You don’t need a family history to be at risk. Factors include:
- Age 45 and older
- Family history of colon or rectal cancer
- Diet high in red or processed meats
- Low fiber intake
- Smoking or heavy alcohol use
- Obesity and lack of physical activity
- Type 2 diabetes
- Inflammatory bowel disease
And here’s the curveball: rates are rising in younger adults, which is why screening guidelines now recommend starting at age 45 for average-risk individuals.





