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The enrollment process included a Web-based get in touch with, an in-person visit during which baseline data were gathered, and a second in-person visit at which individuals had been notified of their designated group. Individuals were asked to create in-person follow-up visits 6, 12, and 24 months after randomization. At each of these visits, weight was measured on a high-quality, calibrated digital level, with the participant putting on light, indoor clothes no shoes. Elevation was measured once, at study entry. Blood circulation pressure was recorded at each of the three visits; waistline circumference and fasting degrees of blood sugar and lipids had been measured at baseline and 6 and 24 months after randomization. Trained research staff who were not informed of the combined group assignment performed the measurements.