From the Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine (A.J.M.B., L.V.), and the Departments of Dermatology and Cutaneous Surgery (R.S.K.), Epidemiology and Public Health (R.S.K.), and Psychology (L.V.), University of Miami School of Medicine, Miami; the Veterans Affairs Medical Center, Miami (R.S.K.); and the Department of Academic Medicine, Manchester Royal Infirmary, Manchester, United Kingdom (A.J.M.B., L.V.). Address reprint requests to Dr. Boulton at the Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, University of Miami School of Medicine, P.O. Box 016960 (D-110), Miami, FL 33101, or at [email protected].