← All nutrients

Cholesterol

koh-LES-ter-all

Macronutrient

A waxy substance your body needs to make hormones, vitamin D, and bile for digestion. Your liver makes most of what you need — eating cholesterol in food matters less than we once thought, but still matters for some people.

Cholesterol is like building material — you need it for cell walls, hormones, and digestion. Your body has its own factory (liver) that produces enough on its own. Eating more doesn't necessarily mean building more, unless your factory's feedback system is faulty.

What it does in the body

  • Cell membrane structural integrity and fluidity regulation
  • Steroid hormone precursor (cortisol, aldosterone, sex hormones)
  • Bile acid synthesis for fat digestion
  • Vitamin D precursor (7-dehydrocholesterol in skin)
  • Myelin sheath formation in nervous system

How much you need (Daily Value)

GroupRecommendedSource
Adult maleNo RDA or UL; body produces ~800-1000mg/day. Prudent limit <300mg/day dietaryDGA 2020/AHA
Adult femaleSame as maleDGA 2020/AHA
PregnancyCholesterol is essential for fetal development; no restriction needed unless hyperlipidemicACOG
ChildrenNo specific limit; focus on overall healthy eating patternAHA
Older adultsFocus on LDL-C levels and CVD risk rather than dietary cholesterol per seACC/AHA

Richest food sources

FoodAmountWhere
Egg yolk (1 large egg)186mg per eggglobal
Beef liver (cooked)396mg per 100gglobal
Shrimp (cooked)195mg per 100gglobal
Butter215mg per 100gglobal
Cheese (cheddar)105mg per 100geurope
Sardines (canned)142mg per 100gmediterranean
Chicken breast (cooked, with skin)85mg per 100gglobal
Squid/calamari233mg per 100gmediterranean

If you don't get enough

Mild: Extremely rare given endogenous synthesis; theoretical: reduced hormone production

Moderate: Smith-Lemli-Opitz syndrome (cholesterol synthesis defect): growth failure, intellectual disability, multiple organ anomalies

Severe: Lethal if complete absence (incompatible with life; not seen as dietary deficiency)

Time to onset: Not applicable for dietary deficiency — body maintains cholesterol homeostasis

Too much

Upper limit: No established UL (2020 DGA); prudent to limit <300mg/day in hyper-responders. AHA recommends limiting but sets no specific cap

Elevated LDL cholesterol in susceptible individuals, accelerated atherosclerosis, increased cardiovascular disease risk. Familial hypercholesterolemia causes LDL >300 mg/dL

How well you absorb it

40-60% of dietary cholesterol absorbed; highly variable between individuals. Regulated by NPC1L1 transporter (target of ezetimibe)

Helped by: Bile salts (essential for micellar solubilization), Saturated fat co-ingestion

Hindered by: Plant sterols and stanols (compete for absorption; 2g/day reduces LDL by ~10%), Ezetimibe (blocks NPC1L1), Fiber (binds bile acids)

Cooking &amp; storage

Cholesterol in foods is heat-stable and not significantly affected by normal cooking methods. However, cholesterol can form cholesterol oxidation products (COPs) at very high temperatures, which are more atherogenic than native cholesterol. Avoid charring cholesterol-rich foods.

Did you know. Elevated cholesterol contributes to an estimated 4.4 million deaths annually (WHO, 2023). Approximately 39% of adults worldwide have elevated total cholesterol (>200 mg/dL). Familial hypercholesterolemia affects ~1 in 250 people globally but remains >80% undiagnosed.

Educational reference only. Nutrient needs vary with age, sex, health, and medication. Not medical or dietary advice. See our full disclaimer.
Track your Cholesterol — and 74 other nutrients — in the app.

Nutrisize Health totals every nutrient from what you actually eat, against targets set for your age and sex, and flags what's short — across 4,995 foods, on your device.

Download on the App Store Get it on Google Play

Evidence grades: A — meta-analyses / large trials; B — cohort studies & guidelines; C — expert consensus. Links open in a new tab.

ADietary Guidelines for Americans 2020-2025 — DGA, 2020
AGuideline on the Management of Blood Cholesterol — AHA/ACC, 2018
AFamilial Hypercholesterolaemia: A Global Perspective — Lancet, 2021