Inclusion Criteria:  Patient must have 6 months of membership Patient has a measure for weight, A1c, and ALT within the past 6 months Patient must have an increased predicted 18-month risk of pancreatic cancer based on the PRO-TECT model Speaks English or Spanish  Exclusion Criteria:  Previous or current history of pancreatic cancer Metastatic cancer Current active cancer or undergoing chemotherapy for cancer Currently pregnant or breastfeeding Class IV heart failure Cirrhosis with ascites and/or varices Currently in a skilled nursing facility or under hospice care Has metal parts or implanted devices in the body, such as a pacemaker, defibrillator, or shrapnel End stage renal disease Cognitive impairment such that the person is unable to provide informed consent