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HDL Cholesterol Test

HDL Cholesterol Test

January 21, 2026
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Do I need a HDL Cholesterol test?

Worried about your heart health or family history of cardiovascular disease? Could measuring your HDL cholesterol help you understand your risk and take control?

HDL cholesterol is often called "good" cholesterol because it helps remove harmful cholesterol from your arteries. Higher levels protect your heart, while lower levels may increase your cardiovascular risk.

Testing your HDL cholesterol gives you a vital snapshot of your heart health right now. It's the essential first step to personalizing your prevention plan and making lifestyle choices that truly protect your cardiovascular future.

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Get tested with Superpower

If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over 100 biomarkers, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of HDL Cholesterol testing

  • Measures your "good" cholesterol that removes harmful fats from arteries.
  • Flags cardiovascular risk when HDL drops below protective levels.
  • Guides statin or lifestyle therapy to balance your cholesterol profile.
  • Tracks response to diet, exercise, or medication over time.
  • Clarifies metabolic syndrome risk when combined with triglycerides and waist measurement.
  • Explains fatigue or chest symptoms linked to poor lipid balance.
  • Best interpreted with LDL, triglycerides, and total cholesterol for complete heart risk assessment.

What is HDL Cholesterol?

HDL cholesterol refers to the cholesterol carried inside high-density lipoprotein particles, tiny protein-wrapped packages that circulate in your bloodstream. Your liver and intestines produce these particles, which are smaller and denser than other cholesterol carriers.

HDL acts as your body's cleanup crew

HDL particles travel through your blood vessels picking up excess cholesterol from artery walls and other tissues. They transport this collected cholesterol back to your liver, where it's processed and eventually removed from your body. This reverse transport system helps prevent cholesterol buildup in places where it doesn't belong.

Why HDL earned its "good cholesterol" nickname

HDL cholesterol reflects how effectively your body is clearing cholesterol from circulation. Higher levels generally indicate a more active cleanup process, which is why HDL has been associated with cardiovascular protection. The measurement tells you how much cholesterol is currently riding inside these beneficial HDL particles at the moment your blood was drawn.

Why is HDL Cholesterol important?

HDL cholesterol measures the concentration of high-density lipoprotein particles that transport cholesterol from artery walls back to the liver for removal. This reverse cholesterol transport protects against atherosclerosis, making HDL a key indicator of cardiovascular resilience and metabolic health. General reference ranges span from below 40 to above 60 mg/dL, with higher values typically conferring greater protection.

When HDL runs too low, arteries lose a critical defender

Values below 40 in men or below 50 in women signal impaired cholesterol clearance and heightened inflammation within blood vessel walls. This raises the risk of coronary artery disease, peripheral vascular disease, and stroke. Low HDL often accompanies insulin resistance, obesity, and sedentary patterns, creating a metabolic environment that accelerates plaque formation.

Higher HDL reflects robust reverse transport and vascular repair

Levels above 60 are associated with lower cardiovascular event rates and improved endothelial function. HDL particles also carry antioxidant and anti-inflammatory proteins that stabilize plaques and support immune signaling. Women naturally maintain higher HDL than men due to estrogen's lipid effects, and these levels decline after menopause.

HDL connects lipid metabolism to inflammation and long-term organ health

Beyond cholesterol transport, HDL influences glucose regulation, immune modulation, and even cognitive function through cerebrovascular protection. Persistently low HDL amplifies the impact of elevated LDL and triglycerides, compounding atherosclerotic risk. Tracking HDL over time offers insight into metabolic trajectory and the body's capacity to defend its vascular network.

What do my HDL Cholesterol results mean?

Low HDL cholesterol

Low values usually reflect reduced capacity for reverse cholesterol transport, the process by which HDL particles carry cholesterol away from artery walls back to the liver. This pattern is common in insulin resistance, metabolic syndrome, sedentary states, and smoking. It often accompanies elevated triglycerides and small dense LDL particles. Men typically have lower HDL than women, and levels decline modestly with age in both sexes.

Optimal HDL cholesterol

Being in range suggests efficient cholesterol clearance and anti-inflammatory activity within the vascular system. HDL also carries antioxidant enzymes that protect LDL from oxidation. Most guidelines define optimal as above 40 mg/dL in men and above 50 mg/dL in women, though cardiovascular benefit appears strongest when HDL sits in the mid to upper portion of the reference range.

High HDL cholesterol

High values usually reflect robust reverse cholesterol transport and are generally associated with lower cardiovascular risk. Extremely high HDL, particularly above 100 mg/dL, may occasionally signal genetic variants that impair cholesterol delivery to the liver or rare conditions affecting lipid metabolism, though this is uncommon.

Factors that influence HDL cholesterol

HDL rises modestly during pregnancy and can be suppressed by acute illness, certain medications including beta blockers and anabolic steroids, and chronic inflammatory states. Alcohol intake tends to raise HDL, which complicates interpretation in some individuals.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

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Frequently Asked Questions

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How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

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Frequently Asked Questions about HDL Cholesterol Test

What is HDL cholesterol and why is it called “good cholesterol”?

HDL cholesterol is cholesterol carried in high-density lipoprotein (HDL) particles made mainly in the liver and intestines. It’s called “good cholesterol” because HDL acts like a cleanup crew: it picks up excess cholesterol from tissues and artery walls and transports it back to the liver for recycling or removal. This reverse cholesterol transport helps reduce plaque buildup and supports healthier arteries.

How does HDL cholesterol remove cholesterol from artery walls (reverse cholesterol transport)?

HDL particles circulate in the bloodstream and collect extra cholesterol from cells and vessel walls where buildup can become harmful. HDL then carries that cholesterol back to the liver, where it can be disposed of or reused. This reverse transport function helps limit cholesterol accumulation in arteries, which is why HDL is associated with cardiovascular protection and is often used as a marker of vascular resilience.

Why is an HDL cholesterol test important for heart disease and stroke risk assessment?

HDL cholesterol testing helps assess how effectively your body clears cholesterol from artery walls and supports anti-inflammatory protection in blood vessels. When HDL drops below protective levels, cardiovascular risk can rise over time - even if you have no symptoms. HDL is best interpreted alongside total cholesterol, LDL cholesterol, and triglycerides to provide a more complete view of atherosclerosis risk and metabolic health.

What are normal HDL cholesterol levels for men and women, and what is considered protective?

Most labs consider HDL above 40 mg/dL for men and above 50 mg/dL for women as “normal,” while cardiovascular benefit is often strongest when HDL is above 60 mg/dL. Values below 40 in men or below 50 in women suggest reduced cholesterol clearance and higher risk. Sex differences are common because estrogen tends to raise HDL and testosterone can suppress it.

What does it mean if my HDL cholesterol is low but my LDL cholesterol is normal?

Low HDL typically means your reverse cholesterol transport system is less efficient, reducing a key protective mechanism in artery walls. This can increase cardiovascular risk independently of LDL levels. Low HDL often appears with insulin resistance, metabolic syndrome, high triglycerides, abdominal obesity, sedentary lifestyle, or smoking. Looking at HDL together with LDL, triglycerides, and total cholesterol offers better cardiovascular insight than any single number.

What are the most common causes of low HDL cholesterol and how can lifestyle affect it?

Low HDL is commonly linked to insulin resistance, metabolic syndrome, smoking, sedentary habits, and diets high in refined carbohydrates or trans fats. Acute illness and inflammation can temporarily suppress HDL production, and hormonal changes (like menopause) can lower HDL over time. Tracking HDL can help show whether exercise, weight management, and improved dietary fat quality are improving your overall cholesterol balance.

Is high HDL cholesterol always good, and what does very high HDL (80–100+ mg/dL) mean?

High HDL usually reflects stronger reverse cholesterol transport and is generally protective. However, very high HDL (often above 80–100 mg/dL) is uncommon and may sometimes be due to genetic variants. In rare situations, extremely high HDL may not provide added protection if HDL particles are dysfunctional, or it may be associated with certain lipid disorders or excessive alcohol intake.

How do triglycerides and LDL cholesterol change how I should interpret my HDL results?

HDL is most meaningful when interpreted with triglycerides, LDL, and total cholesterol. Low HDL often clusters with high triglycerides and insulin resistance, forming a metabolic syndrome pattern linked to diabetes and inflammation risk. LDL reflects the amount of cholesterol being delivered to tissues, while HDL reflects cholesterol being removed. Together, these markers clarify cardiovascular risk, metabolic health, and whether lifestyle or lipid therapy is shifting your cholesterol balance.

Can menopause, pregnancy, thyroid problems, or inflammation affect HDL cholesterol test results?

Yes. HDL responds to hormonal shifts such as menopause and pregnancy, and thyroid disorders can also alter HDL levels. Acute illness and inflammation can temporarily lower HDL production, which may affect results if you test while sick. Because HDL varies with sex hormones, metabolic context, and inflammation status, results are best reviewed alongside other lipids (LDL, triglycerides, total cholesterol) and your overall health picture.

Why should I track HDL cholesterol over time, and how does it guide prevention or lipid therapy decisions?

Tracking HDL over time helps show whether cholesterol transport and vascular protection are improving or worsening. HDL testing can flag rising cardiovascular risk when levels fall and can help monitor the impact of lifestyle changes (exercise, weight management, dietary fat quality) or medications on your lipid balance. Clinicians often use HDL alongside LDL, triglycerides, and total cholesterol to guide heart disease prevention strategies and lipid therapy choices.

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