because the canceled effect doesn't apply to these residents. These residents have normal blood sugar, not very low blood sugar levels. D is correct because we are told that these residents have this blood protein that prevents vascular blockage, and vascular blockage causes cardiovascular disease. So this protein is the reason why they can have high cholesterol levels yet no cardiovascular disease.
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because the canceled effect doesn't apply to these residents. These residents have normal blood sugar, not very low blood sugar levels. D is correct because we are told that these residents have this blood protein that prevents vascular blockage, and vascular blockage causes cardiovascular disease. So this protein is the reason why they can have high cholesterol levels yet no cardiovascular disease.