The prevalence of elevated cholesterol (240 mg/dl) is 20 % for black women (15). Although hyperlipidemia has not specifically been studied in African American women, it has been studied in white American women. Following menopause, total cholesterol and LDL cholesterol levels increase reaching the levels of age matched men (21). HDL cholesterol also decreases and triglyceride levels as well as lipoprotein concentrations also increase (15). Although cholesterol and liporotein levels have not specifically been studied in African American women they have been studied in black American males and white males and females. Elevated lipoprotein levels are typically associated with atherosclerosis and thrombosis in white American men and women. Although African Americans have higher lipoprotein levels than whites, these levels are less predictive of atherosclrosis for blacks than whites (15).