Do you think that high cholesterol is usually a primary etiology of CV disease or is CV disease primary and?

cholestorol is a response to it. Or a combination of both?

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Answer:
I think your lipid profile contributes to your CVD. In the briefest possible way to explain, it is LDL that really becomes the issue. When LDL becomes oxidized, the foam cells that form lead to the cascade of events that damage endothelial walls. The damaged endothelial walls are what lead to plaque formation, and eventually plaque rupture, and thus cardiac events.