My second SW CAH boy, now almost 5 years old, was on 4 Florinef a day when he was a baby, it seemed like so much to me at the time. My oldest was only on 1 at the same age. Anyway as he got older he needed less and less of the Florinef, he now just takes one a day just like his brother. Both of my boys are very active and happy, and normal in every other way.MarthaGood Luck to you.