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Peer review Peer review information Nature thanks Darleen Sandoval and the other, anonymous, reviewer(s) for their contributions to the peer review of this work

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As myofunctional therapy strengthens the oral muscles, improves breathing, and increases body awareness, many families notice: Better willingness to make sounds during play More comfortable participation in speech therapy Increased confidence with communication attempts Lower frustration during speaking tasks These gains support not replace the childs work with a mental health provider or selective mutism specialist

This is best achieved by consuming carbohydrate in the first 30 minutes after exercise and again every two hours for the next four to six hours (1)

Without regulatory oversight, the purity, potency, and sterility of such products cannot be guaranteed