>> a plastic pellet is just going to pass straight through my digestive system
Through the mechanical grinding action of weather and tides (the same mechanisms that make sand out of rock and coral), these chunks can become much much smaller, small enough to cross the intestine into the bloodstream and small enough to cross the blood brain barrier or pass up your nose, lodging in your brain.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10141840/
https://jamanetwork.com/journals/jamanetworkopen/fullarticle...
So do many other particles flying in the air and getting into water. Just imagine what that little dust from ground sand does ...
...and where they'll just do absolutely nothing.
It's a pity the parent commenter led with that point. Their second point, that the overwhelming majority of ocean plastic pollution comes from those two sources, remains valid (albeit I'm not sure if it's actually true but it certainly seems feasible).