Where it started
Eighteen years of paying
close attention.
For almost 20 years I rode road bikes somewhat seriously. Not competitively, just consistently. A hundred and fifty kilometres a week, most weeks. It was the discipline that kept everything else in order.
What that kind of sustained physical output does, over time, is make you pay attention to your body in a way most people never have to. You notice things. You develop a reasonably fine-grained model of how your body responds to what you do, and don't, put into it. You stop accepting vague answers.
A few years ago my GP, looking at my bloodwork, suggested I consider statins. Standard protocol: cholesterol numbers outside the reference range, standard recommendation, here's the script. My GP is a family friend of many years. I trust him. But I'd already been researching this territory and my gut said no.
So at my GP's suggestion I got a calcium score, a CT scan that directly measures arterial plaque and gives you a far more precise picture of actual cardiovascular risk than cholesterol numbers alone. And I underwent a full cardiac stress test with a heart specialist.