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JawHacks: Daily Summaries Delivered
by Ronald Ead
Ron from JawHacks is NOT a doctor or dentist, and does not offer medical advice. Instead, he is a patient advocate who has spent the past 10 years studying Mewing, as well as appliances and surgeries capable of expanding human jaws. This matters because jaw structure is integral to both beauty and health. He has documented his discoveries in hundreds of YouTube videos and blog posts.Ron has served as a patient advocate for countless clients navigating their own jaw expansion journeys, familiarizing them generally with available treatments, and connecting them with some of the best dentists and doctors in the world, through his one-on-one coaching service.You can sign up for a 1-on-1 chat with Ron at: jawhacks.com/chats
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- 1 weeks ago3h 53m
#113 – Dr. Kasey Li – Top sleep surgeon changed his mind on FME
Sleep surgeon Dr. Kasey Li returns to JawHacks three years after his first appearance for an in-depth update on nasomaxillary expansion and maxillomandibular advancement (MMA). Dr. Li developed EASE, a minimally invasive surgical split of the midpalatal suture used alongside an expander. He explains why he now uses the FME in about 95% of his EASE cases, the risks of overexpansion, how FME compares with custom MARPE, and why he sees no value in sleep endoscopy (DISE). The conversation also covers expansion after MMA, the origin of the 10 mm advancement guideline, custom plates, and how MMA affects nasal breathing and aesthetics.Book a 1:1 Coaching Call with Ronhttps://jawhacks.com/coaching/Get the JawHacks Field Guidehttps://field-guide.jawhacks.com/Join the JawHacks Newsletterhttps://jawhacks.com/newsletter/TIMESTAMPS0:00:00 - Intro0:01:01 - Dr. Li's training and Dr. Guilleminault's legacy0:07:34 - Misconceptions and treatments he doesn't believe in0:13:09 - Can MMA replace nasomaxillary expansion?0:17:06 - Why he now uses FME in 95% of EASE cases0:23:26 - Overexpansion risks and when to stop0:36:20 - Cheekbone changes with FME vs custom MARPE0:40:14 - When he still uses MARPE and an FME failure case0:47:33 - Stretching turns and the case for EASE0:55:52 - Expansion after MMA and why to keep your plates1:10:38 - Where the 10 mm MMA rule came from1:14:52 - MMA success rates and long-term decline1:17:08 - Pharyngoplasty and the only 3 surgeries he does1:22:14 - Small advancements and why revision MMA is hard1:26:58 - Septoplasty before MMA and the subspinal LeFort1:36:27 - The patient who got worse after MMA1:41:41 - Why he calls piriformplasty bogus1:43:06 - MMA complications in 200 consecutive cases1:47:50 - Why he doesn't believe in DISE2:00:42 - How he diagnoses sleep apnea without DISE2:08:40 - Sleep apnea, anxiety and hard-to-read symptoms2:13:42 - The septum during expansion and how he performs EASE2:26:21 - Pterygomaxillary release and adult MARPE protraction2:29:51 - Stronger expanders and EASE after MMA2:36:10 - How a pterygomaxillary release is done2:41:26 - Asymmetry and rigidity with FME vs custom MARPE2:53:28 - When one expander isn't enough and the future of FME2:59:36 - Custom plates and mandible-first MMA3:10:33 - How he seats the condyle and the limits of VSP3:23:04 - Total joint replacement and condylar resorption3:25:45 - Presurgical ortho and why he avoids segmentals3:28:11 - How MMA changes the nose and nasal breathing3:36:36 - Posterior maxilla downgrafting and nasal breathing3:41:27 - Surgeons who dismiss expansion3:44:17 - Aesthetics and expectations in MMADISCLAIMERNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.
- 3 weeks ago1h 14m
#112 – Alex G. – Potentially an Insane Case of Protraction with MARPE
Alex is a 22-year-old custom MARPE patient of Dr. Jeremy Manuele who started protracting three months after his split, wore a facemask up to 23 hours and 45 minutes a day, and pulled 5.5 to 6mm before going past the point where his bite still worked. He now has to jut his mandible forward to occlude, which makes him a live case study in why the mandible does not automatically follow the maxilla. Ron's usual asterisk applies: this is the frontier and nobody knows yet what adult protraction reliably does.Alex's Full Protraction Protocol & Loghttps://drive.google.com/file/d/1Px8fPl9Pchy4v-OFr-wGayl2doZB3twQ/view?usp=drive_linkThis is for information and documentary purposes only. JawHacks does not recommend or endorse this protocol to anyone. Please consult a dental or medical professional before attempting any expansion or protraction.Dr. Jeremy Manuele (Alex's Provider)https://www.youtube.com/@vegasorthodochttps://www.instagram.com/vegasorthodoc/https://vegasorthodoc.com/Book a 1:1 Coaching Call with Ronhttps://jawhacks.com/coaching/Get the JawHacks Field Guidehttps://field-guide.jawhacks.com/Join the JawHacks Newsletterhttps://jawhacks.com/newsletter/TIMESTAMPS00:00:00 - Intro00:00:48 - The Worst MARPE Reaction Dr. Manuele Had Ever Seen00:02:11 - Urgent Care at 2AM and a Nerve Block That Made It Worse00:05:50 - Why MARPE Wrecks Some People and Barely Touches Others00:07:00 - One Turn a Day That Was Really Two00:08:23 - The Split: "It Felt Like My Incisors Were Ripping Apart"00:09:56 - Before and After: The Whole Midface Came Forward00:11:32 - Reading the Photos: Lip Competence, Under-Eye Support, Cheek Shadow00:13:19 - "You Were a Normal Looking Kid" - Ron vs the Black Pill00:16:10 - The Girl Who Ignored Him, Then Messaged After MARPE00:17:12 - Wearing a Protraction Facemask Through Whole Foods00:19:00 - He Had the Money, the Physique, the Personality - It Still Didn't Work00:22:31 - Direct Print Aligners vs Invisalign00:24:38 - The Protocol: 23 Hours 45 Minutes a Day in a Facemask00:25:12 - The Minute-by-Minute Protraction Log00:26:40 - He Started Protracting 3 Months After the Split00:27:30 - Stretch Turns Under 10 Pounds of Facemask Force00:28:40 - One Pterygomaxillary Suture Split, the Other Refused00:30:03 - Why 1 Pound of Force Did More Than 1200:32:09 - The Scan: No Fracture, But the Left Suture Was Gone00:33:10 - Mewing Alone Now Generates Protraction Force00:34:19 - The Overjet on Camera: He Has to Jut to Bite00:35:07 - Proof the Mandible Does Not Just Follow00:36:56 - Brain Freeze From Breathing: Protraction vs Transverse Gain00:37:24 - How Protraction Stretches the Turbinates00:40:02 - IMDO vs BSSO vs Double Jaw: What Ron Would Do00:42:34 - Is a Genioplasty Just a Cope?00:48:22 - The CBCT Experiment: Facemask On vs 5 Minutes Off00:52:08 - Hooks Behind the Second Molars and a Glued-On Overlay00:55:34 - The Protraction Angle and an Absurd Number of Elastics00:57:34 - Glue, a Hook, and "DIY Arts and Crafts"01:00:03 - Pulling Down First, Then Up: An Accidental Trick?01:02:08 - Down to One TAD, Then Re-Screwing the Dead Ones01:03:26 - The Christian Case for Looksmaxxing01:05:43 - Acid Reflux, PPIs, and Losing His Voice for 4 Months01:07:00 - Cathedrals, Brutalism, and the Body as a Temple01:10:46 - $16,000 Total, and the Friend Who Wouldn't Spend $2,00001:11:35 - Where Looksmaxxing Crosses Into VanityDISCLAIMERNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.
- Aug 31, 20262h 30m
#111 – Dr. Jay Neugarten – The Custom Plate Debate: A Point by Point Response to Dr. Sullivan
Dr. Jay Neugarten is an oral and maxillofacial with around 3,500 jaw surgeries behind him, 100% custom since 2019. In this episode, he answers Dr. Steven Sullivan's case against custom plates, covering condylar seating, the digital surgical disconnect, and why he uses four plates instead of one. Plus MARPE complications, expansion vs advancement for the airway, and why he does more revision jaw surgery today than ever.Book a 1:1 Coaching Call with Ronhttps://jawhacks.com/coaching/Get the JawHacks Field Guidehttps://field-guide.jawhacks.com/Join the JawHacks Newsletterhttps://jawhacks.com/newsletter/TIMESTAMPS00:00:00 - Intro00:00:55 - 4 jaw surgeries a week, and a practice gone international00:03:58 - Sleep, the 8 hour rule and why oxygen matters more than hours00:10:56 - What CBCT and sleep studies can and cannot tell you about the airway00:19:13 - Why jaw surgery is an art, movement limits and the bullseye problem00:22:02 - The simulated video patients see, and how soft tissue is predicted00:27:31 - Airway versus aesthetics and the patients who struggle with the change00:33:41 - Revision jaw surgery and why it is never the plate00:37:15 - Why so few surgeons actually do orthognathic surgery00:44:03 - Looksmaxxing, Reddit and orthodontic camouflage00:46:16 - MARPE, SARPE and the complications he has to repair00:52:43 - SFOT and the real limits of segmental expansion00:59:48 - Wanting MARPE for nasal breathing, and why surgery does not flip a switch01:04:44 - Expansion or advancement, what actually opens the nasal airway01:12:16 - The MARPE smile, the soft palate and the revision LeFort01:17:01 - Hypermobility, EDS and what it changes about recovery01:22:32 - Inside NYCOMS, 3,500 jaw surgeries and the speed question01:30:20 - From stone models to Gen 3 custom titanium01:33:12 - Guides, plates and splints, where custom workflows go wrong01:43:22 - Answering Dr. Sullivan on custom plates and condylar seating01:55:14 - Accepting the debate and the mandible fudge nobody admits02:02:22 - Plate companies, titanium and why plate removal is worse than you think02:12:33 - Segmental maxilla and correcting asymmetry with custom plates02:19:02 - Aligner based surgery, Botox and bite force monitoring02:22:39 - Clenching, splints and morning headaches02:28:57 - Wrapping up and what is coming in part 2CONNECT WITH GUESThttps://www.nycoms.com/jay-neugarten-dds-md/https://www.instagram.com/drneugarten/DISCLAIMERNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.
- Aug 17, 20261h 12m
#110 – Origin Of Styx – Why His First Jaw Surgery Failed (And What Gunson Did Differently)
Ethan (Origin Of Styx) returns 13 months after revision double jaw surgery with Dr. Michael Gunson. His first MMA rotated the occlusal plane the wrong way and coped with an oversized genioplasty. We cover the DISE findings, airway change, leftover hardware, myofunctional therapy, tongue posture, and why he's massively better but not cured.Book a 1:1 Coaching Call with Ronhttps://jawhacks.com/coaching/Get the JawHacks Field Guidehttps://field-guide.jawhacks.com/Join the JawHacks Newsletterhttps://jawhacks.com/newsletter/TIMESTAMPS00:00:00 - Intro00:01:44 - Ethan 13 Months After The Revision00:06:21 - Recovery With Dr. Gunson00:12:47 - What Went Wrong The First Time00:15:57 - Bite, Tooth Show And Cheekbones00:19:51 - Before And After X Rays00:25:06 - Why He Still Is Not Cured00:27:05 - Didgeridoo And Circular Breathing00:32:00 - Meditation And Life Before The Revision00:35:24 - Work, The Body And Physical Jobs00:38:52 - AI, Music And The Internet00:52:56 - Attention Span After Jaw Surgery00:54:31 - Tongue Posture And Myofunctional Therapy01:01:21 - Goals And The Music Project (Origin Of Styx)01:07:59 - Advice For Anyone Considering Jaw SurgeryCONNECT WITH GUESThttps://linktr.ee/originofstyxhttps://originofstyx.com/DISCLAIMERNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.
- Aug 3, 20261h 55m
#109 – Dr. Steven Sullivan – “Custom Plates Make an Inadequate Surgeon Adequate”
Dr. Steven Sullivan (DDS, FACS, FACD), current professor and Chair of Oral and Maxillofacial Surgery at the University of Oklahoma, with 5,000+ double jaw and TMJ surgeries, on why he refuses custom plates. Mandible-first sequencing, condylar seating, segmental LeFort, chimp lip, MIOS, genioplasty design, and his 90-90-90-10-10 rule for vetting your own surgical plan.Book a 1:1 Coaching Call with Ronhttps://jawhacks.com/coaching/Get the JawHacks Field Guidehttps://field-guide.jawhacks.com/Join the JawHacks Newsletterhttps://jawhacks.com/newsletter/TIMESTAMPS00:00:00 Intro00:03:11 Who Is Dr. Steven Sullivan00:03:56 Maxilla First or Mandible First?00:05:06 Wire Fixation to Rigid Fixation00:09:51 What "Seating the Condyle" Means00:13:10 Why VSP Can't Predict Condyle Position00:16:35 The Custom Plate Workflow Explained00:19:14 Sullivan's Splint Workflow00:20:29 Custom Plates Aren't More Accurate00:21:39 "It Makes an Inadequate Surgeon Adequate"00:23:05 The Upper Lip Drape Problem00:25:55 When the Bite Doesn't Come Together00:29:30 Condylar Resorption Explained00:32:24 Plan Around the Incisor, Execute Around the Joint00:34:48 Is Non-Custom Surgery Obsolete?00:35:47 Why Jaw Surgery Isn't a Rolex00:39:49 The Economics of Jaw Surgery00:41:42 How Insurance Nearly Killed Jaw Surgery00:45:44 DRGs and Economic Credentialing00:52:39 The 60-Minute Double Jaw Surgery00:56:06 "I Save 2.5 Hours on a Jaw Surgery"00:58:02 Why 90% of His LeForts Are Segmental01:05:23 Over-Advancing the Maxilla01:10:11 Airway Volume: 3.5% Per Millimeter01:13:04 The Traditional LeFort and the Wolford Step01:17:40 Why He Calls MIOS Nonsense01:21:17 Steroids, Speed, and Recovery01:23:18 The Sullivan LeFort Cut01:30:43 Jaw Surgery and the Soft Palate01:33:06 Genioplasty and Custom Plates01:38:51 Treatment Planning: Garbage In, Garbage Out01:40:06 Reading Your Own Lateral Ceph01:45:24 Advancement Without Chimp Lip01:47:25 The 90-90-90-10-10 Rule01:49:16 When You Need a Total Joint Replacement01:53:17 Inverted L vs Inverted ZCONNECT WITH GUESThttps://profilesofs.com/steven-sullivan/DISCLAIMERNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.
- Jul 20, 20262h 13m
#108 – Dr. Luke Shapiro – A Chill Convo About MARPE and Jaw Surgery
Grab some popcorn, NYC orthodontist Dr. Luke Shapiro joins Ron for a technical, no-BS conversation on airway orthodontics — MARPE vs. FME, DOME Zero, choosing a jaw surgeon, the custom lower-jaw debate, and why bites come out unpredictable after surgery. Plus the controversies: Vivos/DNA appliances, ALF, AGGA, and the "epigenetic" growth claims that never show up on a CBCT.Book a 1:1 Coaching Call with Ronhttps://jawhacks.com/coaching/Get the JawHacks Field Guidehttps://field-guide.jawhacks.com/Join the JawHacks Newsletterhttps://jawhacks.com/newsletter/TIMESTAMPS00:00 – Intro:03:15 – How an orthodontist ended up on TikTok06:35 – Getting into airway & MARPE11:53 – Why the term "DOME" is now so confusing14:00 – Inside the DOME Zero / MASPE Zero story16:22 – Is DOME Zero special, or just marketing?18:22 – FME vs custom MARPE & bonding to teeth24:17 – Expansion for looks vs. function27:25 – Headaches, TMJ & psychosomatic patients32:04 – A 14-chair multidisciplinary practice35:03 – The Wall Street patients who don't care38:06 – Obsessing over your own airway40:00 – Boython, jaw surgery & the real risks42:56 – How to actually choose a jaw surgeon45:15 – The NYC surgeon roster48:11 – The custom lower-jaw debate52:50 – "Just do the MARPE first"54:26 – Bobeck, MSDO & mandibular expansion59:29 – Can't expand your way out of surgery1:04:15 – What actually makes FME interesting1:06:39 – The extraction question1:09:38 – Raising his daughter to prevent all this1:16:31 – Skeletal expanders in little kids?1:23:19 – Curve of Spee & curve of Wilson 1011:27:11 – ALF & AGGA: does any of it work?1:29:40 – Vivos, the DNA appliance & the $50k problem1:37:45 – "Epigenetics" & marketing sleight of hand1:40:33 – The CBCT proof that isn't there1:43:50 – Giving general dentists their due1:53:29 – Jaw surgery setup: the "tripod"1:55:18 – Decompensating a Class II, explained1:58:39 – Segmental surgery & Gunson2:01:03 – Why the bite is unpredictable after surgery2:05:33 – Gunson's no-splint segmental2:08:02 – Centric relation & seating the condyle2:11:07 – Wrap-up & member Q&ACONNECT WITH GUESThttps://www.instagram.com/dr_lukeshapiro/https://www.youtube.com/@UChXHl6Rbw8V2wM3UbOpPzXg https://www.wallstreetortho.com/DISCLAIMERNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.
- Jun 29, 20261h 5m
#107 – Dr. Svitlana Koval – FME Protraction Problem Solved by Partners Dental?
Dr. Svitlana Koval updates us on current trends in MARPE, FME, facemask, mandibular skeletal expansion, and more. Book a 1:1 Coaching Call with Ronhttps://jawhacks.com/coaching/ Get the JawHacks Field Guidehttps://field-guide.jawhacks.com/ Join the JawHacks Newsletterhttps://jawhacks.com/newsletter/TIMESTAMPS00:00 - Introduction and the growing role of FME in orthodontics02:21 - Addressing patient questions: Why choose FME over MARPE?03:57 - Differences in activation and separation patterns between MARPE and FME04:25 - Soft tissue and airway changes post-expansion05:41 - Design elements of FME enabling deeper posterior expansion06:46 - Use of multi-screw designs for greater rigidity in MARPE07:40 - Patents and design innovations in MARPE technology10:10 - Future of protraction appliances and ongoing research12:21 - Patterns of suture separation and predictability of expansion13:45 - Combining FME with protraction mini plates17:17 - CBCT-based analysis of sutural response patterns20:42 - Managing mandibular support and late-stage expansion risks23:23 - Special considerations for downward rotated and long face syndrome cases25:00 - Impact of septal anatomy on nasal breathing outcomes28:18 - Techniques for septal manipulation during expansion31:58 - Use of 3D-guided piezo corticotomy for septal preservation34:45 - Surgical innovations: mandibular widening during orthognathic surgery54:53 - The future of skeletal expansion in the mandibular arch1:00:13 - Research directions and insights into sleep apnea treatment potential1:02:52 - Advances in direct print aligners and digital orthodontics1:05:16 - Personal interests: Horse riding and leisure in South FloridaCONNECT WITH GUESThttps://www.youtube.com/@drsvitlanakovalhttps://www.instagram.com/drsvitlanakovalhttps://www.facebook.com/svitlana.koval.dmdDISCLAIMERNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.
- May 4, 20261h 37m
#105 – Luke The Documentary – Sleep Apnea Not Cured After Jaw Surgery - Why?
At 25, Luke has already had a nice double jaw surgery and a nasal surgery, but is still sleeping poorly. In this episode he shares his full journey, including the diagnosis nobody expected, the medication that did nothing, and the experimental next step he's betting on.Luke The Documentaryhttps://www.instagram.com/lukethedocumentaryhttps://www.youtube.com/@LukeTheDocumentary 1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters00:00:00 - Intro00:00:56 - Who is Luke and why his channel stands out00:03:12 - The jaw surgery experience and what $20K actually buys you00:07:05 - The bombshell reveal and why he just had his plates removed00:11:52 - When the sleep data looks fine but you still feel terrible00:17:10 - UARS or narcolepsy and why nobody can give him a clear answer00:22:48 - Why he is afraid to fully commit to a narcolepsy diagnosis00:25:21 - Every medication he has tried and why almost none of it worked00:28:00 - Taking 25mg Adderall and falling asleep four hours later00:32:09 - Why nobody told him to do MARPE before jaw surgery00:36:20 - Tongue scalloping dismissed by every provider until one finally looked00:43:29 - The Lefort re-fracture risk and why post-DJS expansion is uncharted territory00:49:42 - Before and after photos on screen including the CT cross-section that stopped Ron00:54:11 - What Ken Hooks found when he re-scored the PSG data00:56:27 - Why most expanders cannot reach the part of the palate that matters for his case01:04:20 - The nasal surgery breakdown and what actually changed afterward01:08:00 - Live Oura Ring review and what Xyrem is doing to his sleep architecture01:12:25 - A lifetime of only dreaming in nightmares and why that is finally changing01:17:38 - Why he almost became a Buddhist monk and what it taught him about his airway01:24:19 - Chronic illness, Jordan Peterson, and letting go of the CEO standard01:26:59 - Why JawHacks is basically the Viagra of airway health01:30:31 - What separates honest creators from grifters in this space01:33:22 - The looksmaxxer who Photoshopped his CBCT and told people to eat 500g of sugarNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.
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About JawHacks
Ron from JawHacks is NOT a doctor or dentist, and does not offer medical advice. Instead, he is a patient advocate who has spent the past 10 years studying Mewing, as well as appliances and surgeries capable of expanding human jaws. This matters because jaw structure is integral to both beauty and health. He has documented his discoveries in hundreds of YouTube videos and blog posts.Ron has served as a patient advocate for countless clients navigating their own jaw expansion journeys, familiarizing them generally with available treatments, and connecting them with some of the best dentists and doctors in the world, through his one-on-one coaching service.You can sign up for a 1-on-1 chat with Ron at: jawhacks.com/chats
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