Last October, while delivering his presidential address at the annual meeting, the President of the American Heart Association had a heart attack and underwent emergency coronary intervention. He explained that his risk is ‘genetic.” Over the past couple of years, we have accumulated large bodies of data that strongly suggest the power of lifestyle and healthy eating. Even in the setting of high genetic risk, the clinical event rate can be lowered by as much as 50% with healthy eating and lifestyle choices. So, DNA is not destiny. Even if our fate is written in DNA, it is written in pencil. As the famous saying goes, it frequently is our dinner not the DNA.