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But thats different as you had a congenital heart defect. With most people their poor diet slowly hardens their arteries.
I honestly think it depends on the person. For example salt. For a long time we all thought salt was bad and contributed to high blood pressure. Recent research and my cardiologist told me this salt does not affect white people like it does black people. And on my recent full metabolic blood work up where I did start using salt again in a limited amount showed no difference in my sodium. And my sodium count is always on the low end of the normal range.
OTOH my diet is very varied. I do like me some BBQ but I also like sushi. My lunch today was lamb vindaloo.
In conclusion I do not think we can pin point it to one thing. And I guess I'm lucky in one way. I do get a full metabolic work up every six months so if anything is out of wack I have an early warning.