Name: Complete Cholesterol Balance Test
SKU: BHD_501
Availability: OutOfStock

What is the Cholesterol Balance Test by Boston Heart?

The Boston Heart Cholesterol Balance Test is a specialized blood test that measures various markers to show how cholesterol is made and absorbed by your body. This test provides a comprehensive view of how your body manages cholesterol, including markers such as desmosterol, lathosterol, campesterol, and beta-sitosterol.

Why is This Test Important?

Understanding your cholesterol balance is crucial for assessing cardiovascular health. This test may help identify whether your body is absorbing too much cholesterol from your diet or producing too much cholesterol. Such insights may guide personalized treatment plans to manage cholesterol levels more effectively and reduce the risk of heart disease.

Why Should You Consider Ordering this Test?

Consider ordering this test if you have a family history of heart disease, high cholesterol levels despite dietary changes, or if you’re looking for a detailed analysis of your cholesterol metabolism. This test may help you and your healthcare provider develop a tailored plan to improve your heart health and overall well-being. It is also important to reach out to your doctor if you are experiencing any signs and symptoms.

The Boston Heart cholesterol balance panel is often ordered along with the Advanced Cholesterol Panel

Labs Included in Your Order

Test Name	Reference Ranges	High and Low Levels Meaning
Lathosterol	Optimal: <85 Borderline: 85-125 High: >125	High: High levels of lathosterol indicate liver cholesterol overproduction, which is associated with higher LDL-C and increased CVD risk. Low: Low levels of lathosterol are generally not a concern.
Desmosterol	Optimal: <65 Borderline: 65-75 High: >75	High: High levels of desmosterol show liver cholesterol overproduction, which is associated with higher LDL-C and increased CVD risk. Low: Low levels of desmosterol are generally not a concern.
Beta-sitosterol	Optimal: <115 Borderline: 115-155 High: >155	High: High levels of beta-sitosterol indicate gut cholesterol overabsorption, which is associated with higher LDL-C and increased CVD risk. Low: Low levels of beta-sitosterol are generally not a concern.
Campesterol	Optimal: <170 Borderline: 170-230 High: >230	High: High levels of campesterol indicate gut cholesterol overabsorption, which is associated with higher LDL-C and increased CVD risk. Low: Low levels of campesterol are generally not a concern.
Cholesterol Balance Score	Over Absorber: <0.5 Balanced: 0.5-1.1 Over Producer: >1.1	High: High cholesterol balance score indicates overproduction of liver cholesterol. Low: Low cholesterol balance score indicates overabsorption of gut cholesterol.

Boston Heart Cholesterol Balance Test FAQ

What is the Cholesterol Balance Test for?

This test is designed to assess cholesterol metabolism by measuring markers of cholesterol production and absorption. It may help determine whether your body is producing too much cholesterol or absorbing too much from your diet.

What do low and high levels mean?

High levels of production markers (lathosterol, desmosterol) indicate overproduction of cholesterol, which is linked to higher LDL-C and increased cardiovascular disease risk. High levels of absorption markers (beta-sitosterol, campesterol) indicate overabsorption of cholesterol, also associated with higher LDL-C and cardiovascular disease risk. Low levels are generally not a concern.

What are the signs and symptoms of cholesterol imbalance?

There are usually no symptoms of high cholesterol, but it can lead to an increased chance of chest pain, heart attack, and stroke. Immediately consult with your doctor if you are experiencing any signs and symptoms.

How often should I retest?

It is suggested to retest every 3-6 months, or as advised by your healthcare provider, to monitor your cholesterol levels and the effectiveness of any treatment or lifestyle changes.

How accurate is the test?

This is highly accurate, using advanced methods like capillary column gas-liquid chromatography and mass spectrometry (GC/MS) to ensure precise measurement of cholesterol markers.

Are test results private and confidential?

Receive test results securely on TrueHealthLabs.com under ‘My Account.’ It’s critical that you share them with your physician. Results may be disclosed to health authorities only if legally mandated, e.g., for STDs or COVID-19. Review our privacy policy for more details.

Medical Review Board

Reviewed by Jeff Donohue M.D. from Body Logic and Brady Hurst DC, CCCN. Written by True Health Lab’s team of editorial health contributors.

Disclaimer: This information is for educational purposes only and not intended as medical advice. Consult your healthcare provider for personalized guidance.

Why Customers Trust True Health Labs – What People are saying

     
 
 
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   Joseph 
 October 30, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Quick and reliable. Customer service team was very helpful in test selection process. Easy to communicate with.

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   Tyler H 
 August 24, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Peter is very knowledgeable.  Was very helpful and gave a sense of hope that i don’t think can be found in the traditional health care system.

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Thank you so much Tyler. Peter is quite amazing, so smart. We are proud to have him on our team and so happy he could give you insights that go deeper than traditional healthcare.
  
 
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   Erin R 
 August 21, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Labs can be taken at home and have clear written instructions (can also find video instructions on their website). I met with Peter to discuss my results and he was extremely helpful and kind! I would purchase again!

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Thank you Erin for your kind review! We are so lucky to have Peter. He has helped so many people understand their lab results.
  
 
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   Evan K 
 August 7, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Top notch.

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   F N 
 July 3, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Best labs, prices, and professional service make this your top choice to only use this company.  No other company can compare to the service. Extremely professional and courteous.  Thank you, Rachel, for always helping me.

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 June 15, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Thanks and well done

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Thanks Omar for your kind words!  Our team is the best!
  
 
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   Susan R 
 June 3, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Excellent way to test, quick, easy and discreet.

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   Erin K 
 April 8, 2026
 
 
 Trustindex verifies that the original source of the review is Google. True Health’s customer service is top notch! I made a mistake when I ordered my Dutch test. I called customer service after hours, but I was able to leave a message. Rachel called me back the next morning, and we were able to get my order fixed! She was kind, helpful, and made the process smooth!

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Thanks for taking the time to compliment our team. They are mighty! So glad we could help you with your health journey.
  
 
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   Marianne V 
 March 19, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I cannot say enough great things about True Health Labs and my experience with the Marcons test. Dr. Peter Stephenson was an absolute wealth of information—extremely intelligent and insightful. He connected all the dots and made me feel like I finally have been heard and seen.

After years of dealing with anxiety, OCD, weight gain, inflammation, and depression, it was incredibly comforting to talk to someone who truly understood my situation. Dr. Stephenson spoke straight to my soul and made me feel validated.

Thank you, True Health Labs, for providing such an invaluable service and support.

Marianne

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Thank you for taking that time to write that review. We’re so lucky to have Peter on the team. His insights, as you pointed out, is incredibly valuable. I’m so glad he was able to help guide you Marianne.
  
 
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   Jayme T 
 March 3, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Ordering tests through True Health Labs was easy and painless.  Peter is incredibly knowledgeable and kind.  He spent more time explaining and speaking with me than any of my doctors have in the last 3.5 years.  Thank you Peter, you are a blessing. And thank you THL for making it possible for the public to avoid the BS control from the medical and insurance industries.

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Wow! Thank you so much for that incredible review. Peter and our clinical team have a great focus on giving insights that would normally never be given. Thank you Jayme for taking the time for the review.
  
 
 
  
 
 
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