Reply: The CIRRPC screening doses when applicable are used in formulating a medical opinion but other factors are considered as well.

I hope these comments will be of assistance. Please feel free to contact me at 202-273-8452 or by e-mail at neil.otchin@hq.med.va.gov if there are additional questions.

Sincerely,

Neil S. Otchin, M.D.

Program Chief for Clinical Matters

Office of Public Health and Environmental Hazards



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