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Large High-Density Lipoprotein Cholesterol, Serum/Plasma — Substance Concentration

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

Measures the amount of cholesterol carried in the large high-density lipoprotein (HDL) fraction of blood.

Quick summary

["This test shows how much cholesterol is present in the large HDL particle group, which is part of the body's cholesterol transport system."]

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

Key facts at a glance

LOINC
43729-3
Short code
HLD.large SerPl-sCnc
Synonyms
HLD.large SerPl-sCnc
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
100
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83721
SNOMED
113079007
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 is this test?

High-density lipoprotein (HDL) is a family of particles that carry cholesterol through the bloodstream. This test measures cholesterol in the large HDL fraction, sometimes called HDL2, using a blood sample.

Why might I need this test?

This measurement may be used to evaluate the distribution of HDL particles and help assess cardiovascular risk. It is often interpreted with a complete lipid profile and other cardiovascular risk factors.

How is the test performed?

A blood sample is collected, and the laboratory separates or measures the large HDL fraction to determine its cholesterol concentration. The result is usually reported as a concentration, but units and reference intervals depend on the laboratory.

How do I prepare for the test?

Follow your clinician's instructions about fasting. Some lipid tests are performed after an overnight fast, while others do not require fasting. Drinking water is generally acceptable unless your clinician has given different instructions.

Reference range

Optimal: <100 mg/dLN/A

Specimen: serum

Fasting for 12-14 hours preferred. Water is permitted. Avoid alcohol for 24 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Different large-HDL cholesterol concentrations can occur with changes in lipid metabolism, weight, diabetes, kidney or liver disease, and medication use. A higher or lower value does not by itself diagnose heart disease, so it should be interpreted with the complete lipid profile and your overall cardiovascular risk.

Short name

Large HDL cholesterol

Frequently asked questions

Is this the same as a standard HDL cholesterol test?
Not necessarily. A standard HDL cholesterol result may include several sizes of HDL particles, while this test specifically measures cholesterol in the large HDL fraction.
Does the test require fasting?
Fasting requirements vary. Ask your clinician or the laboratory whether you should fast before the test, especially if it is being ordered with other lipid measurements.
What does a high or low result mean?
It reflects the amount of cholesterol in large HDL particles, but it does not independently determine cardiovascular risk. Your clinician will interpret it with other cholesterol measurements, medical history, and risk factors.
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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