I should say there that I am not going to let them switch Ashley to it.  :)  Generally here kids are switched to that when they are teens, but I won’t have that stuff here.  No way.  I’d rather he accepted that he needs to dose himself this way for life than mess about with higher potency of drugs when Doctors don’t really know about the long term side-effects of them in folks that should only be on replacement cortisol.  To my mind it doesn’t even mimick the natural rythym of cortisol and certainly comes nowhere near mimicking this at nightime.  I firmly believe that GH is as important to adults as what it is to children myself.  Especially after being educated in mass increase and fitness.  Since muscle repair mainly takes place at night in rest mode, it means an adult on pred would lose mass big time IMO.  That and gain weight and have low reistance to illness.  Total disaster.