LDL cholesterol calculator (Friedewald equation)

A calculated LDL from three other lipid results, with the equation version and its limits stated plainly.

This calculator estimates LDL cholesterol from total cholesterol, HDL cholesterol, and triglycerides using the Friedewald equation. It returns a calculated value in mg/dL or mmol/L. It is not a direct LDL measurement, does not tell you whether the value is at a target, and does not replace the LDL value on your report.

What this calculator does

Many laboratories do not measure LDL cholesterol directly. They calculate it from total cholesterol, HDL cholesterol, and triglycerides, using an equation. The Friedewald equation is the oldest and most widely known of these calculations, and it is the one this page implements.

Because the result is derived, it carries the assumptions of the equation. The most important one is that the relationship between triglycerides and the cholesterol in triglyceride-rich particles is roughly fixed. When triglycerides are high, that assumption weakens, and the calculated value can be less reliable. A laboratory may then measure LDL directly or use a different equation.

This calculator does not store the values you enter. It applies the Friedewald equation and does not apply a target.

The equation

The Friedewald equation, with all values in mg/dL:

LDL cholesterol = total cholesterol − HDL cholesterol − (triglycerides / 5)
Variables in the Friedewald equation
VariableMeaning
Total cholesterolAll cholesterol measured in the sample, in mg/dL.
HDL cholesterolCholesterol carried in HDL particles, in mg/dL.
TriglyceridesTriglyceride concentration, in mg/dL.
5The fixed factor the equation uses for the triglyceride-rich fraction.
LDL cholesterolThe calculated cholesterol carried in LDL particles.

Source: 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.

How to use it

  1. Enter total cholesterol, HDL cholesterol, and triglycerides in the same unit. The calculator handles mg/dL and mmol/L.
  2. Use the values printed on the report, not values from different reports or different units.
  3. Check whether the report already prints an LDL value. If it does, that value is the one the laboratory reported, and it may use a different method.
  4. Read the result as a calculation. It does not replace the report's LDL, target, or comment.

What the result means, and what it does not

The result is an estimate of the cholesterol carried in LDL particles, calculated from the other three lines. It does not measure LDL particles directly, and it does not include apolipoprotein B or lipoprotein(a), which carry additional information. It also does not tell you what your target should be.

Lipid targets are clinical decisions. They depend on a person's overall risk, existing conditions, medicines, and the guideline being used. The calculator does not assign a target, a category, or a risk level. Use the target or range printed on the report and the plan agreed with a clinician.

Limitations

  • High triglycerides. The equation is less reliable when triglycerides are high, and many labs use a direct measurement or another equation in that situation.
  • Non-fasting samples. Triglycerides can be higher after food, which affects the calculation.
  • Calculated vs measured. A direct LDL assay and a calculated LDL can differ.
  • Other lipid markers. The equation does not account for apolipoprotein B, lipoprotein(a), or the size and number of LDL particles.
  • Input errors. The result inherits any error in the three values entered, and a unit mismatch can produce a wrong number.

What this page is not

This calculator is a calculation from a published equation. It is not a diagnosis, a target, a treatment recommendation, or medical advice. It does not replace the LDL value, range, or comment on your report. Verify the inputs against the original report and discuss the result with a qualified professional.

Questions

LDL calculator questions

It uses the Friedewald equation, published in 1972: LDL cholesterol equals total cholesterol minus HDL cholesterol minus triglycerides divided by five, with all values in mg/dL. The calculator converts mmol/L inputs before applying it.

The Friedewald equation assumes a fixed relationship between triglycerides and the cholesterol carried in triglyceride-rich particles. When triglycerides are high, that assumption is less reliable, and many laboratories measure LDL directly or use another equation.

No. A calculated value is derived from three other results. A direct assay measures LDL cholesterol, and the two can differ. The LDL value on your report may be calculated or measured, and laboratories do not all use the same method.

A lipid target depends on a person's overall risk, history, and other conditions, and different guidelines use different targets. This page calculates a value and does not apply a target. Use the target or range printed on your report and the plan agreed with a clinician.

The Friedewald equation is commonly applied to fasting samples. A non-fasting sample can have higher triglycerides, which affects the calculation. Check whether the report says the sample was fasting, and use the LDL value the laboratory reported if there is a difference.

Related

Related tests and panels

This is a calculation, not a diagnosis. A calculated LDL is not a target and not a treatment decision. Use the LDL value and target on your report, and discuss the result with a qualified professional.

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