Integrating Metabolic and Vascular Sensors to Monitor Cardiometabolic Disorders After Nutrition Interventions

Inclusion Criteria: * United States Veterans * Male or female, age 18-55 years at the time of signing informed consent. * at least 2 of the following: waist circumference \> 40" for men and 35" for women, FBS \>100 mg/dl, triglycerides \> 150 but \< 500 mg/dL, HDL \< 40 mg/dL, Pre- hypertension or hypertension (BP\>120/80 mmHg but \<150/90 mmHg) Exclusion Criteria: * History of diabetes require medications * History of alcohol intake ≥ 20g/day * History of cirrhosis * Renal impairment measured as estimated Glomerular Filtration Rate (eGFR) value of \<30 mL/min/1.73 m2 * History of thyroid disease, but not taking medication or medication dosage changed one or more times over last 6 months. History of thyroid disease and on a stable dose of prescription medication for 6 months or longer is acceptable. * Any unstable medical conditions or terminal diagnosis. * Any participant who is unwilling to sign an informed consent form will not be admitted into the study.