Further evaluation includes the following tests: Fasting complete metabolic panel (including glucose, liver enzymes, and lipid panel), and glycosylated hemoglobin (HbA1c—for prediabetes) Echocardiography (for left ventricular hypertrophy) Urinary albumin: creatinine ratio and urinalysis Renal ultrasonography If test results are normal, diet and lifestyle changes are continued for another 6 months, and consultation with a nutritionist can be suggested.