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hey everyone welcome to my weekly house call your chance to ask me your questions and this weeks question is hey dr. Hyman my father has heart disease his father did too and Im pretty concerned about my own risk for heart disease so what can I do to prevent heart disease well I understand your concern because people are worried if they have a family history of something theyre going to get it but genes are not your destiny you might have a predisposition but you dont have a pre destiny and genes are not solely and often at the root of why we get heart attacks its actually the environment right your lifestyle your diet working on your genes that determines your risk in other words its the way you eat its how much you exercise its how you deal with stress its the effect of environmental toxins that are the underlying causes of high cholesterol high blood pressure and high blood sugar thats what determines your risk of heart disease not a lack of medication or even your genes o