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Very-Low-Density Lipoprotein (VLDL) Fractions 1 and 2 Cholesterol, Serum/Plasma — Mass Concentration

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

Measures cholesterol in the VLDL-1 and VLDL-2 fractions, which are very-low-density lipoprotein particles that transport triglycerides in the blood.

Quick summary

["This specialized lipid test helps assess triglyceride-rich cholesterol particles that may contribute to cardiovascular risk."]

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

Key facts at a glance

LOINC
49624-0
Short code
VLDL1+2c SerPl-mCnc
Synonyms
VLDL1+2c SerPl-mCnc
Category
lipid
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?

This test measures the amount of cholesterol in two fractions of very-low-density lipoprotein (VLDL), called VLDL-1 and VLDL-2. VLDL particles carry triglycerides through the bloodstream and can eventually become other cholesterol-carrying particles.

Why might I need this test?

It may be ordered as part of an advanced evaluation of high triglycerides, an unusual cholesterol pattern, or an inherited lipid disorder. Results may be considered along with triglycerides, HDL cholesterol, LDL cholesterol, and overall cardiovascular risk.

How is the test performed?

A blood sample is collected, and the serum or plasma is analyzed to determine the mass concentration of cholesterol in the VLDL-1 and VLDL-2 fractions. Some laboratories may calculate or estimate these values from other lipid measurements.

How do I prepare for the test?

Fasting is not always required, but your clinician or laboratory may ask you to fast, especially when triglycerides are being evaluated. Follow the instructions provided with the test order and tell the laboratory if you recently ate.

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.

Elevated VLDL fraction cholesterol can be associated with high triglycerides, insulin resistance or diabetes, kidney disease, and inherited lipid disorders, and it may increase cardiovascular risk. Results should be interpreted with the rest of the lipid panel because VLDL particles exchange lipids with HDL and LDL. A low result is generally less clinically important, but it should still be reviewed with your clinician.

Short name

VLDL Fraction Cholesterol

Frequently asked questions

Is this the same as an LDL cholesterol test?
No. LDL and VLDL are different classes of cholesterol-carrying particles. VLDL is richer in triglycerides, while LDL is the type most commonly described as "bad" cholesterol.
Do I need to fast before this test?
It depends on the laboratory's instructions. Fasting may be requested when triglycerides or other lipid values are also being evaluated.
What can cause elevated VLDL fraction cholesterol?
Common possibilities include high triglycerides, metabolic syndrome, diabetes, kidney or thyroid disease, and certain inherited lipid disorders. Your clinician will interpret the result in light of your health history and other laboratory tests.
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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