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The USPSTF has updated its 2014 practice guideline on behavioral counseling to modify cardiovascular disease (CVD) risk factors (NEJM JW Gen Med Nov 15 2014 and Ann Intern Med 2014; 161:587) and now focuses on adults with hypertension, elevated blood pressure, dyslipidemia, or a mixture of risk factors including metabolic syndrome or estimated 10-year CVD risk ≥7.5%. Other risk factors such as smoking, abnormal blood glucose levels, and obesity are addressed in other guidelines. The behavioral interventions included in this update involve in-person counseling (either individual or group) provided by a range of healthcare professionals for a median of 12 sessions …