Wouldn't it be unusual for both twins to have this dysphagia? Are they 
boy/girl twins, I couldn't tell by their names? When I worked nicu, we did 
swallowing studies on very young infants, as I recall. It sounds like 
oversupply/OAMER is a major factor and possibly positioning issues.  I would 
want some other opinions.

Laurie Wheeler, IBCLC, MN, RN
Mississippi, s.e. USA

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