Inclusion Criteria:  Self-identification as Black, age >18 years, living in the city of Detroit Elevated BP systolic HTN: systolic BP 120-129 and/or diastolic BP <80 mm Hg upon screening Not currently taking medications for HTN Low cardiovascular risk as defined by 2017 AHA/ACC HTN guidelines (no diabetes, no chronic kidney disease, no established ASCVD, and a 10-year ASCVD risk <10%)2  Exclusion Criteria:  Any clinical cardiovascular disease (e.g., coronary artery disease, heart failure, stroke, arrhythmia) Chronic kidney disease or glomerular filtration rate <60 ml/min on screening laboratory testing Diabetes or HbA1c ≥ 6.5% on screening laboratory testing LDL-C ≥ 190 mg/dL on screening laboratory testing (on or off medications) ASCVD risk score calculated ≥ 10% for 10 years by clinical calculator on screening2 Inability or not willing to follow-up with PAL2 research or usual care limb and at 6 & 12-months at the MHU Taking any medications for diabetes, heart disease or kidney disease. Cholesterol medication is not an exclusion Inability to understand and sign informed consent  10. Chronic condition (e.g., cancer) with a potential life expectancy < 2 years