That makes sense. I wonder if my endocrologist had me double the dose when she was an infant going through her immunization because of a potential fever. I am going to have to ask him about that. This is the sort of question I wish was in an "endocrologist's CAH manual". This is what makes everyone so crazy. There are so many different ways to approach CAH, why can't there be just one!!! Thank goodness for this board. I learn something new all the time.