Thank-you! You all make a lot of sense! We just had an endo appointment in early July, and Annelise's meds were adjusted slightly for the first time in a long time. Her growth has always been perfect, she has always been well controlled, and her bone age is slightly younger than her chronilogical age (which I'm told is a good thing, since this will "result in a little extra height for her at puberty.") As I understand it, when the endos change medication dosages, they basically prescribe a higher dose (based on surface area), and "wait" until test results show that the child has "outgrown it". Does this make sense to anyone?? I seem to remember our endo describing it this way once, and since Annelise has always been so well controlled, I am assuming that this is how things are done. But ... (here we go again!) .. wouldn't this mean that initially, my daughter would be oversuppressed (if even just so slightly?)?? This would ALSO account for her increased appetite (but not the need for extra sleep, I guess). Then again, if this were true, this approach shouldn't work at all, because they don't grow if they are oversuppressed (??). I guess I am basically wondering if I should have her levels tested again (since beginning this new dosage), or if that is just ridiculous. What do you think??