so in cardiovascular disease when we sit here and talk about modifiable risk factors like lipids smoking blood pressure all these things that virtually accounts for the entirety of the disease in cancer when we talk about the modal modifiable risk factors it doesn't even account for half of it so it's free money don't leave it on the table don't make unforced errors don't smoke and be metabolically healthy but you don't want to leave it at that there's still way too great a chance that you're going to end up getting cancer um relative to you know if you just take the approach of well I've taken care of those things therefore I've done everything I can so the missing link how we bridge that Gap has to be through aggressive screening