Paul Saladino· MD
these LDL particles can essentially get stuck in circulation where they get smaller the odds of them becoming oxidized increases or modified by sugar you know glycated for example and they become pro-inflammatory so they become smaller they are more easily able to lodge themselves in the endothelium macrophages check them out there modify their in front pro-inflammatory they adhere to the you know endothelial wall and that's where you start to develop a foam cell