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.
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
Interpretation
Record modes and provenance
| Record available | Returned values | LDL-C identity |
|---|---|---|
| TC + HDL-C | Non-HDL-C and TC/HDL | Not available from this record |
| TC + HDL-C + TG | Non-HDL-C, TC/HDL, Friedewald LDL-C, LDL/HDL, and the VLDL audit term when the model is applicable | Calculated — traditional Friedewald only [1] |
| TC + HDL-C + reported LDL-C | Non-HDL-C, TC/HDL, the reported LDL-C, and LDL/HDL | Entered / 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
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
FAQ
Total cholesterol plus HDL-C produces non-HDL-C and the TC/HDL ratio. Adding triglycerides can also produce traditional Friedewald LDL-C, its estimated VLDL-C audit term and LDL/HDL. If a reported LDL-C is entered instead, the page retains it as Entered / Reported and derives LDL/HDL without claiming that LDL-C was Friedewald-calculated.
LDL-C = total cholesterol − HDL-C − (triglycerides ÷ 5), with all three submitted measurements in mg/dL. The triglyceride-divisor term is a traditional estimate of VLDL-C, not a measured VLDL-C value.
Sources: [1]
LDL-C = total cholesterol − HDL-C − (triglycerides ÷ 2.2), with all three submitted measurements in mmol/L. The page does not convert a mixed-unit panel or use the mg/dL divisor in SI units.
Sources: [1]
The original method used a fixed triglyceride-to-VLDL-cholesterol relationship: 5 when concentrations are expressed in mg/dL and 2.2 in mmol/L. That relationship varies between samples and people, which is an important limitation of the estimate.
Sources: [1]
The reported-LDL mode labels the entered value Entered / Reported and does not run an LDL-C estimation equation. The triglyceride mode labels its LDL-C Calculated and identifies the traditional Friedewald method. A homogeneous direct assay, another equation and beta-quantification remain different procedures and are not inferred from the number alone.
No. All values used in one record must come from the same specimen and clinical time point and use the selected unit. Combining different dates, laboratories, treatment states, or units can produce arithmetic that describes neither record. Changing the unit clears every numeric field so an old number cannot be reinterpreted silently.
The original 1972 Friedewald relationship was derived from fasting plasma data and depends on a fixed triglyceride-to-VLDL-C ratio. Modern guidance allows fasting or nonfasting standard lipid profiles for many people and prefers Martin/Hopkins or Sampson/NIH for estimated LDL-C. The fixed historical assumption may not hold with triglyceride metabolism abnormalities, chylomicrons, type III dysbetalipoproteinemia, or clearly high triglycerides. This page cannot identify whether a sample was truly fasting, contains chylomicrons, has type III dysbetalipoproteinemia or unusual VLDL composition, or which LDL-C method the laboratory used. Being below 400 mg/dL or 4.5 mmol/L only permits this historical arithmetic; it does not prove that the estimate is accurate or applicable to the sample.
Non-HDL-C is total cholesterol minus HDL-C and is available from every supported record mode because all three require TC and HDL-C. It includes cholesterol in multiple non-HDL lipoprotein classes and is not the same value as LDL-C. Total cholesterol equal to HDL-C produces a valid arithmetic zero; HDL-C above total cholesterol is rejected rather than converted into a negative concentration.
They are unitless arithmetic quotients because the same concentration unit cancels during division. TC/HDL is available when TC and positive HDL-C are entered. LDL/HDL is available only when LDL-C is either explicitly reported or successfully calculated by the selected Friedewald mode. Different absolute lipid values can produce the same ratio, so the quotient does not replace the source concentrations. Neither ratio is turned into a universal risk category or treatment target.
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Disclaimer
Educational and informational reference only. Not intended to replace professional medical advice, diagnosis, treatment, or independent verification.