Inclusion Criteria: Females aged 18-85, willingness to commit to participation in the lifestyle intervention and follow-up.  -  Exclusion Criteria: Pregnancy, history of schizophrenia, severe depression, untreated bipolar disorder, end-stage renal disease, type 1 diabetes, unstable angina, congestive heart failure, inability to participate in the group without assistance, dementia, inability to communicate in Hebrew.