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Very large increase in TGs causes pancreatitis.
Apo B-100: Type II familial hypercholesterolemia, increases mostly LDL which increases cholesterol
Apo E: Decreased remnant uptake, which increases mostly chylomicrons and VLDL, but it's milder so no pancreatitis.
HSL: deficiency would decrease TGs, not increase
LDL receptor: Type II hypercholesterolemia also
So lipoprotein lipase deficiency is the anser, which causes large increase in chylomicrons and TGs, leading to pancreatitis and has a creamy layer in supernatant.