When you see somebody that s with high clusteral, do you treat the clustral first? O you look to see what may be causing the cllusteral to be elevated. This is a woman who is now in her late fifties, who runs total clustrals well into the five and 600. She has used, when i first met her, she had an l d callestral of 469. And we have very sophisticated ways of now measuring whether unclesterall is activated,. Whether it's sticky, whether it wants to stick to blood vessels.