECS/PMC2684040/
3. History of Tongue Tie
Baxter, Richard. Tongue Tied, How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More. Alabama Tongue Tie Center, 2018. Page 5
4. Backlash Against Surgery
Baxter, Richard. Tongue Tied, How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More. Alabama Tongue Tie Center, 2018. Page 6
5. Brazilian Law for Tongue Tie
Baxter, Richard. Tongue Tied, How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More. Alabama Tongue Tie Center, 2018. Page 257
6. Dentist sheds light on tongue tie in infants
http://www.ourmilkyway.org/dentist-sheds-light-on-tongue-tie-in-infants/
7. Hospital Gag Orders on Lactation Consultants, Bobby Ghaheri MD
https://www.facebook.com/DrGhaheriMD/posts/357748484386534
8. The Tongue Was Involved, But What Was the Trouble?
https://leader.pubs.asha.org/article.aspx?articleid=2432362
9. The Risks of Not Breastfeeding for Mothers and Infants
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2812877/
10. The Largely Unknown Health Epidemic Affecting Almost ALL Americans
https://bodyecology.com/articles/unknown_health_epidemic.php
https://bodyecology.com/the-body-ecology-diet-book.html
11. Gut and Psychology Syndrome: Natural Treatment for Autism, Dyspraxia, A.D.D., Dyslexia, A.D.H.D., Depression, Schizophrenia
https://www.amazon.com/Psychology-Syndrome-D-D-D-H-D-Schizophrenia/dp/0954852028
12. Ways To Reverse Autoimmune Disease
https://www.amymyersmd.com/lp/ai-webinar-registration
13. What’s Causing Food Allergies?
https://bodyecology.com/articles/whats-causing-food-allergies
14. Webbed Fingers Syndrome: Is Tongue-Tie Linked to Vitamin A Deficiency?
https://www.drstevenlin.com/webbed-fingers-syndrome-tongue-tie-linked-vitamin-a-deficiency/
15. Weston A. Price, DDS
https://www.westonaprice.org/health-topics/nutrition-greats/weston-a-price-dds/
16. Tongue Tie and Crowded Teeth, Misaligned Jaws, Narrow Palates
Baxter, Richard. Tongue Tied, How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More. Alabama Tongue Tie Center, 2018. Page 195-196
17. Do You Have The Gene Mutation That Affects 40% Of The World?
https://drwillcole.com/what-you-need-to-know-about-the-gene-mutation-that-affects-40-of-the-world/
18. Love Never Fails, Kenneth Copeland
https://www.amazon.com/Love-Never-Fails-10-pamphlets/dp/1575620944
19. Dr. Jack Wolfson
https://www.wolfsonintegrativecardiology.com/about/
20. Bible.com
https://www.bible.com/verse-of-the-day/PSA.91.2/385?version=1

 

Image

Great and Hidden Things

I desire only for compassion, love and grace toward every medical professional we have worked with. They were each trying their best for Caleb I hope and I do not want even a hint of bitterness, slander, or unforgiveness to be in my heart or words.

The Generations

In 1936 a baby girl was born in Illinois. Baby thankfully was able to breastfeed because unfortunately for her three siblings mother’s milk was deemed to be “poisonous”.

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Baby bottle from the 1930s. (1)

In 1959 the baby girl from Illinois gave birth to her firstborn in Oklahoma, also a girl. She cried continuously and just wouldn’t sleep. Extreme sleep deprivation set in as baby girl began to starve and finally the doctor discovered that mom didn’t have the milk for baby girl to nurse. Since mother had issues with milk production (her 5 following children were put on formula straightaway) no further investigation was made to see if there were any other underlying factors contributing to the infant’s inability to thrive on the breast.

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“By 1950 over half of all babies in the U.S. were on evaporated milk”…! (2)

By the 1940s formula companies had successfully influenced pediatricians to recommend their products through direct advertising (3). The widespread decline in breastfeeding culminated with breastfeeding commonly being considered unclean in the 1950s and ’60s. In 1959 formula companies began providing formula to hospitals and pediatricians as part of their marketing strategy in order to gain endorsement. (2After taking a hit from organized efforts to save breastfeeding (such as the Nestlé boycott of 1977), formula companies began directly advertising to the public in 1988. (2,3)

In 1986 the baby girl from Oklahoma had grown and gave birth to her firstborn in New Mexico. This baby girl was able to breastfeed, but she screamed…a LOT. Colic nearly drove her parents mad for 9 grueling months, the entirety of her breastfed experience. When babysat she would refuse to eat even if it were an entire day, screaming and starving herself until mom got back. With solids she would eat and then vomit over and over. This little one had tongue thrust and into adulthood she frequently swallowed water “down the wrong tube” resulting in coughing fits as a result. Worst of all her husband had to frantically do the Heimlich on her during her third trimester because her swallowing issues caused her to start choking on a piece of steak. Thankfully her baby had already flipped during this very scary experience and even more thankfully the Heimlich maneuver worked!

Between the 1980s and 2015 babies continued to be born with everything from needing formula supplementation to help with weight, to colic, to slow eating, gaps between the two top teeth as toddlers, food pickiness, recurring ear infections and ergo recurring antibiotics, ear tubes, speech therapy needs, anxiety, mouth breathing at night, and plenty of orthodontic needs.

Then in 2016 a baby boy was born. He had had jaundice and barely avoided supplementation even with feeding every 2 hours. He was sent home with an SNS by labor and delivery nurses because of the difficulty mom and baby were presenting with nursing. He also presented with low oxygen saturation which landed him in the PICU at just a week old. After 2 rounds of antibiotics this full-term baby was diagnosed with “apnea of prematurity”. He quickly fell asleep on the breast and off the breast his sleeping deteriorated to only a matter of minutes, if he didn’t wake right upon being put down. His mother was sent to wound care by a pediatrician for her torn up breast and was instructed to dress her wounds between feedings…except baby would not even sleep long enough for mom to eat or even go to the bathroom! Mom also had chronic plugged ducts and experienced mastitis twice. Mom did find that lying on her back helped with feedings. In addition to the physical trauma on one breast the other side for mom was always creased after feedings. Baby started having watery green stools in addition to periodic projectile vomiting. Extreme sleep deprivation in both mom and baby began to set in and mom began to become unemotional toward her own baby as he kept on crying and not sleeping. Mom resorted to rocking him for hours on the birth ball. Once asleep he would roll to his side scratching and sucking at the walls of his bassinet. Baby grew animalistic during skin to skin, scratching and grasping at the breast. Finally mom realized that what she was going through was not simply the trenches of new motherhood but rather a form of oppression. The multiple doctor visits already had yielded no help and so mom cried out to God for their deliverance. God helped mom figure out that her baby was cutting off his milk supply by pinching her nipple shut (chomping vs sucking) and to get him enough milk as well as to heal her physical trauma mom stopped nursing altogether at 6 weeks. When she started pumping mom barely produced anything and had to supplement in order to keep up with her baby’s hunger (mom’s low supply gave way to an ample supply with regular pumping). With a satiated tummy baby finally started sleeping but he would choke and audibly struggle to breathe all the while. He also “chirped” in his sleep and even snored and whistled sometimes. The bottle feeding honeymoon was short lived because of huge burps, prolonged screaming, excessive leaking milk out of his mouth and the continued projectile vomiting along with choking and gagging. Baby was diagnosed with a “high arched palate” and put in therapy for feeding. His oxygen, sleeping and feeding problems continued. At around 2 1/2 months mom did find the oxygen improved drastically if he was laid on his tummy, however because of SIDS risk a pediatrician advised she continue to lay him on his back even though his airways were struggling to remain open in this position. Baby was diagnosed with silent reflux which resulted in pediatricians advising for his mattress and changing table to be elevated on one side and he was put on omeprazole. He even received a referral for a medical sleeping wedge. Solids went from exciting to gagging, vomiting and aversions to the spoon or food.

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This special needs bottle was the only bottle Caleb could thrive with, otherwise a dish towel had to be wrapped around his neck to soak up the milk that leaked from his mouth and he would scream for hours. God provided these at a pharmacy. They made a mistake and made me pick-up instead of deliver his first refill of oxygen monitoring supplies and viola there was a basket of these bottles ON CLEARANCE! Praise the Lord.

After a series of swallow-study x-rays, upper gi x-rays, a “fluff-to-make-mom-feel-better- x-ray” and a birth x-ray mom really wanted to try to avoid anymore invasive diagnostics…not to mention all the antibiotics, rx caffeine and omeprazole (a proton pump inhibitor) baby had been put on. God had already protected Caleb by providentially securing his medical grade oxygen monitor which had alerted mom to his choking in his sleep (the post Caleb Gabriel tells how this started with winning an Instagram contest) and from being put under to have a camera stuck down his throat by healing his 02 issues and showing mom about his allergies before the doctors (see post Red Lips). Still, with the continued feeding problems mom knew something was there, something elusive, something that none of the doctors, therapists or the lactation consultant were catching. The doctors seemed to favor the theory of it all being neurological, they had even thought the oxygen saturation issues were too…and neurological problems means generational anesthesia and an MRI after the other invasive diagnostics have ruled things out, including being put under for scopes and then all the x-rays and meds and allergy testing we had already started. Mom knew that this path of medical testing was not working, it was not catching the problem, she knew in her heart it was just damaging her baby further.

The Cry

In May 2017 I shared a photo of Caleb’s tongue thrust with prayer partners and asked them to pray for God to show me what was causing it. On May 26, 2017 a prayer partner for Caleb sent me the same image with Jeremiah 33:3 inscribed upon it. What a prophetic word! image1

God had placed that feeling in my heart that there was a root to the problems. Then I was sent that verse. In July I took these things to the mat and grappled in prayer, asking over and over “Lord please open my eyes and help me see, show me that which is hidden!” I could feel it, there was something there, something in the dark that I could not see!

After months of pediatric specialists, therapists, x-rays, medications and more God did tell me great and hidden things…things that I had not known, that my mother, grandmother and great grandmother had not known…almost a hundred years of not knowing. The suffering had come to a head with Caleb and it took an all-out fight in the spirit realm for the light to shine on that which was hidden, but God did shine the light, and now I see. I cannot thank or praise God enough for delivering Caleb from the damaging circus of medical diagnostics and medications, and for showing me what had wreaked so much oppression in our lives.

The Answer

Finally on July 23, 2017 as I was searching for answers in a Facebook forum another mom mentioned I should look into ankyloglossia. I had already been told by the lactation consultant months prior that Caleb did not have ankyloglossia and Caleb’s feeding therapist had reiterated this stating that Caleb could stick out his tongue so I kind of shrugged it off but politely replied by saying thank you for the suggestion and that I would look into it. I didn’t really intend to make a point of remembering to research it since I felt like the medical professionals we had seen had already evaluated that possibility it for us…But then the Holy Spirit deeply convicted me. I would be lying if I did not keep my word and look into it, and in a timely manner! In order to not be guilty of dishonesty I did a quick Google search that very moment and what I found made my mouth drop – literally. A blog with the symptoms of ankyloglossia that felt like a book about what Caleb and I had gone through.

Tongue Tie

Turns out Caleb was both tongue tied and lip tied! After a few days of research I starting wondering about myself…so I decided to check my tongue in the mirror, I couldn’t believe it, I am also tongue and lip tied! Then I asked my mom to show me her tongue, she is tongue and lip tied! The truth is out, no more tongue tie torture for mothers and babies in my bloodline! With awe and amazement I thank God Who so graciously helped me see. I am so eternally thankful to the Holy Spirit Who kept me at it, He helped me wrestle that answer out of darkness into the Light! Goliath fell in the Name of the Lord God Almighty for David and he can fall for us too in that same Mighty and Holy Name.

To God be the eternal glory, honor and praise. Amen.

Stay tuned for my next post which shares how it was possible for Caleb’s ties to have been missed even though we frequently visited many pediatricians, pediatric specialists, therapists, and more.

Footnote:
To finally get the answer it took an act of staying true to my word to the other mom on Facebook even when I wasn’t motivated to make it a priority. This is interesting because when trying to get pregnant I sought a referral to the only local reproductive endocrinologist on the grounds that I wanted to find the root cause of my infertility. When I got to her office and realized she intended try to get me pregnant with hormone manipulation versus uncovering and fixing the root cause of my hormone imbalance I decided to stay the course (and I am forever thankful for her hard work, night and weekends literally for us!). However, this ended up being dishonesty because I had told the referring doctor that I wanted to find the root cause, even if it meant I had to leave the state to see an in-network provider. I was given a rare referral to an out of network provider. If I had decided to stay true to my word even when tempted not to and search out a doctor that would help me find the root then tongue tie may not have even manifested in my child because of its link to nutrition. Our journey with antibiotics etc. which resulted in Caleb’s gut issues certainly would have been very different because I now know that much of the same opportunistic overgrowth (which is caused by overuse of antibiotics and the poor nutrition provided by the standard american diet) was at the root of my infertility.

References:
1. https://goo.gl/images/iUZNoL
2. A History of Baby Formula – How Emergency Baby Food Became an Everyday Meal For Babies In America
http://domesticgeekgirl.com/uncategorized/history-baby-formula-emergency-baby-food-became-everyday-meal-babies-america/
3. A History of Infant Feeding
https://www.ncbi.nlm.nih.gov/pmc/articlecs/PMC2684040/