The estimated VLDL/LDL ratio compares triglyceride-rich VLDL particles to LDL particles, showing the balance between the two main carriers of atherogenic cholesterol. Estimated VLDL is derived from triglycerides, so a higher ratio means triglyceride-rich particles make up a larger share of your harmful cholesterol, a pattern often seen with insulin resistance and metabolic syndrome. A lower ratio means LDL predominates. It helps characterize the texture of your lipid profile beyond the individual numbers.
eVLDL/LDL 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/LDL 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.
eVLDL/LDL 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/LDL Ratio and 100+ other biomarkers in a single blood draw.