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Total Cholesterol

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

This test measures the total amount of cholesterol in your blood, which includes both low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol. Cholesterol is a fatty substance your body needs for cell function but can become harmful if levels are too high.

Quick summary

["Your cholesterol levels help assess heart health and risk of cardiovascular disease."]

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

Key facts at a glance

LOINC
97164-8
Short code
T3 24h Ur-mRate
Synonyms
T3 24h Ur-mRate
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
80
Ref high
200
Critical range
20 N/A – 400 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84436
SNOMED
302346007
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Doctors may order a total cholesterol test to check for risk factors of heart disease, diabetes, or other health conditions. It’s often part of routine check-ups or when symptoms like chest pain, fatigue, or high blood pressure are present. Regular monitoring helps manage long-term health.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 12 hours before the blood draw. Wear a loose shirt for easy access. The test is quick and painless, with a small needle inserted into your arm.

What the Results Mean

While exact ranges vary by lab, higher-than-normal cholesterol levels may indicate a need for lifestyle changes or medication. Lower levels might raise concerns if other health factors are present. Always discuss results with your healthcare provider.

Common Causes of Abnormal Results

High cholesterol can result from diet, genetics, or underlying conditions like obesity or diabetes. Low levels may occur due to medications, liver disease, or malnutrition. Your provider will consider your full medical picture.

Reference range

Adult: 80-200 ng/dLN/A

Specimen: urine

Take your thyroid medication after the blood draw if applicable. No fasting required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Total Cholesterol Level

Frequently asked questions

How often should I get this test?
Typically, adults should get a cholesterol test every 4–5 years, or more often if you have risk factors like high blood pressure, diabetes, or a family history of heart disease. Your doctor will recommend a schedule based on your health status.
What if my cholesterol is borderline high?
Borderline high cholesterol may prompt lifestyle changes like diet and exercise. Your doctor might also recommend follow-up tests or medications to help lower it safely.
Can diet alone lower cholesterol?
Yes! Eating heart-healthy foods (like fruits, vegetables, and whole grains) and reducing saturated fats can help naturally. Avoiding trans fats and limiting processed foods also supports healthier cholesterol levels.
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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