Carol M.Hi Beth,Thanks for your note. It’s amazing that Julia hasn’t needed a dose increase in three years...with or without GH’s! What size dose is she on, and about how big is she now (hgt and wgt?) Is she still on Lupron? Sorry for all the questions....don’t mean to be nosy....it’s just much easier to evaluate this information relative to a child’s specific situation.Thanks again for the input!