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Cholesterol (Total) in Serum

Published: August 9, 2026Updated: August 17, 2026

This test measures the total amount of cholesterol in your blood serum. Cholesterol is a type of fat that your body needs for many functions, but having too much can increase your risk of heart disease.

Quick summary

["Your blood cholesterol levels help assess heart health risk."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
102240-9
Short code
CLAH IgE
Synonyms
C herbarum IgE RAST
Category
chemistry
Sample
serum
Container
Red-top serum collection tube or serum separator tube (SST)
Units
N/A
Ref low
0
Ref high
0.35
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Radioallergosorbent test (RAST)
CPT
86003
SNOMED
39579001
Specimen volume
1 mL serum (minimum 0.5 mL)
Stability
Stable for 7 days at 2-8°C; stable for 1 month at -20°C; avoid repeated freeze-thaw cycles
Hemolysis max
100
Lipemia max
300
Icterus max
50
TAT
24–72 hours
Order
routine

Why This Test Matters

Cholesterol is a vital substance your body uses to build cell membranes, produce hormones, and make vitamin D. However, too much cholesterol in your blood can build up in your arteries, leading to blockages that may cause heart attacks or strokes. This test helps doctors monitor your cholesterol levels to prevent these health issues.

What to Expect Before the Test

No special preparation is needed for this test. You may have a blood draw from a vein in your arm, similar to other blood tests. If you’re on blood thinners or have a history of bleeding disorders, let your healthcare provider know before the test.

How the Test Works

A small sample of your blood is collected and sent to a lab. The lab uses a chemical method to measure the total cholesterol content in your serum. This includes both low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol, as well as triglycerides.

What the Results Mean

Your results will show your total cholesterol level, but they won’t break it down into LDL, HDL, or triglycerides unless specifically requested. High total cholesterol levels (above normal ranges) may indicate an increased risk of heart disease, while lower levels may suggest better cardiovascular health. Your doctor will interpret these results in the context of your overall health.

Reference range

Negative (≤0.35 kU/L); Class 0: Absent/Undetectable. Classes 1-6 may indicate increasing sensitization.N/A

Specimen: serum

No fasting required. Patient should inform clinician of all current medications, especially antihistamines (though these do not affect IgE antibody levels in serum). Avoid recent blood transfusion if possible.

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 total cholesterol level mean?
A high total cholesterol level may increase your risk of developing heart disease or stroke over time. It can indicate that your body isn’t processing cholesterol efficiently, which may require lifestyle changes, medications, or further testing to manage.
Can low cholesterol levels be harmful?
While low cholesterol levels are generally considered healthy, extremely low levels can sometimes be linked to other health concerns, such as nutritional deficiencies or certain medical conditions. Your doctor will evaluate your results alongside other factors to determine if any follow-up is needed.
How often should I get this test?
Most adults are advised to have their cholesterol checked at least every 4–5 years, or more frequently if you have risk factors like high blood pressure, diabetes, or a family history of heart disease. Your doctor will recommend how often you should get this test based on your individual health needs.
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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 17, 2026. · Read our editorial policy