And what causes the accumulation of cholesterol?

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At least two factors. Circulating cholesterol being one of them. Secondly, some level of inflammation that allows the cholesterol to get into the arterial wall. If you eliminate cholesterol, even in the presence of inflammation you theoretically would not develop atherosclerosis.

You’d also be dead. It’s like saying if we take cars off the road nobody will die of a road accident.

Look at the prior two charts I posted, which directly show that lowered fibrinogen results in fewer heart attacks *irrespective* of cholesterol levels.