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Very Low-Density Lipoprotein Cholesterol (VLDL-C) Concentration

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

This test measures the amount of cholesterol carried in very low-density lipoprotein (VLDL), a type of fat particle in your blood that plays a role in heart health.

Quick summary

["VLDL cholesterol helps assess your risk for cardiovascular disease by reflecting how much cholesterol your body produces and transports."]

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

Key facts at a glance

LOINC
92721-0
Short code
VLDL medium Ser-sCnc
Synonyms
VLDL medium Ser-sCnc
Category
chemistry
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 Does This Test Measure?

VLDL cholesterol is one of several types of lipoproteins (fat-protein complexes) in your blood. It contains triglycerides and cholesterol, which are essential for cell function but can become harmful if levels are too high. This test specifically quantifies the concentration of cholesterol associated with VLDL particles, which are smaller and less dense than other lipoproteins like LDL (low-density lipoprotein).

Why Might You Need This Test?

Your healthcare provider may order this test if you have a family history of high cholesterol, heart disease, or other risk factors for cardiovascular issues. It may also be part of routine lipid panel testing to monitor overall cholesterol health, especially if you have conditions like diabetes or obesity.

How Is This Test Performed?

A blood sample is drawn from a vein, usually in your arm. The sample is then processed to separate and measure the cholesterol content in the VLDL fraction. Results are typically reported as a mass concentration in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L), depending on the lab’s standard.

What Do Results Mean?

Interpreting results requires clinical context. While high VLDL cholesterol can increase the risk of plaque buildup in arteries, individual risk is influenced by other factors like diet, exercise, and overall health. Your provider will discuss findings with you in relation to your medical history and other test results.

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 changes in VLDL cholesterol levels?
VLDL cholesterol levels can be influenced by diet (e.g., high intake of saturated fats or sugars), physical activity, genetics, and underlying health conditions like diabetes or kidney disease. Certain medications, such as beta-blockers or steroids, may also affect these levels.
How can I lower my VLDL cholesterol?
Lifestyle changes such as adopting a heart-healthy diet (e.g., Mediterranean diet), increasing physical activity, maintaining a healthy weight, and avoiding smoking can help lower VLDL cholesterol. Your provider may also recommend medications like statins or fibrates if needed.
Yes, this test is often included in a comprehensive lipid panel, which may also measure total cholesterol, HDL (good cholesterol), LDL cholesterol, and triglycerides. These results together provide a full picture of your lipid profile and cardiovascular risk.
If your results indicate elevated VLDL cholesterol, your healthcare provider will review your overall health and recommend next steps, which may include dietary adjustments, exercise plans, or further testing. Follow-up may also involve monitoring other risk factors like blood pressure and blood sugar 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 16, 2026. · Read our editorial policy