If it's all about spending energy, we can do this without exercise, we can just eat more. So that's not it.
The view that atherosclerosis is a disease, and that people should suffer from it, is refuted here with that study. They have the disease, but no not suffer from it. Therefore it's not a disease, therefore it must be something else.
I propose that atherosclerosis is merely the telltale of repairs. When skin is injured and repaired for example, there is a clear indication of that injury and repair. We call it a scar. As arteries are injured and repaired, there will also be something similar left over from the injury and the repair. Tissue injuries and repairs are not invisible.
That we consider it a disease today could be due to our belief that what kills us is an injury, on which a repair is attempted upon, and that repair attempt results in a blood clot, which then blocks the artery, and heart failure follows. The problem here is that this study tells us that there has been injury and repair, but no blood clot, and no heart failure. This further refutes the idea that atherosclerosis is a disease, and further confirms the idea that it is merely the telltale of injury and repair.
The real culprit is probably an agent which accelerates the rate of injury, and another or the same agent which accelerates the clotting process. I put my money on carbs and insulin. Insulin acts to push glucose inside cells. Glucose binds with proteins to produce AGEs, inside cells and in the bloodstream. Insulin also works to increase plasma lipids thereby making the blood more viscous, thereby hampering blood flow, and perhaps allowing the clotting process to occur quicker or longer locally.
If proteins are glycated, they don't work as well, this may decrease the rate of repair, and allow more foreign agents to enter the injury site before it is repaired. This would result in a larger injury. A more viscous blood would reduce blood flow, and allow larger clots to form, and increase the chance of blockage.
The study also points out that arteries grow wider to accommodate the atherosclerosis. It's possible that this growth is inhibited by the same agent I'm talking about. If that's true, then it further refutes the idea that atherosclerosis is a disease. Scars are not a disease, but if you keep cutting on the same spot for fifty years, something's going to fail.
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