Skip to content

Total Cholesterol (Serum)

Published: August 9, 2026Updated: August 16, 2026

This test measures the total amount of cholesterol in your blood, a key part of your lipid profile that helps assess heart and vascular health.

Quick summary

["Cholesterol levels help determine your risk for heart disease and other cardiovascular conditions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
38255-6
Short code
CATDANDER
Synonyms
Cat Dander IgE/IgE total %
Category
chemistry
Sample
serum
Container
Red-top serum tube or serum separator tube (SST)
Units
N/A
Ref low
0
Ref high
0.35
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Immunoassay (Fluorescent Enzyme Immunoassay / FEIA or Chemiluminescent Immunoassay / CLIA)
CPT
86003
SNOMED
39579002
Specimen volume
1.0 mL serum (minimum 0.5 mL)
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 1 month. Avoid repeated freeze-thaw cycles.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

Why It Matters in Your Health

Cholesterol is a waxy substance your body needs to produce hormones, vitamin D, and cell membranes. However, high cholesterol levels can lead to plaque buildup in your arteries, increasing the risk of heart disease or stroke. Your doctor may recommend this test if you have a family history of high cholesterol, risk factors like high blood pressure or diabetes, or if you’re over age 20.

How the Test Works

A small blood sample is drawn from your arm and sent to a lab. The cholesterol in your serum (liquid part of blood without blood cells) is measured using a chemical method that detects the total cholesterol content.

What to Expect Before the Test

No special preparation is needed for this test. You may eat and drink normally before your blood draw. If you’re on certain medications (like cholesterol-lowering drugs), let your healthcare provider know before your appointment.

What to Expect After the Test

After your blood is drawn, you’ll likely feel a slight pinch or discomfort for a few seconds. A bandage will cover the site, and you can resume normal activities immediately. Results are typically ready within a few days and shared with your doctor.

Reference range

Negative: <0.35 kU/L; Equivocal: 0.35-0.69 kU/L; Positive: 0.70-3.49 kU/L (Low), 3.50-17.49 kU/L (Moderate), 17.50-49.99 kU/L (High), 50.00-99.99 kU/L (Very High), ≥100 kU/L (Very High). Total IgE reference range: 0-100 kU/L (adults), age-dependent in pediatric populations.N/A

Specimen: serum

No fasting required. Patients should inform their healthcare provider of all current medications, including antihistamines, as these do not typically affect IgE antibody levels but underlying allergic conditions may. Avoid recent immunotherapy injections if monitoring treatment response.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Total Cholesterol

Frequently asked questions

What does a high or low cholesterol level mean for my health?
High cholesterol levels may increase your risk of developing heart disease or having a stroke over time. Your doctor may recommend lifestyle changes, medications, or further testing if your results are elevated. Low cholesterol levels may indicate an underlying health issue, such as liver disease or malnutrition, so it’s important to discuss results with your provider.
Can diet or exercise affect cholesterol levels?
Yes, diet and exercise play a major role in cholesterol management. Eating foods low in saturated and trans fats, increasing fiber intake, and engaging in regular physical activity can help improve cholesterol levels. Your doctor may suggest specific dietary plans or exercise routines based on your results.
How often should I get this test?
Your doctor will determine how often you need this test based on your age, overall health, and risk factors. Typically, adults over 20 are advised to get a cholesterol screening every 4–5 years. If you have risk factors, you may need more frequent testing.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy