Oxalate circulating from the liver is pumped by the heart to the lungs and back, leading to full exposure of critical organs to oxalate, causing inflammation and damage.

“and then the oxalate moves from your liver to your heart it's only a couple inches from your liver to your heart and then the heart's going to pump that oxalate into the lungs for oxygen and then back into the heart so there's no clearance if the body hasn't removed any of the oxalate it's just pulled it into the bloodstream and your organs of critical life essential organs your liver your heart and your lungs get fully exposed to all this oxalate that you're eating so there's those are areas where you're likely to see inflammation damage over the short term and the long term and um wear and tear that you don't want from oxalate”