Inclusion Criteria:  Men between the ages of 45 and 75 years Postmenopausal Women up to age 75 years per EMR. Women should not have had a menstrual period for at least one year prior to enrollment into the study  Exclusion Criteria:  Diabetes as determined by the presence of EMR based diagnosis including prescribed any DM medications Diagnosed with severe mental illness, substance abuse disorders per EMR Diagnosed with congestive heart disease per EMR Had a myocardial infarction in the previous year per EMR EMR based Diagnosis of any Cancer in the past 5 years EMR based diagnosis of morbid obesity or anorexia nervosa Hospitalized in the previous 12 months Active smoking