It might be time for a heart-to-heart about your ticker.

Research shows most people’s cardiovascular health starts to decline before they’re even old enough to vote — yet few young Americans recognize the warning signs .

That means millions are missing a critical window to take action and protect themselves from heart disease, the leading cause of death in the US. 3

The condition is on the rise among adults under 40, with rates more than doubling since 2010.

But the problem often starts much earlier. By age 17, most people’s heart health scores — which consider lifestyle factors like diet and exercise, as well as clinical measures such as blood pressure and weight — have already begun to slip.

“I frequently care for people in their early 20s who are entering adulthood and

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