{"product_id":"bad-genes-dont-mean-youre-doomed-to-heart-disease-how-to-fight-back-and-protect-your-heart","title":"Bad Genes Don't Mean You're Doomed to Heart Disease: How to Fight Back and Protect Your Heart","description":"\u003cp\u003eHeart disease kills more than 600,000 Americans each year, but having a family history of early heart attacks does not have to be a death sentence. This article explores how lifestyle choices, modern drug therapies, and emerging genetic testing can help people with inherited risk factors take control of their heart health — a story brought to life by John Fixx, whose famous running-author father died of a heart attack at age 52 despite his fitness regimen.\u003c\/p\u003e\n\n\u003ch1\u003eBad Genes Don't Mean You're Doomed to Heart Disease: How to Fight Back and Protect Your Heart\u003c\/h1\u003e\n\n\u003ch2\u003eTable of Contents\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003e\u003ca href=\"#ddn-key-points\"\u003eKey Points\u003c\/a\u003e\u003c\/li\u003e\n\n  \u003cli\u003e\u003ca href=\"#background\"\u003eIntroduction: A Family History Is a Warning, Not a Verdict\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"#fixx-story\"\u003eThe Fixx Family Story: Running, Genetics, and a Heart Attack at 52\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"#the-numbers\"\u003eHeart Disease by the Numbers: How Common Is It Really?\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"#genetics\"\u003eWhat We Know About the Genetics of Heart Disease\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"#lifestyle\"\u003eHow Lifestyle and Environment Interact with Your Genes\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"#drugs\"\u003eThe Role of Medications and Genetic Testing (Pharmacogenetics)\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"#research\"\u003eWhat Research Shows: A 2015 Study on Genetic Knowledge and LDL Cholesterol\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"#limitations\"\u003eLimitations: What Scientists Still Can't Disentangle\u003c\/a\u003e\u003c\/li\u003e\n  \u003cli\u003e\u003ca href=\"#recommendations\"\u003eRecommendations: What You Can Do Today\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"#ddn-faq\"\u003eFrequently Asked Questions\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"#source\"\u003eSource Information\u003c\/a\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003c!-- ddn:keypoints:start --\u003e\n\u003ch2 id=\"ddn-key-points\"\u003eKey Points\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eHeart disease kills over 600,000 Americans yearly, but family history is a warning, not a verdict.\u003c\/li\u003e\n\u003cli\u003eA parent with coronary heart disease roughly doubles your risk; younger age at first event raises risk further.\u003c\/li\u003e\n\u003cli\u003eLifestyle and drug therapy can dial your heart disease risk up or down, even with genetic predisposition.\u003c\/li\u003e\n\u003cli\u003ePharmacogenetics may soon personalize drug choice, e.g., CYP2C19 variants affect response to Plavix.\u003c\/li\u003e\n\u003cli\u003eA 2015 study found knowing genetic risk lowered LDL cholesterol in high-cholesterol patients after six months.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c!-- ddn:keypoints:end --\u003e\n\n\n\u003ch2 id=\"background\"\u003eIntroduction: A Family History Is a Warning, Not a Verdict\u003c\/h2\u003e\n\n\u003cp\u003eFew things feel more helpless than learning that heart disease runs in your family. You might wonder: If my father had a heart attack at 45, am I destined to have one too? The answer, according to leading cardiovascular researchers, is an emphatic \u003cstrong\u003eno\u003c\/strong\u003e.\u003c\/p\u003e\n\n\u003cp\u003eWhile genes do influence your risk of heart disease, experts stress that lifestyle choices and medical treatments can significantly change the trajectory of your heart health. \"We can't control the DNA we are given, but we can control what we put into our bodies, and whether we exercise, get enough sleep and manage stress,\" says John Fixx, a school headmaster from Madison, Connecticut, who lives with a deeply concerning family history. \"A predisposition to cardiovascular disease doesn't mean we can't lead healthy lives extended by many years.\"\u003c\/p\u003e\n\n\u003ch2 id=\"fixx-story\"\u003eThe Fixx Family Story: Running, Genetics, and a Heart Attack at 52\u003c\/h2\u003e\n\n\u003cp\u003eThe Fixx family's story is one of the most dramatic illustrations of this principle. John Fixx is the son of \u003cstrong\u003eJim Fixx\u003c\/strong\u003e, author of the 1977 bestseller \u003cem\u003e\"The Complete Book of Running,\"\u003c\/em\u003e a book that helped fuel America's running craze. At 56, John Fixx already has outlived both his father and his grandfather — a striking fact given that his father died at 52 and his grandfather even younger.\u003c\/p\u003e\n\n\u003cp\u003eIn 1984, when John was just 23 and freshly out of college, his father — then 52 and an iconic figure of fitness — died of a heart attack while out on a run. Jim Fixx had taken up running in midlife, lost weight, and quit smoking. But it appeared to be too late to completely outrun his family history. Jim's own father, Calvin Fixx, had suffered his first heart attack at age 36, followed by a second heart attack seven years later that killed him.\u003c\/p\u003e\n\n\u003cp\u003eHere is where the story takes a hopeful turn. An autopsy showed that Jim Fixx's arteries were seriously blocked. Yet his family believed then — and still believes today — that his healthy habits added years to his life and that he would have died much sooner without them. Vermont's chief medical examiner agreed, telling the Fixx family that \u003cstrong\u003e\"his heart was so strong from years of exercise that it was able to pump blood through the diminished arteries far longer than would otherwise have occurred,\"\u003c\/strong\u003e John Fixx recalls.\u003c\/p\u003e\n\n\u003cp\u003eThat message transformed the family. John, his sister, and his two brothers committed themselves to leading healthier lives. Today, John Fixx works out every day — running outdoors or on a treadmill, using an elliptical machine, lifting weights, and following a low-fat diet. He has never smoked.\u003c\/p\u003e\n\n\u003ch2 id=\"the-numbers\"\u003eHeart Disease by the Numbers: How Common Is It Really?\u003c\/h2\u003e\n\n\u003cp\u003eHeart disease is the leading cause of death in the United States for both men and women, killing \u003cstrong\u003emore than 600,000 people annually\u003c\/strong\u003e, according to the Centers for Disease Control and Prevention (CDC). To put that in perspective, that's more deaths each year than all cancers combined.\u003c\/p\u003e\n\n\u003cp\u003eEach year, approximately \u003cstrong\u003e735,000 Americans have a heart attack\u003c\/strong\u003e. The breakdown is important to understand:\u003c\/p\u003e\n\n\u003cul\u003e\n  \u003cli\u003e\n\u003cstrong\u003e525,000\u003c\/strong\u003e of those are first heart attacks\u003c\/li\u003e\n  \u003cli\u003e\n\u003cstrong\u003e210,000\u003c\/strong\u003e occur in people who have already survived a previous heart attack\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003cp\u003eRisk increases for all men after age 45, but it is especially concerning for people whose fathers were diagnosed with heart disease before age 55, according to the National Heart, Lung, and Blood Institute (NHLBI). This pattern — where early heart disease in a parent signals elevated risk — is one of the strongest warning signs available to doctors.\u003c\/p\u003e\n\n\u003ch2 id=\"genetics\"\u003eWhat We Know About the Genetics of Heart Disease\u003c\/h2\u003e\n\n\u003cp\u003eRecent studies reveal that at least \u003cstrong\u003e161 identified genetic variants\u003c\/strong\u003e have been linked to heart disease — and most of us carry one or more of them. That might sound alarming, but the effect of each individual variant is modest.\u003c\/p\u003e\n\n\u003cp\u003e\"These are variants that have modest effects,\" explains \u003cstrong\u003eIftikhar Kullo\u003c\/strong\u003e, a cardiovascular genetics researcher at the Mayo Clinic. \"Each variant raises your risk anywhere from 5 percent to 35 percent, depending on the variant. The more you have, the higher your risk.\"\u003c\/p\u003e\n\n\u003cp\u003eTo understand what having many variants means, researchers have found that people with a parent who had coronary heart disease face approximately \u003cstrong\u003ea twofold (2x) increased risk\u003c\/strong\u003e of developing heart disease themselves. This finding is echoed by Eric B. Rimm, director of the cardiovascular epidemiology program at the Harvard T.H. Chan School of Public Health.\u003c\/p\u003e\n\n\u003cp\u003e\"When large studies are conducted, results suggest about a twofold risk if you had a mother or father with coronary heart disease,\" Rimm says. \"The younger your parent was when [he or she] suffered the first event, the higher the risk for the child.\"\u003c\/p\u003e\n\n\u003cp\u003eThis translates into a simple rule that doctors use worldwide: If your father had a heart attack before age 55, or your mother before age 65, your risk is approximately \u003cstrong\u003edoubled\u003c\/strong\u003e compared to the general population.\u003c\/p\u003e\n\n\u003ch2 id=\"lifestyle\"\u003eHow Lifestyle and Environment Interact with Your Genes\u003c\/h2\u003e\n\n\u003cp\u003eOne key insight that scientists emphasize: Families share far more than DNA. They also share environments — the same meals, the same activity patterns, the same habits, sometimes the same smoking exposure in the household. This reality complicates efforts to isolate the pure genetic contribution to heart disease.\u003c\/p\u003e\n\n\u003cp\u003eRimm puts it plainly: \"This is not all genetic, since parents and children share similar lifestyle habits, so it's tough to disentangle completely.\"\u003c\/p\u003e\n\n\u003cp\u003eThis works both ways — and that's the empowering part. If family members share unhealthy habits, breaking those habits can help everyone. Conversely, adopting heart-healthy behaviors can create a positive family ripple effect.\u003c\/p\u003e\n\n\u003cp\u003eCashell Jaquish, a genetic epidemiologist with the NHLBI, emphasizes that having the genes doesn't seal your fate. \"It doesn't necessarily mean you are fated to have heart disease,\" she says. \"Other factors, like not smoking, diet and exercise, can have a very large effect. Family history does increase your risk slightly, but not as much as [not doing] these other things.\"\u003c\/p\u003e\n\n\u003cp\u003eKullo agrees, describing heart disease risk as a dial rather than a switch. \"If you're dealt a bad hand by your family, it doesn't mean you are determined to have heart disease,\" he says. \"You can reduce that risk. The first layer is lifestyle. The next layer is drug therapy. Risk is a scale that you can dial up or down.\"\u003c\/p\u003e\n\n\u003ch2 id=\"drugs\"\u003eThe Role of Medications and Genetic Testing (Pharmacogenetics)\u003c\/h2\u003e\n\n\u003cp\u003eBeyond lifestyle, advances in drug therapy have made it substantially easier to control or treat the conditions that contribute to heart disease, including \u003cstrong\u003ehypertension (high blood pressure), high cholesterol, and diabetes\u003c\/strong\u003e.\u003c\/p\u003e\n\n\u003cp\u003eCurrently, genetic testing for heart disease risk is performed only as part of research studies. However, that is changing. The Mayo Clinic is developing a genetic test that may become more widely available to clinicians and their patients — potentially as early as 2018, according to Kullo.\u003c\/p\u003e\n\n\u003cp\u003e\"There will be a time when people will have a good idea of their genetic risk,\" Kullo predicts. \"In the meantime, the surrogate genomic test is your family history.\"\u003c\/p\u003e\n\n\u003cp\u003eOne of the most exciting frontiers is \u003cstrong\u003epharmacogenetics\u003c\/strong\u003e — the field that studies how genes affect the way people respond to medications. Jaquish believes this is where the biggest benefit of personal genetic information will lie. \"It will help us understand the biology, and give us new drug targets,\" she says. \"We'll be using genetics to predict which drugs will work and which ones won't.\"\u003c\/p\u003e\n\n\u003cp\u003eA concrete example already exists: patients with a certain variant of the \u003cstrong\u003eCYP2C19 gene\u003c\/strong\u003e — which is associated with a platelet (blood clotting cell) disorder — do not respond to the drug \u003cstrong\u003ePlavix (clopidogrel)\u003c\/strong\u003e, a medication frequently prescribed to prevent clot formation. If patients knew they carried this variant, \"their doctors could consider a different drug strategy,\" Jaquish says.\u003c\/p\u003e\n\n\u003cp\u003eThis is the promise of personalized medicine: instead of a trial-and-error approach to medications, your genetic profile could tell your doctor which drugs are likely to work for you before you ever take them.\u003c\/p\u003e\n\n\u003ch2 id=\"research\"\u003eWhat Research Shows: A 2015 Study on Genetic Knowledge and LDL Cholesterol\u003c\/h2\u003e\n\n\u003cp\u003eThere is emerging evidence that simply knowing your genetic risk profile can change your behavior in meaningful ways. Kullo conducted a \u003cstrong\u003e2015 study\u003c\/strong\u003e that compared two approaches:\u003c\/p\u003e\n\n\u003col\u003e\n  \u003cli\u003eUsing personal genetic information to assess heart disease risk\u003c\/li\u003e\n  \u003cli\u003eUsing the conventional method — the \u003cstrong\u003eFramingham Risk Score\u003c\/strong\u003e (a standard clinical tool based on age, cholesterol, blood pressure, smoking, and other factors)\u003c\/li\u003e\n\u003c\/ol\u003e\n\n\u003cp\u003eThe results were striking. The study found that people with high cholesterol who knew their personal genetic data had \u003cstrong\u003elower \"bad\" cholesterol (low-density lipoprotein cholesterol, or LDL) after six months\u003c\/strong\u003e than those in the control group. The researchers concluded that the genetic knowledge had prompted these individuals to start treatment — either lifestyle changes, medication, or both — that they otherwise might not have pursued.\u003c\/p\u003e\n\n\u003cp\u003eIn other words: when people learn they carry genetic markers for heart disease, they take action. And that action produces measurable improvements in a critical risk factor.\u003c\/p\u003e\n\n\u003ch2 id=\"limitations\"\u003eLimitations: What Scientists Still Can't Fully Separate\u003c\/h2\u003e\n\n\u003cp\u003eIt is important to be honest about what science can and cannot tell us. The overlap between genetics and shared family environment means that researchers cannot always determine with certainty how much of a family's heart disease pattern is hereditary versus learned behavior.\u003c\/p\u003e\n\n\u003cp\u003e\"It's tough to disentangle completely,\" Rimm acknowledges. If a father and child both develop heart disease, is it because of inherited genes, shared meals, or both? For most families, the answer is some combination — and the exact proportion varies from person to person.\u003c\/p\u003e\n\n\u003cp\u003eAdditionally, while 161 genetic variants have been linked to heart disease, each individual variant has only a modest effect. Genetic testing for heart disease risk is still largely confined to research settings, and the clinical utility of such testing — whether it improves long-term outcomes in ways that justify its cost — continues to be studied.\u003c\/p\u003e\n\n\u003cp\u003eFinally, the Fixx family's story, while compelling, is anecdotal. It provides inspiration and insight, but it is not scientific proof that exercise alone can overcome severe genetic risk. Rather, it illustrates the consensus among experts that a comprehensive approach — lifestyle \u003cem\u003eplus\u003c\/em\u003e medical management — offers the best chance of reducing risk.\u003c\/p\u003e\n\n\u003ch2 id=\"recommendations\"\u003eRecommendations: What You Can Do Today\u003c\/h2\u003e\n\n\u003cp\u003eExperts are unanimous on the core advice, which applies to everyone — not just those with a family history of heart disease:\u003c\/p\u003e\n\n\u003cul\u003e\n  \u003cli\u003e\n\u003cstrong\u003eStop smoking — or never start.\u003c\/strong\u003e This is arguably the single most powerful step you can take for your heart.\u003c\/li\u003e\n  \u003cli\u003e\n\u003cstrong\u003eEat a healthy diet.\u003c\/strong\u003e Focus on low-fat, nutrient-dense foods including fruits, vegetables, whole grains, and lean proteins.\u003c\/li\u003e\n  \u003cli\u003e\n\u003cstrong\u003eExercise regularly.\u003c\/strong\u003e Aim for daily physical activity — whether that's running, walking, swimming, using an elliptical machine, or lifting weights. The key is consistency.\u003c\/li\u003e\n  \u003cli\u003e\n\u003cstrong\u003eMaintain a healthy weight.\u003c\/strong\u003e Excess weight places additional strain on your heart and circulatory system.\u003c\/li\u003e\n  \u003cli\u003e\n\u003cstrong\u003eManage stress.\u003c\/strong\u003e Chronic stress takes a measurable toll on cardiovascular health. Find stress-reduction techniques that work for you — exercise, meditation, adequate sleep, or quality time with loved ones.\u003c\/li\u003e\n  \u003cli\u003e\n\u003cstrong\u003eKnow your family history.\u003c\/strong\u003e If your father had a heart attack before age 55, or your mother before age 65, your risk is roughly doubled. Share this information with your doctor.\u003c\/li\u003e\n  \u003cli\u003e\n\u003cstrong\u003eTake medications as prescribed.\u003c\/strong\u003e If your doctor recommends medication to control hypertension, diabetes, or high cholesterol, take it seriously. Drug therapy is the \"second layer\" of protection after lifestyle.\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003cp\u003eKullo offers a direct message for those with a family history: \"If your father had a heart attack before age 55, or your mother before 65, your risk is doubled, approximately. But you can reduce that risk by lifestyle changes and speaking to your doctor about the possibility of medications to treat cholesterol or hypertension. \u003cstrong\u003eIt could save your life.\u003c\/strong\u003e\"\u003c\/p\u003e\n\n\u003cp\u003eJohn Fixx is living proof of this philosophy in action. His daily routine — running, elliptical training, weightlifting, a low-fat diet, stress management through a job he loves, and the support of his wife — represents a deliberate, decades-long effort to write a different ending to his family's story than the one his father and grandfather experienced.\u003c\/p\u003e\n\n\u003cp\u003e\"Hopefully I'll end up living longer because of the adjustments I've made to diet, stress management, healthy sleep, the love of a good wife, pursuing a job and career I enjoy, and maintaining a lifelong commitment to exercise,\" Fixx says. \"I enjoy every day I exercise, even if some of the days are fatiguing, and literally hurt.\"\u003c\/p\u003e\n\n\u003cp\u003eHe adds, with evident joy: \"I love to put on exercise clothes. I cherish time among other exercise people, and am thrilled to be among young people laughing while running, jumping, sweating and complaining.\"\u003c\/p\u003e\n\n\u003c!-- ddn:faq:start --\u003e\n\u003ch2 id=\"ddn-faq\"\u003eFrequently Asked Questions\u003c\/h2\u003e\n\u003ch3\u003eIf my father had a heart attack at a young age, am I destined to have one too?\u003c\/h3\u003e\n\u003cp\u003eNo. A family history of early heart disease increases your risk, but it is not a verdict. Experts say lifestyle changes and medical treatment can significantly change your heart health. John Fixx, whose father died of a heart attack at 52, has already outlived him by sticking to daily exercise and a low-fat diet.\u003c\/p\u003e\n\u003ch3\u003eHow much does a family history of heart disease raise my risk?\u003c\/h3\u003e\n\u003cp\u003eHaving a parent with coronary heart disease roughly doubles your risk. The younger your parent was when they had their first heart event, the higher your risk. Doctors use this rule: if your father had a heart attack before age 55, or your mother before 65, your risk is approximately doubled compared to the general population.\u003c\/p\u003e\n\u003ch3\u003eCan exercise alone overcome a strong genetic risk for heart disease?\u003c\/h3\u003e\n\u003cp\u003eExercise helps, but it may not completely outrun your genes. Jim Fixx, a runner and author, died at 52 from a heart attack despite his fitness. However, an autopsy showed his heart was strong from exercise, and his family believes healthy habits added years to his life. A comprehensive approach is safest.\u003c\/p\u003e\n\u003ch3\u003eWhat is pharmacogenetics and how might it help me?\u003c\/h3\u003e\n\u003cp\u003ePharmacogenetics is the study of how genes affect the way people respond to medications. It may predict which drugs will work for you and which won't. For example, people with a certain variant of the CYP2C19 gene do not respond to Plavix, a clot-preventing drug. Their doctor could then consider a different drug strategy.\u003c\/p\u003e\n\u003ch3\u003eDoes knowing my genetic risk motivate me to lower my cholesterol?\u003c\/h3\u003e\n\u003cp\u003eA 2015 study suggests yes. Researchers led by Dr. Kullo compared people who received personal genetic information about heart disease risk with those who got conventional risk scores. After six months, people with high cholesterol who learned their genetic data had lower LDL ('bad') cholesterol, likely because they started lifestyle changes or medication.\u003c\/p\u003e\n\u003ch3\u003eWhat are the most important steps I can take today to protect my heart?\u003c\/h3\u003e\n\u003cp\u003eExperts recommend: don't smoke or quit, eat a low-fat diet with fruits and vegetables, exercise daily, maintain a healthy weight, manage stress, know your family history, and take medications as prescribed for blood pressure, diabetes, or cholesterol. These steps can reduce your risk even if heart disease runs in your family.\u003c\/p\u003e\n\u003ch3\u003eIs genetic testing for heart disease available to patients?\u003c\/h3\u003e\n\u003cp\u003eCurrently, genetic testing for heart disease risk is only done in research studies. However, the Mayo Clinic is developing a test that may become more widely available. Until then, your family history is considered a 'surrogate genomic test'—so talk to your doctor, especially if your father had heart disease before 55 or your mother before 65.\u003c\/p\u003e\n\u003ch3\u003eMy father had a heart attack at 52. Should I get a second opinion about my heart disease risk and treatment options?\u003c\/h3\u003e\n\u003cp\u003eA family history of early heart disease roughly doubles your risk, but it is not a verdict. Lifestyle changes and medications can significantly lower that risk. A second opinion can help you confirm your risk level and explore whether current treatments—such as cholesterol or blood pressure medications—are right for you. It may also clarify if genetic testing or pharmacogenetics could guide drug choices. Diagnostic Detectives Network provides independent expert second opinions.\u003c\/p\u003e\n\u003c!-- ddn:faq:end --\u003e\n\n\u003ch2 id=\"source\"\u003eSource Information\u003c\/h2\u003e\n\n\u003cp\u003e\u003cstrong\u003eOriginal Article:\u003c\/strong\u003e \"Bad genes don't mean you are doomed to heart disease and early death\" (also headlined \"Bad genes don't doom you to heart attack if you fight back\")\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor:\u003c\/strong\u003e Marlene Cimons\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003ePublication:\u003c\/strong\u003e The Washington Post, Health \u0026amp; Science section\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003ePublication Date:\u003c\/strong\u003e February 24, 2018\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eKey Experts Cited:\u003c\/strong\u003e Cashell Jaquish (genetic epidemiologist, NHLBI), Eric B. Rimm (director of cardiovascular epidemiology, Harvard T.H. Chan School of Public Health), Iftikhar Kullo (cardiovascular genetics researcher, Mayo Clinic)\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eData Sources Referenced:\u003c\/strong\u003e Centers for Disease Control and Prevention (CDC), National Heart, Lung, and Blood Institute (NHLBI)\u003c\/p\u003e\n\n\u003cp\u003e\u003cem\u003eThis patient-friendly article is based on peer-reviewed research and expert commentary as presented in the original Washington Post article. It is intended for informational purposes and does not replace personalized medical advice. Always consult your healthcare provider about your individual heart disease risk and treatment options.\u003c\/em\u003e\u003c\/p\u003e","brand":"DiagnosticDetectives.Com","offers":[{"title":"Default Title","offer_id":47459118317724,"sku":null,"price":0.0,"currency_code":"EUR","in_stock":true}],"url":"https:\/\/diagnosticdetectives.com.br\/products\/bad-genes-dont-mean-youre-doomed-to-heart-disease-how-to-fight-back-and-protect-your-heart","provider":"DiagnosticDetectives.Com","version":"1.0","type":"link"}