2.
It might be a tie. It might not be.
With all of the struggles you are having, it might be surprising that there's not a definitive 'YES! A tie might be an issue'. However, there are many potential causes of feeding dysfunction than just tongue ties.
And no I don't mean latching adjustments- I know you've tried them all! And yes, this is true even if the latch looks perfect!!
To help you pinpoint which exact oral functions (aka tongue movements) may be a challenge for your babe- and as a result, leading to frustration and/or pain for you- this FREE at home oral assessment sheet might be helpful for you. It looks at 10 functions your baby must do well for pain-free, effective breastfeeding.