The patient is a 51-year-old African American woman whose husband urged her to see a physician because of concerns related to her family history. The patient, a high school teacher, weighs 191 pounds and admits to a recent 25-pound weight gain. She has no history of surgery, no known history of diabetes, does not smoke tobacco, and does not drink alcohol. She currently takes atenolol, 25 mg daily, for hypertension. Family history is significant for cardiovascular disease (CVD)—the patient's father died of an MI at age 51 years, and her brother had an MI at age 44 years.