I have a family history of it, but haven't developed it myself (crosses fingers).
But watching multiple members f my family with it for a long time (decades now, I guess) really they just watch their diet. And it isn't like they are picky eaters. More like they make sure they eat 3 balanced meals and while they do break their diet on occasion I've never seen them agonize over it. They just know that once in a while (on the hunting trip, Christmas dinner, etc) they enjoy what they want and then they resume their regular diet the next day. And that side of my family have all outlived my grandparents and are still going strong.
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