There is the alternative observation that sometimes the effect of harmful things is based on the frequency and length of exposure, not so much its magnitude.
Compare with the CTE, where a few bone-crushing traumas do not seem to cause it, but chronic long-term low grade impacts is more likely to cause it.
Another example, I probably could eat a massive amount of processed meat a few times without much ill effect, but years of eating moderate amounts might do you in.
I bet there's overlap there with conditions that aren't directly caused by external damage... but by the body's dysregulated reaction to it.