I protocol is to give the largest dose in the morning not because of hyper thing but because of the natural surges in the hormones. I would call the doctor and tell him that the protocol is to give the largest dose in the morning  (I have read about the hormonal surges on many web pages - I can email some of them to you if you want). So anyway - call the doctor and switch the largest dose to the morning.  The eating and sleeping patterns may or may not be connected to the CAH because if the OH17 was high - she wasn't getting enough cortef and not enough cortef  means too much sleeping, and no eating.... and dark circles under the eyes. Drained looking... vomiting, etc. Make sure that the doctor orders the OH17 blood test between 6 am and 8am and without the meds.