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Madonna had originally intended to call the book X but changed her mind when Spike Lee's upcoming film Malcolm X began to be promoted.

The film was released three weeks after the book, and inspired the fashion trend of wearing hats and shirts with a large X in honor of Malcolm X. Madonna wanted the book to be of an oval shape, but the printing and manufacturing of such a book would have been too expensive.

In the end, the original design for the X title and shape of the book were only retained on the back cover ( see below ) and on the accompanying CD and its packaging.