Recent or current active infections treated with antibiotics
Recent (6 months) or current active cancer undergoing treatment
Recent (3 months) change in statin or cilostazol therapy
Critical limb ischemia either chronic (Rutherford Class ≥II) or acute ischemia manifested by rest pain, ulceration, or gangrene
Lower extremity vascular surgery, angioplasty or lumbar sympathectomy within 3 months of enrollment
Planned participation in a structured exercise treatment protocol in the future or within period of study
Prior myeloid malignancy
Unstable angina, myocardial infarction, transient ischemic attack, stroke or revascularization in the preceding 4 months
Severe heart failure (NYHA Class III or IV) or heart muscle disease
Limitation on exercise for symptoms other than intermittent claudication such as arthritis or dyspnea
Below- or above-knee amputation; wheelchair confinement
Use of a walking aid other than a cane
Walking impairment for reasons other than PAD e.g. Parkinson’s disease
Uncontrolled diabetes mellitus (defined as HbA1c >10.0%)
Chronic renal disease (creatinine >2.5 mg/dl) or hepatic disease (>3X elevations in AST and ALT)
Ophthalmologic conditions associated with a neo-vascular response
Alcohol or drug abuse, or any other disease process that, in the opinion of the principal investigator, will interfere with the ability of the patient to participate in the study
Inability to attend study visits