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🫀 LDL Cholesterol (Friedewald)

Calculate LDL cholesterol from a lipid panel with the Friedewald equation.

Clinical takeaway

Underestimates LDL at low LDL or high triglycerides.

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When to use

Estimate LDL when a direct measurement is unavailable.

How it works

LDL = TC − HDL − TG/5 (mg/dL); invalid at triglycerides ≥ 400 mg/dL.

Key points

  • Underestimates LDL at low LDL or high triglycerides.
  • Use direct LDL or Martin-Hopkins when more accuracy is needed.
  • Requires a fasting sample for best accuracy.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Total cholesterol200 mg/dL
HDL cholesterol50 mg/dL
Triglycerides150 mg/dL

Calculated LDL120mg/dL

  • FormulaLDL = TC − HDL − TG/5 (mg/dL)
  • CautionUnderestimates LDL at low LDL or high TG; invalid if TG ≥ 400.

Frequently asked questions

What is LDL Cholesterol (Friedewald)?
Calculate LDL cholesterol from a lipid panel with the Friedewald equation.
How is LDL Cholesterol (Friedewald) calculated? What is the core formula?
LDL = TC − HDL − TG/5 (mg/dL); invalid at triglycerides ≥ 400 mg/dL.
When is LDL Cholesterol (Friedewald) used?
Estimate LDL when a direct measurement is unavailable.
What are the key clinical points for LDL Cholesterol (Friedewald)?
Underestimates LDL at low LDL or high triglycerides. Use direct LDL or Martin-Hopkins when more accuracy is needed. Requires a fasting sample for best accuracy.
What are the limits and cautions when using LDL Cholesterol (Friedewald)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is LDL Cholesterol (Friedewald) calculated in practice? Can you show a worked example?
Inputs: Total cholesterol 200 mg/dL, HDL cholesterol 50 mg/dL, Triglycerides 150 mg/dL → Result: Calculated LDL 120 mg/dL(Formula: LDL = TC − HDL − TG/5 (mg/dL), Caution: Underestimates LDL at low LDL or high TG; invalid if TG ≥ 400.)

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