Peter Attia· MD
and this is a rare genetic thing where this cholesterol trafficking pattern is disrupted in certain ways something's wrong with that pathway because that HDL should be getting rid of its cholesterol and should be bringing ball back to some place so this person would have to have incredibly massive HDL particles that are carrying way more cholesterol particles per HDL particle than it should be and it turns out and they're not being cleared as much as issue so this is going to turn out to be cholesterol rich HDL particles that don't have a protein it's very integral with clearing age hills and say bowie again so if you don't have a bowie on your HDL s they might become very cholesterol richer HDL cholesterol through the roof those are incredibly dysfunctional HDLs and part of their dysfunction is they're probably carrying the wrong type of phospholipids and are not carrying the type of protective proteins that an HDL should be carrying because when you have a surface area it's that's big the proteins that should be binding to it no longer binds because it's