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Very Low-Density Lipoprotein Cholesterol (VLDL-C)

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

This test measures the amount of cholesterol carried by very low-density lipoproteins (VLDLs) in your blood. VLDLs are a type of lipoprotein that transport fats (lipids) from your liver to other parts of your body.

Quick summary

["Understanding your VLDL cholesterol helps assess your risk for heart disease and high cholesterol."]

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

Key facts at a glance

LOINC
34695-7
Short code
VLDLc/Trigl SerPl-Rto
Synonyms
VLDLc/Trigl SerPl-Rto
Category
glucose
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
100
Fasting
true
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

Why This Test Matters

VLDL cholesterol is an important part of your overall cholesterol profile. While total cholesterol and LDL cholesterol are commonly monitored, VLDL cholesterol can also contribute to plaque buildup in your arteries if levels are too high. This test helps healthcare providers evaluate your risk for cardiovascular conditions.

How the Test Works

Blood is drawn from a vein, typically in your arm. The sample is processed to separate the cholesterol components, including VLDLs. The test measures the concentration of cholesterol in these particles, which are often associated with triglycerides.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if it is being done alongside other lipid tests (like triglycerides or total cholesterol). Let your healthcare provider know about any medications you’re taking, as some may affect results.

What the Results Mean

Results are typically reported alongside other lipid measurements (such as triglycerides and HDL cholesterol). High VLDL levels may indicate an increased risk of developing atherosclerosis or heart disease, especially when combined with other risk factors like obesity, diabetes, or a family history of heart disease.

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.

◆Associated findings1

Short name

VLDL Cholesterol

Frequently asked questions

What causes high VLDL cholesterol?
High VLDL cholesterol can result from factors like poor diet (high in saturated fats and sugars), obesity, physical inactivity, diabetes, or genetic conditions affecting lipid metabolism. Certain medications, such as beta-blockers or steroids, may also influence these levels.
How can I lower my VLDL cholesterol?
Lifestyle changes such as adopting a heart-healthy diet (low in refined sugars and trans fats), increasing physical activity, maintaining a healthy weight, and avoiding smoking can help reduce VLDL cholesterol. Some medications, like fibrates or statins, may also be prescribed to manage elevated levels.
Is VLDL cholesterol tested separately from triglycerides?
Yes, VLDL cholesterol is often measured separately, though it is closely related to triglyceride levels. Some tests may calculate VLDL cholesterol directly from triglyceride measurements, but a standalone VLDL-C test provides a more precise reading for clinical decision-making.
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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