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When we eat food, dietary fats are broken down and absorbed in the small intestine. Inside intestinal cells, they are packed into chylomicrons (a type of lipoprotein). Chylomicrons reach the bloodstream where they are broken down. The chylomicron remnants are taken up by the liver via receptor-mediated endocytosis and processed. The liver then synthesizes and releases very-low-density lipoproteins (VLDL), which are converted into LDL in the bloodstream.
Excess LDL is taken up by the liver and other cells via LDL receptors for breakdown or storage. If excess LDL is not cleared efficiently, it accumulates in blood vessels, leading to the formation of atherosclerotic plaques and increasing the risk of cardiovascular diseases.