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Total Cholesterol (Serum)

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

This test measures the total amount of cholesterol in your blood serum. Cholesterol is a type of fat that your body needs for healthy cell function, but high levels can increase your risk of heart disease.

Quick summary

["Your cholesterol levels help assess your risk for heart disease and other health conditions."]

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

Key facts at a glance

LOINC
57933-4
Short code
CHEESEMOLD
Synonyms
Cheese Mold IgE/IgE total %
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top vacutainer tube
Units
N/A
Ref low
0
Ref high
0.35
Fasting
false
Population
adult
Sex
all
Age range
1–99 years
Method
Fluorescent Enzyme Immunoassay (FEIA) / ImmunoCAP
CPT
86003
SNOMED
39513007
Specimen volume
1 mL serum (minimum 0.5 mL)
Stability
Serum stable at room temperature for 8 hours; refrigerated (2-8°C) for 7 days; frozen (-20°C or below) for up to 1 year. Avoid repeated freeze-thaw cycles.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

Why This Test Is Done

Doctors may order a total cholesterol test to monitor your heart health, especially if you have risk factors like high blood pressure, diabetes, a family history of heart disease, or if you’re planning to take medications that affect cholesterol.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 12 hours before the test if your doctor recommends it. Bring any medications you’re currently taking to your appointment.

How the Test Works

A blood sample is taken from a vein in your arm. The blood is then sent to a lab where it’s analyzed to measure cholesterol levels.

What the Results Mean

Results are typically reported as a single number (total cholesterol) and may be used alongside other tests (like HDL or LDL) to assess your risk. Your doctor will interpret the results in the context of your overall health.

Reference range

IgE total: <100 IU/mL (adult); Specific IgE antibody: <0.35 kU/L (Class 0 - Negative); 0.35-0.70 kU/L (Class 1 - Low); 0.71-3.50 kU/L (Class 2 - Moderate); 3.51-17.50 kU/L (Class 3 - High); 17.51-50.00 kU/L (Class 4 - Very High); 50.01-100.00 kU/L (Class 5 - Very High); >100.00 kU/L (Class 6 - Very High)N/A

Specimen: serum

No fasting required. Patient should discontinue antihistamine medications only if directed by ordering physician; however, antihistamines do not affect IgE antibody levels. Avoid sample collection during active infection or acute illness if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Total Cholesterol

Frequently asked questions

High cholesterol levels can contribute to plaque buildup in your arteries, increasing the risk of heart attack or stroke. Your doctor may recommend lifestyle changes, medications, or further testing if levels are elevated.
What does a high total cholesterol level mean?
A high total cholesterol level may indicate an increased risk of heart disease or other cardiovascular issues. Your doctor will discuss your results and next steps, such as diet, exercise, or medication, based on your overall health.
Can diet affect cholesterol test results?
Yes, diet can influence cholesterol levels. Fasting before the test helps provide a more accurate reading, but eating a standard diet the day before won’t affect the test itself. Your doctor may recommend dietary changes if your results are high.
Your doctor will determine how often you need this test based on your health status, risk factors, and medical history. Regular monitoring is often recommended for people with risk factors for heart disease.
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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