In individuals with low fasting insulin and low visceral fat, higher ApoB levels may not correlate with increased atherosclerosis.

“if you have a low fasting insulin if you have a six pack or even if you don't have a six-pack but you know you don't have a lot of visceral fat I don't think the same process of pulling that LDL into that endothelium into that sub-intominal layer of the arterial wall is happening and in that population of people more April B does not necessarily mean more atherosclerosis”