A 1999 autopsy study of young adults in the US between the ages of 17 and 34 years of who died from accidents, suicides, and homicides confirmed that coronary artery disease (CAD) is ubiquitous in this age group. The disease process at this stage is too early to cause coronary events but heralds their onset in the decades to follow.[1] These data are similar to those reported in an earlier postmortem analysis of US combat casualties during the Korean conflict, which found early CAD in nearly 80% of soldiers at an average age of 20 years.[2] From these reports, which are 17 and 63 years old, respectively, it is clear that the foundation of CAD is established by the end of high school. Yet, medicine and public health leaders have not taken any steps to forestall or eliminate the early onset of this epidemic. Smoking cessation, a diet with lean meat and low-fat dairy, and exercise are generally advised, but cardiovascular disease (CVD) remains the number one killer of women and men in the US. The question is, why? Unfortunately, such dietary gestures do not treat the primary cause of CVD. The same can be said of commonly prescribed cardiovascular medications such as beta-blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, anticoagulants, aspirin, and cholesterol lowering drugs and medical interventions such as bare metal stents, drug-eluting stents, and coronary artery bypass surgery.