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Past studies have identified excessive cardiometabolic disease (CMD) risk after SCI. In the 2016-2021 SCIMS cycle, four SCIMS centers led by the SFSCIMS: 1) explored early CMD risks and 2) examined whether SCI stakeholders were aware of these risks. Our first manuscript reported a daunting 74% of subjects were obese within two months of SCI vs. 38.5% of controls (p