<<I suspected a submucosal tongue tie but the baby has no trouble sticking 
his tongue out past his bottom lip. (please correct me if that doesn't mean 
that the tongue isn't tied) >>

No---just because a baby can stick his tongue past the bottom lip most 
definitely does NOT rule-out tongue-tie.  I have clipped many tongues that 
reached past the bottom lip...but were unable to lift and cup well enough to 
remove milk well or hold onto the breast without pain.

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE

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