Familial hypercholesterolemia is associated with xanthomas and xanthelasmas, which may indicate a different risk profile for elevated LDL on an animal-based diet.

“don't have xanthoma or xanthelasma which are typical skin manifestations that people with familial hypercholesterolemia get so people with familial hypercholesterolemia especially homozygous familial hypercholesterolemia get levels of cholesterol on par with mine and develop xanthoma and xanthelasma very quickly i don't have any of these manifestations”