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welcome everyone dr. Mandel here stress poor diet excessive sugars refined foods obesity diabetes high blood pressure are just a few of the things that lead to arterial plaquing the arteries that supply the heart as well as the arteries within your body become plaqued not just from cholesterol they start to plaque when theres inflammation going on within the artery the white blood cells comes in starts doing their job it becomes a toxic mess so the bad cholesterol thats floating throughout your system starts to plaque down because of that inflammation so this silent plaquing continues to grow over time because of your poor living lifestyle this high sugar high alcohol smoking tobacco lots of stress this inflammation continues to attract more of this bad cholesterol now when this plaquing continues to obstruct that blood flow because now the blood flow cant come through as easy it did prior this is where the serious problem starts will occur changing your lifestyle today is most imp