With technology the way it is that they could not devise a GH blood spot test that can be done and analysed before a parent gives a shot of GH in the evening.  Now if they could do that then as far as I am concerned they would be more on the money.  Because they grow out of the dose, but they also excel themselves in sports and affect cortisol levels and become sick and we all know at those times that they would be making much of the 17 OHP and any androgen that follows.  On those occasions they just would not need GH shot.  They would not need it either if they were not given 10pm corticosteroid dose as I said. 

I would want blood tests monthly if my child was on GH to make sure he was cvere by his corticosteroid dose.  May sound paranoid, but other kids who don’t have CAH whom are on it are simply unable to manufacture large amounts of the stuff under certain circumstances like a CAH kid can.  There should be a very close monitoring to my mind.  I’m not sure if there is for many of you, but having had my son grow out of secveral doses now and seen what it does to his body---I did think it was a major concern for others to think about.