Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services. 
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📝 Episode Summary
✅ Why is the floor of the mouth a vital concept for providers to understand in lingual restriction cases?
✅ How does torsional debt create spiral tension patterns stretching from the head down to the big toe?
✅ The Floor 4 protocol (targeting the head, throat, sides, and feet) helps patients achieve a "phase shift" of global suppleness.
✅ Diastasis recti is identified as a frequently overlooked midline issue that significantly impacts airway posture and breathing development.
✅ Holistic care must combine manual therapy, photobiomodulation, and intuitive movement to address the root causes of dysfunction rather than simply cutting tissue. 🌀✨👣

𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔! 
👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞: https://youtu.be/ed2Y-eryHa4
👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow
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ABOUT OUR GUEST: 
Dr. Neel Bulchandani is an integrative specialist and chiropractor. He developed an interdisciplinary manual therapy system, called Functional Mandibular Diaphragmatic Integration (FMDI), and in this system he has linked jaw mechanics with cranial, visceral, and foot dynamics and has synthesized many fields and modalities to comprehensively investigate and unlock whole-body pain, tension, and dysfunction. He also developed the Floor 4, a protocol connecting 4 key areas of the body to Floor of Mouth tension. He works in person and virtually, has created online courses for both practitioners and patients; and he also is teaching this method to healthcare professionals worldwide to apply it directly with clients seeking rapid, lasting transformation. Dr. Neel collaborates with many osteopaths, midwives, doulas, nurses, physicians, nutritionists, lactation consultants, dentists, ENTs. chiropractors, physical therapists, naturopaths, and massage therapists. He's often a go-to provider for pre- and post-op bodywork for patients undergoing frenectomies and frenuloplasties. He has helped many moms breastfeed with more ease, less pain, and more success by utilizing his knowledge of freeing tension associated with oral ties. Dr. Neel also sees many children and adults who suffer from issues related to tethered oral tissues: feeding, airway, digestion, sleep, and TMJ issues. He’s also an advisor to two neuroacoustic companies, and he utilizes and educates on photobiomodulation. His practice base is in Santa Barbara, California and he also sees patients in Los Angeles.
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ABOUT THE HOST: 
Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy and serves as a mentor and consultant in the field of orofacial myofunctional therapy. 
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🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com 
📩𝐄𝐦𝐚𝐢𝐥: Nico

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services. 
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📝 Episode Summary
• ✅ Why are midlife women frequently misdiagnosed with "normal" sleep studies despite suffering from chronic exhaustion and brain fog?
• ✅ The episode explores Upper Airway Resistance Syndrome (UARS), a condition where the brain arousals occur from breathing effort without significant oxygen drops.
• ✅ Discussion highlights how hormonal changes during menopause and pregnancy can trigger nasal congestion and airway instability.
• ✅ Experts emphasize that AHI numbers are often arbitrary and fail to capture the physiological strain felt by symptomatic "thin, fit" females.
• ✅ Red flags like depression, anxiety, headaches, tooth grinding, TMJ pain, voice loss, reflux, and cold hands are identified as some critical indicators of a hidden airway struggle.
• ✅ Long-term recovery requires a "team approach" using myofunctional therapy, structural surgery, dental appliances, and even in some cases CPAP to restore functional sleep breathing.

𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔! 
👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞: https://youtu.be/BAll7yQqm7M
👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow
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ABOUT OUR GUEST: 
Dr. David McIntosh is a Paediatric ENT Specialist with a particular interest in airway obstruction, facial and dental development and its relationship to ENT airway problems, and middle ear disease. . He has undertaken advanced surgical training in ENT and Head and Neck Surgery and Paediatric training at Starship Children’s Hospital in Auckland, New Zealand.

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ABOUT THE HOST: 

Nicole Goldfarb, M.A. CCC, SLP-COM®, is a speech-language pathologist, certified orofacial myologist, and international speaker. An author and owner of San Diego Center For Speech Therapy, she specializes in myofunctional therapy to treat sleep-disordered breathing and airway issues.
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🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com 
📩𝐄𝐦𝐚𝐢𝐥: [email protected] 
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503 
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegospeechandmyotherapy/
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐢𝐤𝐓𝐨𝐤: https://www.tiktok.com/@airway.answers

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services. 
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📝 Episode Summary📝

• ✅ How neurodevelopmental traits like ADHD serve as early signals of lifelong physiological strain and how these characteristics are modifiable 🧠
• ✅ Why is comprehensive sleep and airway care often treated as a "luxury good" rather than a standard of health? 💎
• ✅ The discussion emphasizes moving from blame to agency, empowering parents with modifiable pathways for their children’s growth. 🤝
• ✅ Key points include the critical role of masticatory competence and diet (Firm, Fresh, Fibrous foods) as well as good breathing in developing the craniofacial respiratory complex. 🍎
• ✅ Experts advocate for a shared narrative-based language across medical and dental silos to prioritize early intervention. 🗣️
• ✅ Strategies are discussed as to how to speak to patients, parents, and families in order to help guide them without overwhelming them. 💖
• ⭐ AND MORE...

𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔! 
👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞: https://youtu.be/pb-fnF6nCpo
👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow
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ABOUT OUR GUESTS: 

Dr. Kevin Boyd, DDS, MSc, is a pediatric dentist and researcher in Chicago. An instructor at Lurie Children’s Hospital, he specializes in evolutionary medicine, focusing on how early childhood feeding and the craniofacial-respiratory complex impact long-term health, sleep, and breathing.

Dr. Dave McCarty is a board-certified sleep specialist and Chief Medical Officer of Reebus Health. An award-winning educator, he created the Empowered Sleep Apnea project to simplify complex sleep-wake disorders through patient-centered public education and shared clinical language.

Dr. Stefan Decker is a German orthodontic and dentofacial orthopedic specialist. As Director of the Orthodontic Specialist Academy, he focuses on early preventative care, holistically connecting breathing, teeth, and function to optimize development and airway health.

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ABOUT THE HOST: 
Nicole Goldfarb, M.A. CCC, SLP-COM®, is a speech-language pathologist, certified orofacial myologist, and international speaker. An author and owner of San Diego Center For Speech Therapy, she specializes in myofunctional therapy to treat sleep-disordered breathing and airway issues.
 _________________ 
🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com 
📩𝐄𝐦𝐚𝐢𝐥: [email protected] 
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503 
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegospeechandmyotherapy/
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐢𝐤𝐓𝐨𝐤: https://www.tiktok.com/@airway.answers

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services. 
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📝 Episode Summary
• ✅ The discussion explores how a tongue-tie can be a complex medical condition affecting breathing, sleep, speech and feeding, rather than just a dental issue.
• 🦷 Experts identify critical red flags, including bedwetting, snoring, slow eating, and mouth breathing as primary functional indicators.  
• 👅Evaluating for compensations is a necessary component to differentiate whether a frenum is restricted or not in children and adults.
• 🧠 Modern protocols emphasize using CBCT for adult risk assessment and sucrose water for infant pain management during procedures.
• ✨ Long-term success requires a "team approach," integrating myofunctional therapy pre- and post-release to establish correct oral rest posture rather than treating the release as a standalone solution  .
⁣𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔! 
👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/BspphJE0u0U
👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow 
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ABOUT OUR GUESTS:
Dr. Soroush Zaghi is a board-certified ENT, sleep surgeon, and founder of The Breathe Institute. A leading researcher, he redefined tongue-tie as an airway-centered medical condition, advancing evidence-based surgical techniques and interdisciplinary collaboration to improve global sleep and breathing outcomes.
Dr. Richard Baxter is a dentist and author of Tongue-Tied, translated into 12 languages. As owner of the Alabama Tongue-Tie Center, he utilizes a functional, patient-centered approach focusing on airway health and metabolic factors to shape global protocols.
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ABOUT THE HOST:  Nicole Goldfarb, M.A. CCC, SLP-COM®, is a speech-language pathologist, certified orofacial myologist, and host of Airway Answers. She owns the San Diego Center For Speech Therapy, specializing in myofunctional therapy to help treat sleep-disordered breathing and restore proper oral function.
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🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com 
📩𝐄𝐦𝐚𝐢𝐥: [email protected] 
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503 
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegosp

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services. 
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KEY POINTS:
✅ Dr. Movahed explains how Maxillomandibular Advancement (MMA) surgery offers an 86% success rate for curing obstructive sleep apnea. 🌬️
✅ Drug-Induced Sleep Endoscopy (DISE) is presented as an essential diagnostic for visualizing real-time airway collapse and optimizing surgical outcomes. 📹
✅ The discussion explores the move toward MARPE and segmental expansion, while emphasizing that anteroposterior (AP) advancement typically trumps transverse width for airway success. 🦷
✅ A remarkable case involving a seven-year-old illustrates the life-saving potential of total joint replacement in treating severe pediatric apnea. 👶
✅ Collaboration with myofunctional therapists is vital for long-term functional stability and preventing surgical relapse. ✨
✅ The upcoming "Winds of Change" conference will further explore multidisciplinary airway protocols
⁣𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔! 
👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/D-uV7zpgrYk
👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow 
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ABOUT OUR GUEST: 
Dr. Movahed is a skilled Oral and Maxillofacial Surgeon, bringing his expertise to patients across the greater St. Louis region, San Francisco Bay area, and beyond. With a focus on treating dentofacial deformities and obstructive sleep apnea, he specializes in corrective jaw surgery, temporomandibular joint procedures, and combined orthognathic and TMJ surgeries.  He is a Clinical Assistant Professor at Saint Louis University’s Department of Orthodontics. He is also a prolific writer with contributions to numerous chapters and scientific articles. He is also a coauthor of a textbook focusing on treatments for sleep apnea and dentofacial conditions.  Dr. Movahed’s patients are consistently amazed by his clinical and compassionate bedside manner. His friendly and approachable personality instantly puts them at ease, fostering an environment of trust and open communication. With his extensive experience and warm demeanor, Dr. Movahed is dedicated to delivering the highest quality of care, ensuring that each patient’s unique needs are met with personalized attention and skillful expertise.

***WINDS OF CHANGE CONFERENCE 2026: https://windsofchangeconference.net/
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ABOUT THE HOST: 

Nicole Goldfarb, M.A. CCC, SLP-COM®, is a speech-language pathologist, certified orofacial myologist, and host of Airway Answers. An author and speaker, she owns the San Diego Center For Speech Therapy, specializing in myofunctional therapy to treat sleep-disordered breathing and restore proper airway function.
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🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info 
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com 
📩𝐄𝐦𝐚𝐢𝐥: [email protected] 
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503 
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegosp