IDK we were talking about breast feeding and she said they get small doses of the med that way as well so the withdrawal isn't so much. She actually recommends breast feeding even though the meds do not...she said its a very low dose. It's obviously not perfect but I do think its a viable option. The mutations could happen but its not clear what they are, for example she was talking about cleft palate with lamictal but that's correctable so not a huge deal.