CassyJenn,
That answers the BO problem then--he isn’t under good control. At about the same time my daughter had the BO (6 months or so) she jumped from 3-4 months clothes to 12 months. After we got her back under control, she didn’t gain any for several months and is now back on track right where she should be for her age. I would demand to see the endo--the growth and the high numbers are because he is undersuppressed. That is too much weight gain for a 4 month old!! I see a Cortef increase coming soon and it should help get everything under control.
Cassy