Total cholesterol — lab reference
In the reference guideScreening measure, not a stand-alone treatment target.
THE PURSER WELLNESS LIBRARY
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What’s searchable?Screening measure, not a stand-alone treatment target.
Correct for albumin when appropriate or measure ionized calcium.
Fasting, Gilbert syndrome, hemolysis, and liver disease may alter result.
Review albumin, globulin, and electrophoresis when indicated.
Risk-based goals may be <100, <70, or <55 depending on primary/secondary prevention risk.
Higher HDL is not always protective; interpret within the entire risk profile.
Risk-based goals may be lower; useful when triglycerides are elevated.
Often calculated. Less reliable when triglycerides are markedly elevated.
Affected by thyroid-binding globulin, pregnancy, estrogen, and medications.
Affected by binding proteins and nonthyroidal illness.
Interpret with iron, transferrin saturation, and ferritin.
No universal wellness target. Interpret with B12, folate, B6, kidney, thyroid, genetics, and medications.
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