I just want to comment here that it just seems that a lot of these kids are on the SAME dose for far too long.  Is this ringing any bells here with people?  These kids are just growing ( or should be) like other kids and they should be having dose tunings more than every year and a half or so.  What is wrong with these people to leave a kid on the same dose for years on end and see no wrong in that?  I mean I know that they need to be a smidgen over suppressed to switch off the HPA axis but for 1 - 3 years?  Give me a break!