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	Since this article does not have an abstract, we have provided the first 33 words of the full text and any section headings.

In Reply: We thank Drs McTigue and Kuller for pointing out some health effects and medical costs that are not measured by cause-specific mortality, the focus of our study.

Financial Disclosures: None reported.

Katherine M. Flegal, PhD
kmf2@cdc.gov
National Center for Health Statistics
Centers for Disease Control and Prevention
Hyattsville, Maryland

Barry I. Graubard, PhD
Division of Cancer Epidemiology and Genetics
National Cancer Institute
Bethesda, Maryland

David F. Williamson, PhD
Rollins School of Public Health
Emory University
Atlanta, Georgia

Mitchell H. Gail, MD, PhD
Division of Cancer Epidemiology and Genetics
National Cancer Institute

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2008;299(11):1261.

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