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At the six in-person visits, metabolic secondary outcomes were measured, including HbA1c, blood pressure (systolic and diastolic), HR, total cholesterol, triglycerides, hsCRP, HbA1c in participants with pre-existing pre-diabetes and T2D, blood pressure in participants with pre-existing hypertension and changes in T2D and hypertension medication used in participants with T2D and hypertension, respectively