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Cholesterol Balance Test


  • The Cholesterol Balance lab test measures markers showing whether your body makes or absorbs too much cholesterol.
  • Processed by Boston Heart Diagnostics
  • Draw Locations
  • Collection and shipping instructions
  • Fasting: 8 hours. You may drink water, black coffee, or unsweetened tea
  • Turnaround Time: 10-12 Business Days
  • Availability: Allowed if address and testing are outside NY, NJ, MA, RI
  • HSA and FSA Approved

$159.00 USD $295.00

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Cholesterol balance test by Boston Heart showing how cholesterol is being produced by the body vs how much cholesterol is be absorbed in the gut.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.


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