The answer would be nodding.
First class lever refer to a lever on which the resistance exist in one one side of the fulcrum and an effort is made on the other side you can't get a reaction unless something else causes a reaction.
Extreme weight loss, dizziness or fainting, nausea and stomach pain
Controllable risk factors include:
Smoking.
High LDL, or "bad" cholesterol, and low HDL, or "good" cholesterol.
Uncontrolled hypertension (high blood pressure)
Physical inactivity.
Obesity.
Uncontrolled diabetes.
Uncontrolled stress and anger.