Total Cholesterol: What It Is and What Your Results Mean
Bottom line: Total cholesterol combines LDL, HDL, and VLDL. Below 200 mg/dL is desirable. Best interpreted alongside a full lipid panel.
What Is Total Cholesterol?
Total cholesterol is the overall amount of cholesterol in your blood, including LDL, HDL, and VLDL cholesterol. It provides a broad snapshot of your cholesterol status.
While total cholesterol is useful as a screening tool, it does not tell the full story. A person can have high total cholesterol because their HDL (good cholesterol) is very high, which is actually protective. Conversely, someone with normal total cholesterol could have dangerously high LDL.
For this reason, total cholesterol is best interpreted alongside a complete lipid panel that breaks down LDL, HDL, and triglycerides separately.
Total Cholesterol Reference Ranges
| Classification | Range (mg/dL) |
|---|---|
| Low | Below 150 |
| Desirable | 150 - 199 |
| Borderline High | 200 - 239 |
| High | 240 - 299 |
| Very High | 300 - 500 |
What Affects Your Total Cholesterol Levels?
- Diet, particularly saturated fat and dietary cholesterol
- Physical activity and exercise habits
- Body weight and fat distribution
- Age (cholesterol tends to increase with age)
- Genetics and family history
- Certain medications and medical conditions
When to Get Tested
All adults should have a lipid panel including total cholesterol every 4-6 years starting at age 20. More frequent testing is recommended for those with risk factors for cardiovascular disease.
Look Up Your Total Cholesterol Result
Select your value below to see a detailed breakdown of what it means:
Low
Desirable
Borderline High
High
Very High
Read the Full Cholesterol Guide
Frequently Asked Questions
Below 200 mg/dL is desirable. 200-239 mg/dL is borderline high. 240 mg/dL and above is considered high. However, the breakdown of LDL and HDL matters more than the total number.
LDL cholesterol is generally considered more important for assessing cardiovascular risk. Total cholesterol can be misleading because it includes HDL, which is protective.
Cholesterol below 150 mg/dL is uncommon and may be associated with certain health conditions. Discuss very low readings with your doctor.