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Ay mama, 20 months na siya kaya medyo mahirap na mag-improve ng sarili niya, pero I'd really suggest checking with your pediatrician to see kung gaano na kalala at if there's anything that can still help, some mommies I know, their babies improved a bit pa rin with positioning changes even at that age, pero depende talaga sa severity. Don't stress too much kasi maraming babies ang may flat spots and nag-normalize pa rin, pero better safe than sorry na ma-check lang ng doctor para sa peace of mind mo!