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Serum or plasma cholesterol (total)

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

This test measures the total amount of cholesterol in your blood, including both the cholesterol carried by low-density lipoproteins (LDL) and high-density lipoproteins (HDL). Cholesterol is a waxy substance your body needs to function, but high levels can increase your risk of heart disease.

Quick summary

["Your cholesterol levels help assess your heart health risk and guide lifestyle or treatment recommendations."]

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

Key facts at a glance

LOINC
48207-5
Short code
Egg Yolk LR-mCnc
Synonyms
Egg Yolk LR-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Does This Test Measure?

Cholesterol is a type of fat found in your blood, essential for cell membranes and hormone production. Your body produces some cholesterol naturally, but it’s also obtained from dietary sources like animal products. This test quantifies the total cholesterol in your serum or plasma sample, combining cholesterol bound to proteins (lipoproteins) in your bloodstream.

Why Is This Test Important?

High cholesterol levels can lead to plaque buildup in your arteries, increasing the risk of heart attack or stroke. While this test alone doesn’t diagnose heart disease, it’s a key part of a broader cardiovascular risk assessment.

How Is This Test Performed?

A blood sample is drawn from a vein, usually in your arm. The sample is then processed to separate serum (if drawn without anticoagulants) or plasma (if drawn with anticoagulants) for analysis. The cholesterol is measured using a highly sensitive laboratory method, often automated and standardized to ensure accuracy.

What Are Common Causes of Abnormal Results?

Elevated cholesterol may result from genetics, poor diet (high in saturated or trans fats), lack of physical activity, obesity, or certain medical conditions like diabetes or hypothyroidism. Low cholesterol may occur with certain medications, liver disease, or malnutrition.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Total Cholesterol

Frequently asked questions

How often should I get this test?
Most healthcare providers recommend cholesterol screening every 4–5 years for adults aged 20 or older, or more frequently if you have risk factors like high blood pressure, diabetes, or a family history of heart disease. Your doctor may suggest more frequent testing if you have known cardiovascular risk factors.
What do my results mean?
Results are typically reported as a single total cholesterol number (e.g., 200 mg/dL), but they’re most useful when combined with other lipid measurements (like LDL, HDL, and triglycerides) for a full lipid profile. A total cholesterol level above 200 mg/dL is considered borderline high, and levels above 240 mg/dL are classified as high. Your doctor will interpret results in the context of your overall health.
Can diet or lifestyle changes affect this test?
Yes! Dietary changes (reducing saturated fats, increasing fiber-rich foods like oats or beans), regular exercise, and maintaining a healthy weight can significantly lower cholesterol levels. Some medications, like statins, may also be prescribed to help manage cholesterol.
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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