A summary - my experience of the last 10 years of tongue tie as an IBCLC in PP in the UK.
When I started working in bf support, most people with complex feeding problems had no idea what tt was. I had no training in identifying ties as a bf counsellor (as I was then). Using all the skills in my tool bag, there were still cases that we couldn’t improve or resolve. I scoured journals, articles and engaged in discussion with others to try to help these cases - and discovered tt. One case in particular was the turning point.