Basically, then, Bush did everything right but still ended up with some level of coronary heart disease. So of course it's his fault and he should have done more. Or done something different. Or not done a third thing. Bah.
I had an "abnormal" stress test last year and let myself be bullied into a cardiac catheterization, which showed no blockages or narrowing at all. So, (1) the stress test was wrong, and (2) I'm 72 and a carnivore with no heart disease. My cholesterol is high and I don't much care and refuse to take drugs because of it.
There are no absolutes. Thin people develop Type 2 diabetes. Fit people have heart attacks. Not all smokers get lung cancer.
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