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Total Lipid Profile (including LDL Cholesterol) with Direct Measurement of LDL Cholesterol

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

This test measures your total cholesterol and directly assesses low-density lipoprotein (LDL) cholesterol, both key indicators of heart health. LDL cholesterol is often called the 'bad' cholesterol because it can build up in your arteries over time.

Quick summary

["This test helps evaluate your risk for heart disease by identifying high cholesterol levels that may require lifestyle or medical interventions."]

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

Key facts at a glance

LOINC
57993-8
Short code
L destructor IgE/IgE total %
Synonyms
L destructor IgE/IgE total %
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

This test matters for your heart health because it measures the amount of cholesterol and other fats circulating in your blood, helping you and your doctor understand your risk of heart attack, stroke, and other cardiovascular problems.

High levels of LDL cholesterol can contribute to plaque buildup in your arteries, increasing the risk of heart attack or stroke. This test helps doctors monitor your cholesterol status and guide treatment plans.

The test works by collecting a small sample of your blood, usually from a vein in your arm, and sending it to a laboratory where your LDL cholesterol, HDL cholesterol, triglycerides, and total cholesterol levels are measured.

Your blood sample is analyzed to measure total cholesterol (the sum of LDL, HDL, and triglycerides) and LDL cholesterol directly. The LDL measurement is often done using a specialized method to avoid potential errors from other cholesterol fractions.

Before the test, your doctor may ask you to fast for nine to twelve hours, which means avoiding all food and drinks except water. Be sure to tell your care team about any prescription medications, vitamins, or supplements you currently take.

No special preparation is needed, but you may be asked to fast for 12 hours before the test if triglycerides are also being measured. Wear comfortable clothing for blood draws.

Common causes for testing include a family history of heart disease, high blood pressure, diabetes, smoking, obesity, or a previous result that showed unhealthy cholesterol levels. Many adults also receive this test as part of a routine health screening.

Doctors may order this test if you have a family history of heart disease, high cholesterol, or other risk factors like high blood pressure or diabetes. It’s also part of routine check-ups for adults.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

LDL Cholesterol (Direct) + Total Cholesterol

Frequently asked questions

What does a high or low LDL cholesterol level mean?
How often should I have this cholesterol test to keep track of my heart health over time?
Can diet or exercise change LDL cholesterol levels?
What steps should I take if my LDL cholesterol level turns out to be too high on my results?
Does this test include HDL cholesterol?
No, this test specifically measures LDL cholesterol and total cholesterol. HDL cholesterol is often measured separately as part of a broader lipid panel.
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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