I do not know why the manufacturers would have to feel pressured, since I think there are many people with adrenal insufficiency that will really want to be dosed this way once they get wind of side-effects caused with high dosing in the PM.  In my opinion they work on sustained release in vitamins, so why not this?

I have already suggested it to Douglas here.  Whether they will take me seriously is another matter, but I posted that abstract and pointed out that there are many children and adults with different condtions (not CAH) that are very common.  Addisons, transplant patients, any others that are unable to make cortisol. 

I just repeated all the information as I had posted most of it willy nilly everywhere with all charts scattered.  It would have involved foklks opening up many different posts to compare graphs with what I was trying to explain.  Now it is all in one post.   If someone wants an explanation in laymans terms, then it is something I didn't mind doing.  I am discovering new things all the time with this regime myself as I analyze it anyway and look at it from different angles.