I understand the need to administer what medications that are available, but I truly believe that excerise is a very important fact for our young children with this condition.  As you will read many, many CAH people experience weight issues.  When I saw my daughter gain 40lbs in a year when she was five, I too knew her meds were off (we moved and switched doctors) but I also learned that excerise will and has been so very very important for my daughter.   I chose swimming for her and for her life.  She will always have this gift to help herself when she needs to and she has been swimming for 15 years.  It is not about the competition that is just the bonus.  But with all the other issues these kids have to deal with I beleive excerise is the best for their self esteem.