another possibility, sometimes we see higher numbers about the second day after a dose increase. Meadow hasn't really seen it before, probably because the dose increases haven't really mattered to her. Maybe this means that her body is actually noticing this dose increase. It's a little "out there," but not too much, really. Sometimes we see something that we call the high before the break. It seems possible, since Meadow doesn't usually go this high. Not trying to get your hopes up, just pointing out another possible reason for the numbers. Let's hope we're about to see a change!