Even if you've sworn off butter and cheese and your group cycling instructor knows you by name, your heart may still be in jeopardy. “While eating a diet low in saturated fat, exercising regularly, and not smoking play a large role in preventing cardiovascular disease, they’re not the entire story,” says Jennifer H. Mieres, M.D., a spokeswoman for the American Heart Association. In fact, half of heart attack and stroke sufferers have healthy cholesterol levels, according to a recent study in the New England Journal of Medicine.

A growing body of research suggests that there are two other potent risk factors women and their doctors aren’t addressing: borderlinehigh blood pressure and inflammation. “Unfortunately, many physicians overlook these conditions in young women they assume are fit and healthy,” says Mieres.

The longer they go unnoticed, the more damage they can wreak on your cardiovascular system. Thankfully, studies reveal there are a number of ways you can reduce these risk factors. So don’t put off your wellbeing— incorporate these five heart-health boosters into your routine today.