The Endo said that pred is less potent then dex and that he would like to see if we could get better results with the pred.  Her levels have been off lately and we are trying to work on that as well.

His fear is that the dex will no longer work for Ashley.  She was on cortef before and then her levels became all wacky and she needed something stronger.  she is not starting the pred until we meet with him face to face, discuss it, and figure out what type of dosing she needs.