Thanks for your input. I do appreciate it, but Anne has had a 102.5 fever and I did triple it and she was okay, but very tired and it did scare me. I even called the endo from the car and told her she was very tired and her response was her adrenals were okay with the stress, get her to the doctors to see why she has the fever. Why does it make a difference how high the fever is as long as it comes down? She is not a salt waster -- if that makes a difference, I do not know much about the classical form. As far as severe vomiting she means continuously,like a bad case of the flu. Her instructions say if vomiting 2-3 times triple the dose for three days. She did say for dental surgery to also triple it. Anne is getting braces and she said she only needed a stress dose if getting a tooth pulled. What about emotional strss? One time she was an emotional mess -- long story, but she was lethargic and I tripled her dose and took her to Childrens and the endo did say I should have given her an injection then. She never mentioned dizziness or fatigue either. Why not stress dose for that? I don't doubt your knowledge, you obviously know more than I do. I would appreciate your response