Normal range: 0 – 0.4 (lower is better)
The estimated VLDL/HDL ratio compares your triglyceride-rich VLDL particles to your protective HDL. Estimated VLDL is derived from triglycerides (triglycerides divided by 5), so this ratio behaves much like the triglycerides/HDL ratio, a well-studied marker of insulin resistance and small, dense LDL. A lower ratio is more favorable. It is most informative in people with elevated triglycerides or metabolic syndrome.
eVLDL/HDL isn't sold on its own. It comes in a standard lipid panel, about $45. A fuller workup adds Vitamin D ($75), hs-CRP ($69), ApoB ($50), and ApoA1 ($50). You can test eVLDL/HDL and 100 other biomarkers for $190 as part of an Empirical membership.
Empirical is FSA/HSA eligible, so you can pay with pre-tax dollars. Fast for 8-12 hours beforehand for the most accurate lipid and metabolic results, and expect results in days rather than weeks.
A normal eVLDL/HDL is 0 – 0.4. Lower is better.
Because estimated VLDL comes straight from triglycerides, this ratio rises with the same metabolic dysfunction that drives the triglycerides/HDL ratio: excess sugar, refined carbohydrates, and alcohol, plus insulin resistance, obesity, and physical inactivity. Cutting sugar and refined carbs, reducing alcohol, exercising regularly, and losing excess weight can improve it quickly, since both VLDL and HDL respond to the same changes.
eVLDL/HDL is drawn at 2,200+ Quest and BioReference patient service centers across the US, so there's usually one within a short drive. Browse the full directory to find the one closest to you.
Test your Estimated VLDL/HDL Ratio and 100+ other biomarkers in a single blood draw.