Karen, I hope you have a really fruitful conversation with Dr. Elizabeth tomorrow. And although I know it’s hard, try not to fret unduly about the stim numbers. You’ve reported that Annie is outwardly looking good and behaving normally, so this is not an emergency situation. One way or the other, you can once again reduce the level of circulating cortisol. Perhaps just increasing her maintenance dose will do the job, and that would be an easy “fix.”

Hoping today is another good day for you two and, again, wishing you well tomorrow.

Marianne