Dive into the science behind the power of breastmilk and how it applies clinically.

Guest: Dr. Richard Noel, MD, PhD

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Michelle and Richard lean into the “nerdy details” behind early nutrition and why it matters so much for the infants we serve. Their conversation walks through clinical guidance on probiotics in the NICU, unpacks the emerging science of microRNA, and connects these concepts to real-world infant growth, gut health, and feeding outcomes. Michelle helps you translate the science into what it means at the bedside, in early intervention, and in caregiver conversations. If you’ve ever wanted a clearer, evidence-based understanding of why breastmilk exposure supports GI development and how to talk about it with families, this episode delivers.

About the Guest: Dr. Richard Noel, MD, PhD, Division Chief for Pediatric GI at Baylor College of Medicine at CHRISTUS Children’s Hospital in San Antonio and volunteer Medical Director for Feeding Matters.

Show Notes:

• Healthy Children’s Lactation Project
• IBCLC
• Gold Lactation
• Feeding Matters

What does meaningful caregiver coaching look like in infant feeding therapy?

Guest: Madi Metcalf, MS, CCC-SLP

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In this episode of First Bite, Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, FNAP, welcomes back Madi Metcalf, MS, CCC-SLP, to explore infant feeding through a Pediatric Feeding Disorder (PFD) lens. Together, they discuss how medical factors can impact feeding even in the youngest patients, and the importance of early, caregiver-centered support. The conversation also highlights building caregiver confidence, creating realistic feeding goals, and supporting families through postpartum challenges. This conversation is rooted in hope, trust, and helping caregivers feel seen, supported, and confident throughout the feeding journey.

About the Guest(s): Madi Metcalf, MS, CCC-SLP, is an Arkansas-based speech-language pathologist with advanced training in pediatric feeding and swallowing disorders and the owner of Function First Speech and Feeding Therapy, where she provides home, community, and clinic-based services. She is passionate about interdisciplinary care and caregiver collaboration to support safe, functional feeding.

Show Notes:

• Contact Madi: @functionfirstslp on Instagram or on LinkedIn
• Attend the 2026 PEDIATRIC FEEDING SYMPOSIUM Beyond the Bite: Supporting the Whole Family in Pediatric Feeding Disorders
• Madi's Related Courses
• Effective Parent Coaching Course
• Family Guided Routines Based Intervention
• Helping Your Child with Extreme Picky Eating Book
• Britt Pados Related Course
• Routines-based Interview Checklist
• Bridging NICU to Home Course
• Feeding Matters

Walk through sensory systems and key reflexes for infant feeding.

Guest: Michelle Emanuel, OTR/L, IBCLC, NBCR, CST

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Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, FNAP, welcomes industry leader Michelle Emanuel, OTR/L, IBCLC, NBCR, CST, for a thoughtful and engaging conversation on infant reflexes and their role in early feeding development. Together, they explore how key reflexes contribute to early suck–swallow coordination, and how these patterns evolve as infants grow. Their conversation also highlights the role of interoception–the body’s internal sense that helps infants recognize hunger and fullness cues. They discuss torticollis and how neck muscle imbalance can impact positioning and latch, and close with a candid look at tethered oral tissues and their potential influence on feeding outcomes.

About the Guest: Michelle Emanuel, OTR/L, IBCLC, NBCR, CST, has been a Pediatric Occupational Therapist for 30 years and specializes in working with newborns to pre-crawling infants. She is a Certified Breastfeeding Specialist and IBCLC, who is also certified in yoga and several forms of manual therapy. Michelle is passionate about infant neurodevelopment, feeding, the sensory nervous system, and social engagement.

Show Notes:

• Contact Michelle Emanuel: @tonguetiebabies and @tummytimemethod on Instagram or on LinkedIn
• Hazelbaker Lactation Institute
• American Academy of Otolaryngology Head and Neck Surgery: Clinical Consensus Statement: Ankyloglossia in Children
• Georgia Malandraki Publications
• Tummy Time Method
• Love Money: La Leche League