这位心脏外科手术医生关于胆固醇的观点主要如下

1. Insulin Resistance (胰岛素抵抗) is the primary driver of heart desease rather than chelesterol levels alone. Many people are misled into thinking that high cholesterol is the major risk factor for heart desease, but in reality, insulin resistance and the underlying metabolic dysfunction are much more important. 

2. Cholesterol itself is not the direct cause of atherosclerosis (动脉粥样硬化). Instead, insulin resistance leads to the production of small, dense LDL particles. These small LDL particles are more likely to contribute to plaque formation. Therefore, it's not just the overall cholesterol number that matters, but the type of cholesterol particles. 

 

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