For the last two decades, a controversy has raged between scientists over the role cholesterol plays in the causation of cardiovascular disease (CVD). This dispute, which has often taken on a bitter tone, still continues and has so far failed to produce any results beneficial to patients. In my opinion high cholesterol concentration is more a symptom of a deterioration in circulation than a factor causing CVD. This is certainly the case where raised cholesterol levels exist together with other pathological changes, and where all these abnormalities can be counteracted by an anabolic factor. I therefore oppose those scientists who consider an increased level of cholesterol to be the cause of CVD.