In Reply We appreciate Levin and Barnard’s interest in our Viewpoint1 on recommendations for plant-based beverage intake in children aged 12 to 23 months. However, many of their concerns about the use of cow’s milk are not relevant for this age group. For example, Levin and Barnard cite an association between cow’s milk and cancers of the prostate and ovaries as well as an overload of saturated fat, estrogens, and cholesterol. An association between these cancers and use of cow’s milk from 12 to 23 months has not been demonstrated in epidemiologic studies,2,3 and children younger than 2 years need adequate fat and energy to support growth and brain development.4