Clinical Effectiveness of Body Fat Distribution Imaging in Real-World Practice: The BODY-REAL Study

Inclusion Criteria: 1. Age ≥ 35 years 2. Able to provide informed consent 3. Overweight or Obese (BMI ≥25 kg/m2) 4. Prediabetes or Type 2 Diabetes: * Fasting glucose \>100 mg/dl, or * Hb A1c \>5.7%, or * Medical (i.e. pharmacologic) treatment for type 2 diabetes 5. At least 1 additional cardiovascular risk factor (defined by Adult Treatment Panel III criteria2) including: * Hypertension (BP\>130/80 or on medical therapy for hypertension) * Low HDL-cholesterol (\<40 mg/dL in men and \<50 mg/dL in women) * High triglycerides (\>150 mg/dL or on treatment for hypertriglyceridemia) * Obstructive sleep apnea (clinical diagnosis) * Coronary artery disease (clinical diagnosis) * Congestive heart failure (clinical diagnosis) * Atrial fibrillation (clinical diagnosis) Exclusion Criteria: 1. Receipt of any anti-obesity drug or supplement within 1 month prior to screening for this trial or plan to initiate therapy during the trial. 2. Self-reported or clinically documented history of significant fluctuations (\>5% change) in weight within 1 month prior to screening for this trial. 3. Current or history of treatment with medications that may cause significant weight gain, within 1 month prior to screening for this trial, including systemic corticosteroids (except for a short course of treatment, i.e., 7- 10 days), tri-cyclic antidepressants, atypical antipsychotic and mood stabilizers (e.g., imipramine, amitryptiline, mirtazapine, paroxetine, phenelzine, chlorpromazine, thioridazine, clozapine, olanzapine, valproic acid and its derivatives, and lithium). 4. Surgery scheduled for the trial duration period, except for minor surgical procedures, at the discretion of the Investigator. 5. Language barrier, mental incapacity, unwillingness or inability to understand. 6. Females of childbearing potential who are pregnant, breast-feeding or intend to become pregnant or are not using adequate contraceptive methods. These include abstinence and the following methods: diaphragm with spermicide, condom with spermicide (by male partner), intrauterine device, sponge, spermicide, Norplant®, Depo-Provera® or oral contraceptives. 7. Unable to complete/tolerate magnetic resonance imaging (MRI) due to severe claustrophobia or metallic implants. 8. ≥2 no-shows to recruitment clinic within the 6 months prior to screening.