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@sh419ob As others have mentioned evidence on nipple confusion is pretty murky. The truly verifiable negative evidence on pacifiers is about affecting oral development if their use is continued too late. But the thing that also impacts oral development very similarly is thumb sucking. I wanted...

@iris15 My babies only fit with the insert for the first couple months. Then they use the car seat without one for over a year. The insert is actually pretty short lived so it makes sense to me to measure that way. But without the canopy? No, that's just nuts.