A follow-up to my earlier post. Thanks to Dr. Jack for a speedy, thought- provoking reply. Baby's phenobarb level is now 13.7. Parents went to the ped this morning, and he told them to switch to ABM, because the baby is "thriving" on it. Sadly, mom has taken this as her cue to wean, and has asked for my help in doing this. She did give me permission to pursue this on the list and if there is a way for her to breastfeed safely, without pumping and dumping, she may be open to it. Because her petit mal seizures have mostly been due to fatigue, she is not open to the "combo" feed that her neurologist was suggesting. She wants to breastfeed at breast or bottlefeed ABM. She had a strong allergic reaction to Tegratol (whole body rash), so that is out. Any suggestions for her?