Paul Saladino· MD
these chylomicron remnants are taken up at the liver now you also see free fatty acids going into the liver insulin is connected with free fatty acids i will discuss that shortly in regard to dunigan familial hyperlipidestrophy so remember that free fatty acids are connected with insulin specifically the actions of insulin stem they stop the flow of free fatty acids into the bloodstream free fatty acids can go into the liver and then the liver makes the next buses think of the liver as the bus station these are buses kyla microns calamitron remnants are buses coming into a city let's call it chicago for lack of a better city whatever you city you want and there's a bus station in chicago there are passengers on the buses cholesterol ester and triglycerides they get on and off the buses before you even get to the bus station in chicago some of the passengers get off the bus and go to hdl from the kylo micron remnant and some passengers get on but a lot of the passengers most of the passengers get onto the big bus as you eat food and it goes to the bus station in the liver then the liver sends out a bust called the ldl very low density lipoprotein