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Vomiting is a "physical trauma" which requires stress dosing in CAH/LOCAH people. Since your adrenals do not produce enough Cortisol you need to supplement. You can't supplement with oral meds when you are vomiting because they will just come right up, like anything else you try to put in your stomach. Also, since you do not make enough Cortisol, you can get dehydrated quickly which can lead to adrenal failure, etc., etc.
Hope this answers your question!!
Merry Christmas to you too M1!!! I got a lot of wrapping done today and meal shopping! So far so good!!
