Total cholesterol of 5.44 mmol/L is abnormal and is a borderline elevated level that requires some intervention to lower total cholesterol. Cholesterol levels are categorized into appropriate, borderline and risk levels. The appropriate level range is <5.20mmol/L, the borderline level range is 5.23~5.69mmol/L, and the elevated level range is >5.72mmol/L. The total cholesterol of 5.44mmol/L belongs to the borderline elevated level, which is not normal. Total cholesterol at borderline elevated levels need to pay attention to a light diet, eat more fresh fruits and vegetables, participate in physical exercise, regular monitoring of total cholesterol levels. Elevated total cholesterol level is a risk factor for atherosclerosis and other diseases. If the total cholesterol level is abnormal, it is recommended to monitor and treat it under the guidance of a doctor.