So the cardiologist who has my exact same issue (lack of exercise, bad diet, bad genetics, and the resulting bad heart valves not helped by bad sleep apnea) told me I am screwed if I don’t do something physical for a living. People like me but in a white collar job live two years, maybe three. So I am a construction worker and I love it! At my last visit he said I could go twenty or more and also healthy until the end. The key is have a physical job and never retire. People who do retire always proclaim that they will keep “physically busy” for their health but the cardiologist says they almost all die pretty quickly when they retire with cardiac issues. So it’s like being a shark where if you stop swimming then you die but that beats watching retired people with money have their last dance with Mr Alzheimer’s. In the poorer city across the bay, you hear more stories of a blue collar worker dropping of a heart attack or dying in their sleep, and while we all die eventually I would rather be the latter.