Effect of Egg Consumption on Cardiometabolic Health in Prediabetic Subjects.

This is a randomized, crossover study that includes two screening visits and two 4-week test
periods separated by a 4-week washout. Subjects will consume two eggs/day (12 eggs/week
consumed over 6 days per week, provided as breakfast foods such as burrito-type roll-up, egg
sandwich and omelet) or non-egg based control foods (provided as breakfast foods such as
English muffins, bagels, ready-to-eat cereal, and flavored muffins). The background diet will
be a habitual diet. The nutritional profiles of the egg and control breakfast foods will be
designed such that the energy from eggs will be substituted for a mixture of carbohydrate,
protein and fat in the control foods.

Study foods will be dispensed with instructions to consume the assigned breakfast food
starting on day 1. Subjects will be instructed to consume the breakfast foods in their
entirety each day, for the duration of the 28 day test period, and to record daily study food
intake. Subjects will receive diet instruction on the incorporation of food substitutions
during the test period to maintain habitual energy intake. Compliance will be assessed using
the Daily Log intake and number of foods consumed based on returned foods.

An intravenous glucose tolerance test (IVGTT) will be completed at baseline and the end of
each treatment period for evaluation of insulin sensitivity. Blood will be collected for a
fasting lipid profile (at all visits), glucose and insulin, high-sensitivity C-reactive
protein (hs-CRP), vertical auto profile (VAP) for cholesterol carried by lipoprotein
fractions (at baseline and end of each treatment period), with additional blood samples
collected for storage and archived for possible future analysis of non-genetic indicators of
metabolism. Assessments of vital signs and body weight, review of concomitant
medication/supplement use and inclusion and exclusion criteria for relevant changes, and
evaluation of adverse effects will be performed throughout the study.

Inclusion Criteria:

1. BMI of ≥25.0 kg/m2 (≥23.0 kg/m2 in Asian Americans) to 39.99 kg/m2.

2. Metabolic syndrome [exhibiting at least 3 out of 5 of these criteria]: waist
circumference ≥102 cm (40 inches) in men or ≥88 cm (35 inches) in women, TG level ≥150
mg/dL, HDL-C level <40 mg/dL in men or <50 mg/dL in women, hypertension: ≥130 systolic
and/or /≥85 diastolic or on drug therapy for elevated BP, fasting hyperglycemia:
100-125 mg/dL.

3. Prediabetes [exhibiting any of the criteria below at screening]: glycated hemoglobin
5.7-6.4% (inclusive), or fasting capillary glucose of 100-125 mg/dL (inclusive), or a
2-h postprandial glucose of 140-199 mg/dL.

Exclusion Criteria:

1. Atherosclerotic cardiovascular disease including any of the following:

clinical signs of atherosclerosis including peripheral arterial disease, abdominal
aortic aneurysm, carotid artery disease [symptomatic (e.g., myocardial infarction,
angina, transient ischemic attack or stroke of carotid origin) or >50% stenosis on
angiography or ultrasound] or other forms of clinical atherosclerotic disease (e.g.,
renal artery disease).

2. History or presence of clinically important pulmonary (including uncontrolled asthma),
endocrine (including type 1 or 2 diabetes mellitus), chronic inflammatory disease
(including irritable bowel disease, lupus, rheumatoid arthritis), hepatic, renal,
hematologic, immunologic, neurologic, or biliary disorders.

3. Known allergy, sensitivity, or intolerance to any ingredients in the study foods.

4. Uncontrolled hypertension

5. Recent history of cancer in the prior 5 years, except for non-melanoma skin cancer.

6. Recent change in body weight of ±4.5 kg.

7. Unstable use of any antihypertensive medication.

8. Recent use of any medications intended to alter the lipid profile [e.g. bile acid
sequestrants, cholesterol absorption inhibitor, fibrates, niacin (drug form),
omega-3-ethyl ester drugs, and/or proprotein convertase subtilisin kexin type 9
(PCSK9) inhibitors], weight-loss drugs, systemic corticosteroid drugs, medications
known to influence carbohydrate (CHO) metabolism [e.g. adrenergic receptor blockers,
thiazide diuretics, hypoglycemic medications], and/or anti-psychotics.

9. Recent use of foods or dietary supplements that might influence lipid metabolism [e.g.
omega-3 fatty acid supplements (e.g., fish or algal oils) or fortified foods,
sterol/stanol products; dietary supplements (red rice yeast supplements; garlic
supplements; soy isoflavone supplements; niacin or its analogues at doses >400 mg/d],
inconsistent use of Metamucil® or viscous fiber-containing supplements

10. Use of antibiotics within 5 days of screening.

11. Pregnant, planning to be pregnant during the study period, lactating, or of
childbearing potential and unwilling to commit to the use of a medically approved form
of contraception throughout the study period.

12. Extreme dietary habits (e.g., vegan or very low carbohydrate diet).

13. Current or recent history or strong potential, for drug or alcohol abuse.

14. History of a diagnosed eating disorder (e.g., anorexia or bulimia nervosa).

15. Recent exposure to any non-registered drug product.