Primary endpoint • LDL-C cholesterol Major secondary endpoint • Symptom-limited bicycle ergometer test (Watts and estimated VO2max) Other secondary endpoints • Dynamic unilateral heel-lift and unilateral shoulder-flexion tests (n) • Self-reported activity level (levels 1–6, days/week) • Fasting lipid levels (TC, HDL-C, TGA, small dense LDL-C, apo A, apo B, Lp(a), oxidized LDL) • Fasting insulin, c-peptide, creatinine, glucose, cystatin C • HbA1c, hs-CRP, NT-proBNP, troponin-I, IL-6 • Resting heart rate and blood pressure • Left ventricular systolic function • Untargeted plasma metabolome • Gut microbiota composition |