@leeosteo, a cac score of 0 in late 60s is very impressive! However, since you have a family history of cvd, you might want to consider a thorough evaluation by a cardiologist, as a 0 cac doesn't always show the full picture (like 'soft' plaques, genetic factors and other underlying medical conditions). I’m happy to share the list of labs and tests I had during my evaluation if that helps.

Regarding the breast cancer history, the details of your mom's diagnosis - like her age and the specific type - could matter quite a bit. There are online tools such as the Tyrer-Cuzick model that can help estimate risk, but discussing those details with a knowledgeable physician is really the key.

Whether you choose a traditional doctor or a specialized clinic, getting a second or even a third opinion might be worth it for your own peace of mind.