flots am
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I asked this exact question in the Hogarthian forum a while ago, consensus was that it can easily produce a gagging reflex in the OOA diver and that they should be avoided for the donate reg.
That sounds like something they would say.
Unless you have some freaky anatomical defect, there's nothing the mouthpiece touches that can cause a gag reflex.
I would recommend cutting it back a little, since smaller mouth divers might not be able to get the whole thing in. But gagging? I won't believe it until someone can explain it using actual medical information and evidence. AFAIK, you need to go a whole lot father back than "molars" to make someone gag. Otherwise nobody would be able to chew.