I am surprised he said to stress dose without a fever or infection, although each case seems to be different since each child reacts differently to their treatment. Also each endocrinologist seems to have different ways of treating. Just be careful not to over treat. This will throw her levels off and give her a puffy face. We found that the winters we have to stress dose for a fever so many times in a month, it throws off her lab results. (even though we wait the required one month period to test after a stress dose) We wind up lowering them, then by summer break when she isn’t getting viruses that require stress dosing, we have to higher her dose of Cortef because her levels go off again but the other way. It is crazy isn’t it?