Paul Saladino· MD
I would posit my hypothesis would be that the initiator of atherosclerosis for many people is insulin resistance
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I would posit my hypothesis would be that the initiator of atherosclerosis for many people is insulin resistance
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if they're not insulin resistant they're not going to develop atherosclerosis
atheroma related atherosclerosis does not occur independent of insulin resistance
I don't think there's a significant amount of cardiovascular disease that's clinically meaningful for humans that happens independent of insulin resistance.
I don't think that clinically meaningful atherosclerosis except for maybe a few genetic conditions we can talk about those you know familial you know like like this you know like um what am I thinking about FH or done again lipodystrophy you know um but that but those people are insulin resistant as I you know by default anyway so I don't think a lot of cardiovascular disease I don't think there's a significant amount of cardiovascular disease that's clinically meaningful for humans that happens in the pendant of insulin resistance