Lynn, After reading some of the posts below I thought of one other question that haunts me. Sleep! (It haunts and alludes me with a toddler!) The question - Can early morning awakening be caused by hydrocortisone dose amount or timing? History on the reason I ask - my 2 year old son wakes up very early. Nothing we can do to change it. We have eliminated every other possibility. He gets his hydrocortisone 3 times a day, Cortef pills, at 6:30am, 3:00pm, and 10:30pm. I am so sleep deprived I am honestly losing my mind. I would be so amazingly grateful if I could find an answer to this one. Thanks Lynn.