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CardiologyLipid Panel

Lipid Panel Calculator & Workspace

Enter one same-unit lipid record to calculate non-HDL cholesterol and cholesterol ratios, with optional traditional Friedewald LDL-C or explicit reported-LDL provenance.

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Formula and medical content are based on the references listed on this page. See sources, About, and Sources and Review Process.

One record, explicit provenance: choose what the report contains. The workspace calculates only supported outputs and never treats a reported LDL-C as Friedewald-calculated or silently selects an LDL-C method.

Select the source values present on one record. No mode is selected automatically.

Use the one unit printed for all values on this record. Changing units clears numeric fields rather than converting or reinterpreting them.

Enter total cholesterol from the selected record as a positive ordinary decimal.

Enter positive HDL-C from the same record and unit.

Select the values available on one lipid record, then calculate. The workspace will show unavailable outputs explicitly rather than manufacturing missing data.

About

This workspace uses one same-unit lipid record to return the related quantities that the submitted values can actually support. Total cholesterol and HDL-C produce non-HDL-C and the TC/HDL ratio. Adding triglycerides can run the frozen traditional Friedewald model; entering a reported LDL-C instead preserves that value as reported and does not relabel it as calculated. [1, 6]

Friedewald LDL-C remains a historical fixed-divisor estimate, not a direct measurement. The original work used fasting plasma samples, and the estimated VLDL-C term is TG divided by 5 in mg/dL or 2.2 in mmol/L. The workspace does not infer Martin/Hopkins, Sampson/NIH, a direct assay, or beta-quantification. [1, 3, 4]

A derived concentration or ratio is not a diagnosis, risk percentage, personal target, or treatment decision. Current guidance and laboratory reporting still require the actual LDL-C method and broader clinical context to remain visible. [6, 7, 10, 11]

Formula

Every supported record: non-HDL-C = total cholesterol − HDL-C; TC/HDL = total cholesterol ÷ HDL-C.
Triglyceride record: Friedewald LDL-C = TC − HDL-C − (TG ÷ 5) in mg/dL or TC − HDL-C − (TG ÷ 2.2) in mmol/L. The quotient is an estimated VLDL-C term, not a measurement. [1]
Reported-LDL record: LDL/HDL = the entered or reported LDL-C ÷ HDL-C. The workspace never substitutes a Friedewald estimate for that reported source value.
The frozen Friedewald runtime requires TG <400 mg/dL or <4.5 mmol/L and withholds nonpositive estimates. Other modes do not run that equation. [1, 6]

Interpretation

Record modes and provenance

Record availableReturned valuesLDL-C identity
TC + HDL-CNon-HDL-C and TC/HDLNot available from this record
TC + HDL-C + TGNon-HDL-C, TC/HDL, Friedewald LDL-C, LDL/HDL, and the VLDL audit term when the model is applicableCalculated — traditional Friedewald only [1]
TC + HDL-C + reported LDL-CNon-HDL-C, TC/HDL, the reported LDL-C, and LDL/HDLEntered / Reported — no estimation method is inferred [6]

Method limits remain attached to the result

The fixed Friedewald TG:VLDL-C assumption can disagree with reference or modern estimation methods, especially with higher triglycerides, lower LDL-C, or unusual lipoprotein composition. A value below the runtime boundary permits the arithmetic; it does not prove that the estimate is the method a laboratory should use. [2, 5, 6]

The 2026 ACC/AHA guideline prefers Martin/Hopkins or Sampson/NIH over Friedewald for LDL-C estimation from a standard lipid profile. Those equations are not silently added to this workspace. [3, 4, 10, 11]

What these outputs do not establish

LDL-C is cholesterol mass, not LDL particle number or ApoB. Non-HDL-C includes cholesterol in multiple non-HDL lipoprotein classes. The two displayed ratios are arithmetic quotients, not universal risk classes. This workspace does not infer Lp(a), ApoB, LDL-P, a diagnosis, a goal, or a medication decision. [6, 8]

Use one record, once

Select exactly what the report contains, choose its one printed unit, and enter each source value once. Switching units clears every number rather than reinterpreting it. Switching record modes clears the mode-specific triglyceride or LDL-C field and all stale results.

Fasting and report method

The original Friedewald work used fasting samples, while modern lipid profiles are often collected fasting or nonfasting. Sampling context can affect triglycerides, and a report may use another calculated or measured LDL-C method. Preserve the method and collection context on the report rather than treating unlike values as interchangeable. [1, 6, 9]

References

  1. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972;18(6):499–502. PMID 4337382.
  2. Martin SS, Blaha MJ, Elshazly MB, et al. Friedewald-estimated versus directly measured low-density lipoprotein cholesterol and treatment implications. J Am Coll Cardiol. 2013;62(8):732–739. PMID 23524048. DOI 10.1016/j.jacc.2013.01.079.
  3. Martin SS, Blaha MJ, Elshazly MB, et al. Comparison of a novel method vs the Friedewald equation for estimating LDL-C levels from the standard lipid profile. JAMA. 2013;310(19):2061–2068. PMID 24240933. DOI 10.1001/jama.2013.280532.
  4. Sampson M, Ling C, Sun Q, et al. A New Equation for Calculation of Low-Density Lipoprotein Cholesterol in Patients With Normolipidemia and/or Hypertriglyceridemia. JAMA Cardiol. 2020;5(5):540–548. PMID 32101259. PMCID PMC7240357. DOI 10.1001/jamacardio.2020.0013.
  5. Martin SS, Giugliano RP, Murphy SA, et al. Comparison of LDL-C Assessment by Martin/Hopkins Estimation, Friedewald Estimation, and Preparative Ultracentrifugation: Insights From the FOURIER Trial. JAMA Cardiol. 2018;3(8):749–753. PMID 29898218. DOI 10.1001/jamacardio.2018.1533.
  6. Cao J, Donato L, El-Khoury JM, et al. ADLM Guidance Document on the Measurement and Reporting of Lipids and Lipoproteins. J Appl Lab Med. 2024;9:1040–1056. PMID 39225455. DOI 10.1093/jalm/jfae057.
  7. Correction to: ADLM Guidance Document on the Measurement and Reporting of Lipids and Lipoproteins. J Appl Lab Med. 2025;10(4):1085. PMID 40172951. DOI 10.1093/jalm/jfaf021.
  8. Langlois MR, Nordestgaard BG, Langsted A, et al. Quantifying atherogenic lipoproteins for lipid-lowering strategies: consensus-based recommendations from EAS and EFLM. Clin Chem Lab Med. 2020;58(4):496–517. PMID 31855562. DOI 10.1515/cclm-2019-1253.
  9. Nordestgaard BG, Langsted A, Mora S, et al. Fasting Is Not Routinely Required for Determination of a Lipid Profile. Clin Chem. 2016;62(7):930–946. PMID 27235445. DOI 10.1373/clinchem.2016.258897.
  10. Blumenthal RS, Morris PB, Gaudino M, et al. 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia. Circulation. 2026;153:e1154–e1276. PMID 41824552. DOI 10.1161/CIR.0000000000001423.
  11. Correction to: 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia. Circulation. 2026;153(25):e1447. PMID 42330109. DOI 10.1161/CIR.0000000000001457.

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Educational and informational reference only. Not intended to replace professional medical advice, diagnosis, treatment, or independent verification.