Mothers on anticonvulsants are usually prescribed more than 1mg of folic 
acid, because many anticonvulsants increase folic acid (and vitamin D) 
metabolism and are associated with birth defects. The ideal dose is not 
yet known, but 2-4 mg is often prescribed. The doctor should know the 
mom's whole history, and probably has reasons for the dose recommended. 
Mom can talk to him/her about these reasons to understand the 
recommendation, and how firmly grounded it is in research or clinical 
experience.
Catherine Watson Genna, IBCLC  NYC

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