I have the same diagnosis. I am 64 and have been exercising hard since I was 49. I do P90X/Insanity/RevAbs, lift weights, bike riding, walking, aerobics, yoga, sex, no real limits, just about anything as usual except I'm more careful about an injury. No contact sports or death-defying events. I'm more careful around sharp objects. I still shave the same even though I'm on 20mg daily of Xarelto until doomsday. I had tried Eliquis. It gave me vertigo and ringing in my ears, and I was lethargic. I now function totally normally on Xarelto and exercise every day as I see fit. I don't avoid any foods other than grapefruit and products with grapefruit in them because it lessens the reliability of the Xarelto. I had my kids get tested and they don't appear to have inherited the gene issue. I do wear compression socks when flying, I set my Apple watch to notify me to stand periodically, and I bought a bed undercarriage that allows my legs to be elevated which takes some getting used to when sleeping but it's doable. And there's no conflict with Cialis. 🙂