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Lipoprotein fractionation Test

Lipoprotein fractionation Test

January 21, 2026
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Do I need a Lipoprotein fractionation test?

Worried about heart disease despite "normal" cholesterol numbers? Could hidden patterns in your lipoproteins reveal risks your standard test missed?

Lipoprotein fractionation breaks down your cholesterol into detailed particle sizes and counts. This reveals your true cardiovascular risk more accurately than basic cholesterol tests alone.

**Testing** gives you a precise snapshot of what's actually happening inside your arteries, empowering you to personalize your diet, exercise, and treatment plan based on your unique lipid profile. **Get tested** to uncover the hidden factors driving your heart health concerns.

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**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 Lipoprotein fractionation testing

  • Reveals the size and number of cholesterol particles beyond standard lipid panels.
  • Spots hidden cardiovascular risk even when total cholesterol looks normal.
  • Identifies small, dense LDL particles that penetrate artery walls more easily.
  • Guides precision treatment decisions for statin therapy and lifestyle changes.
  • Tracks how diet, exercise, or medication shifts your particle patterns over time.
  • Clarifies risk in people with metabolic syndrome, diabetes, or family heart disease.
  • Best interpreted alongside standard lipids, blood sugar, and cardiovascular symptoms.

What is Lipoprotein fractionation?

Lipoprotein fractionation is a laboratory technique that separates and measures the different types of lipoproteins circulating in your blood. Lipoproteins are tiny spherical particles made of fat (lipid) and protein that transport cholesterol and hdl-cholesterol-molar-ratio-test">triglycerides through your bloodstream, since these fats cannot dissolve in water-based blood on their own.

Not all cholesterol carriers are created equal

The fractionation process divides lipoproteins into distinct classes based on their size and density. These include large, buoyant very-low-density lipoproteins (VLDL), intermediate-density lipoproteins (IDL), low-density lipoproteins (LDL), and small, dense high-density lipoproteins (HDL). Each class plays a different role in delivering fats to tissues or removing excess cholesterol from the body.

A window into cardiovascular risk beyond the basics

Fractionation reveals not just how much cholesterol you have, but how it's packaged and distributed. This matters because certain lipoprotein patterns, such as an abundance of small dense LDL particles, are more strongly linked to artery damage and heart disease than others, even when total cholesterol looks normal.

Why is Lipoprotein fractionation important?

Lipoprotein fractionation reveals how cholesterol and triglycerides travel through your bloodstream, packaged into particles of different sizes and densities. This test goes beyond basic cholesterol numbers to show the actual carriers of fat in your blood - large buoyant particles versus small dense ones - which directly influences how much plaque builds up in your arteries, how your liver processes fat, and your risk for heart attack and stroke.

Small particles carry outsized risk

When fractionation shows an abundance of small, dense LDL particles, cardiovascular risk rises sharply even if total LDL cholesterol looks normal. These tiny particles penetrate artery walls more easily, triggering inflammation and atherosclerosis. People with insulin resistance, prediabetes, or metabolic syndrome often show this pattern, which also correlates with higher triglycerides and lower HDL.

Larger particles offer protection

A predominance of large, buoyant LDL and HDL particles generally signals lower cardiovascular risk and better metabolic health. Large HDL particles excel at reverse cholesterol transport, pulling excess cholesterol from tissues back to the liver. This pattern is more common in people with healthy insulin sensitivity and lower visceral fat.

The big picture on particle size

Lipoprotein fractionation connects lipid metabolism, insulin signaling, liver function, and vascular health into one integrated view. It helps explain why two people with identical LDL numbers can have vastly different heart disease outcomes and guides more personalized risk assessment over time.

What do my Lipoprotein fractionation results mean?

Low values of atherogenic particles

Low values usually reflect fewer small dense LDL particles and lower counts of apolipoprotein B-containing lipoproteins, which is generally favorable for cardiovascular health. This pattern suggests efficient lipid clearance and less substrate available for arterial plaque formation. Very low particle counts may occasionally accompany malabsorption, severe liver disease, or genetic lipid disorders, but in most cases reflect good metabolic regulation.

Optimal lipoprotein particle distribution

Being in range suggests balanced production and clearance of lipoproteins with a favorable particle size distribution. Optimal results typically show higher HDL particle counts, lower LDL particle numbers, and larger average LDL particle size. This pattern reflects stable insulin sensitivity, healthy hepatic lipid metabolism, and lower inflammatory burden on the vascular endothelium.

High values of atherogenic particles

High values usually reflect elevated counts of small dense LDL particles and increased apolipoprotein B-containing lipoproteins, which penetrate arterial walls more readily and drive atherosclerosis. This pattern often accompanies insulin resistance, metabolic syndrome, or familial dyslipidemia. High particle counts can occur even when standard cholesterol levels appear normal, revealing hidden cardiovascular risk.

Factors that influence lipoprotein particle results

Particle distribution shifts with metabolic state, hormonal changes, and inflammation. Pregnancy typically increases all lipoprotein fractions. Recent illness, weight change, or medication initiation can alter results. Different laboratories use varied methodologies including NMR spectroscopy and ion mobility, which may yield slightly different reference ranges.

Method: Laboratory-developed test (LDT) validated under CLIA; not cleared or approved by the FDA. Results are interpreted by clinicians in context and are 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
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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.

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Superpower is currently available in the following US states:

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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 Lipoprotein fractionation Test

What is lipoprotein fractionation testing and what does it measure beyond a standard lipid panel?

Lipoprotein fractionation is a lab technique that separates and measures lipoproteins - cholesterol and hdl-cholesterol-molar-ratio-test">triglyceride “carrier” particles - in your blood. Unlike a standard lipid panel that reports cholesterol amounts (like LDL-C and HDL-C), fractionation analyzes particle size and particle number across classes such as VLDL, IDL, LDL, and HDL. This helps reveal how cholesterol is packaged, which can better reflect cardiovascular risk than total cholesterol alone.

How does lipoprotein fractionation reveal hidden cardiovascular risk when my total cholesterol looks normal?

Lipoprotein fractionation can uncover high LDL particle number or a predominance of small, dense LDL even when LDL cholesterol (LDL-C) and total cholesterol appear acceptable. Small, dense LDL particles penetrate artery walls more easily, oxidize readily, and drive inflammation - key steps in atherosclerosis. By showing particle patterns, fractionation identifies “silent” risk that a basic cholesterol test may miss, especially in insulin resistance and metabolic syndrome.

Why are small, dense LDL particles considered more dangerous for plaque and heart disease?

Small, dense LDL particles are more atherogenic because they more easily slip into the arterial wall, are more prone to oxidation, and trigger inflammatory responses that accelerate plaque formation. Even if LDL-C is not high, a high count of small, dense LDL can indicate higher cardiovascular risk. This particle pattern is commonly associated with elevated hdl-cholesterol-molar-ratio-test">triglyceride-rich particles and insulin resistance, linking it to broader metabolic health issues.

What do high LDL particle counts or high VLDL/remnant particles mean on a lipoprotein fractionation report?

High LDL particle number generally means more atherogenic particles circulating, increasing the chance of arterial wall penetration and plaque development. A predominance of small, dense LDL further raises risk. High VLDL or remnant particles often suggest impaired clearance of hdl-cholesterol-molar-ratio-test">triglyceride-rich lipoproteins and can signal insulin resistance, metabolic syndrome, or early type 2 diabetes. These risks can exist independent of “normal” total cholesterol values.

What does an optimal lipoprotein particle distribution look like in fractionation results?

An optimal profile typically shows lower LDL particle number, a predominance of large, buoyant LDL rather than small, dense LDL, and higher HDL particle number - especially larger HDL particles. This pattern suggests more efficient lipid transport and clearance, lower oxidative susceptibility, and less vascular inflammation. Many clinicians aim for the lower end of LDL particle counts for cardiovascular protection, interpreting results alongside standard lipids and metabolic markers.

What does it mean if my lipoprotein fractionation shows low particle counts or low LDL particle number?

Low particle counts can indicate fewer circulating lipoprotein particles and may align with very low hdl-cholesterol-molar-ratio-test">triglycerides or efficient particle clearance, which can be favorable for cardiovascular burden. However, extremely low values may occur with conditions such as malabsorption, severe liver disease, or genetic disorders like hypobetalipoproteinemia. Also, small, dense LDL can still be more atherogenic than large LDL even at lower counts, so pattern matters.

How do large HDL particles vs small HDL particles affect cardiovascular protection?

Large HDL particles are generally more protective because they better support reverse cholesterol transport - moving excess cholesterol from tissues and arteries back to the liver. Smaller HDL particles tend to be less effective at this function. Fractionation can highlight whether HDL protection is robust or limited based on HDL particle size and number. The context notes women often have more large HDL particles than men, which may contribute to lower pre-menopausal heart disease rates.

How is lipoprotein fractionation connected to insulin resistance, metabolic syndrome, and diabetes risk?

Fractionation often detects “Pattern B,” marked by small, dense LDL plus elevated hdl-cholesterol-molar-ratio-test">triglyceride-rich particles, which strongly signals insulin resistance and metabolic syndrome and can precede type 2 diabetes. This pattern commonly clusters with visceral fat, hypertension, and systemic inflammation. Over time, it increases risk not only for coronary artery disease but also stroke, peripheral artery disease, and kidney damage, making particle analysis a window into whole-body metabolic trajectory.

What factors can affect lipoprotein fractionation results, like fasting, pregnancy, thyroid issues, or recent weight change?

Interpretation depends on fasting status, recent weight changes, and overall metabolic health, as these can shift hdl-cholesterol-molar-ratio-test">triglycerides and particle distribution. Pregnancy can alter lipoprotein patterns, and thyroid disorders can significantly influence lipid and lipoprotein metabolism. Results may also differ slightly by method (for example, NMR vs ion mobility) and by laboratory, though advanced methods typically provide more granular particle-based risk insight than standard lipid panels.

How can lipoprotein fractionation guide statin therapy and lifestyle changes, and how do you track progress over time?

Lipoprotein fractionation helps target treatment by showing whether risk is driven by high particle number, small dense LDL, low HDL particles, or elevated VLDL/remnants. This can inform precision decisions about statin therapy and lifestyle interventions such as diet and exercise. Re-testing can track whether medication or behavioral changes shift particle patterns toward fewer atherogenic particles and more favorable sizes. It’s best interpreted alongside standard lipids, blood sugar, and symptoms.

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