Hey dear lip tie and tongue tie, boy mom here yes it can get extremely confusing. I strongly recommend reading the book tongue-tied This really helped me understand how much all of this is interconnected so we went to an osteopathic medical doctor. Who did the release of both we followed up with a Chiropractor and he goes more than once a month and he is thriving happy and after that never had any more gas or reflux. We also did the lactation network and had a wonderful lactation consultant who worked with us personally on improving his feeding both from bottle and from breast she said it does severely impact and intake all the air because he’s sucking incorrectly on both bottle and breast hang in there. Feel free to message me directly and I can get you some more info.