I get a blood test once a year and have since I was thirty (in addition to two physicals per year). My cholesterol levels, if I don't mess around with them, are similar to both of my parents who are still very active at eighty plus years (and my grandparents before them who lived into their nineties). I say similar in the respect that the bad cholesterol level is about 30 mg/dls higher than what is considered desirable (200 mg/dls). Last year I fasted for two days prior to the test and was only 10 mg/dls higher than desired. One year I increased diet concentrations of kale, oranges, dark chocolate, garlic and red wine and was actually below the desirable total. My doctor wanted to start me on statins until I provided this same argument and pointed out that I was twenty pounds over weight so she backed off. Not too worried about my cholesterol.