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And possibly stress. I know a guy who bikes and kayaks tens of miles a week, eats an incredibly healthy diet, and still had to have the angioplasty. _And_ it didn't stick, and he needed open-heart after that. He is the most intense person there is. He can get overly excited opening a can of beans. On therapy, the second time around, they concentrated less on his physical condition and more on just getting him to calm down.
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