Library
/
Heart & Vascular Health
/
Non-HDL Cholesterol Test

Non-HDL Cholesterol Test

January 21, 2026
Subscribe for updates
By clicking “Subscribe” you agree to our Terms and Privacy Policy.
Your content is on its way!
By clicking “Subscribe” you agree to our TOS and Privacy Policy.
Oops! Something went wrong while submitting the form.

Do I need a Non-HDL Cholesterol test?

Worried about your heart health or family history of cardiovascular disease? Could measuring your Non-HDL cholesterol give you a clearer picture of your risk?

Non-HDL cholesterol captures all the "bad" cholesterol particles in your blood, not just LDL. It's a more complete measure of what's actually threatening your heart.

Testing your Non-HDL cholesterol gives you a powerful snapshot of your cardiovascular risk, helping you understand if your current lifestyle is protecting your heart or putting it at risk. This simple test is your first step toward a personalized plan that addresses your unique heart health concerns.

Book your test now
With Superpower, you have access to a comprehensive range of biomarker tests
Book a Non-HDL Cholesterol Test Test
Physician reviewed
CLIA-certified labs
HIPAA compliant

Get tested with Superpower

If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over 100 biomarkers, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of Non-HDL Cholesterol testing

  • Measures all cholesterol particles that can clog arteries and cause heart disease.
  • Flags cardiovascular risk more accurately than LDL cholesterol alone in many people.
  • Guides treatment decisions for cholesterol-lowering medications and lifestyle changes.
  • Tracks how well your heart-protection plan is working over time.
  • Spots hidden risk even when triglycerides are high and LDL calculations are unreliable.
  • Helps assess long-term risk for heart attack and stroke prevention.
  • Best interpreted with lipid panel results and your personal cardiovascular risk factors.

What is Non-HDL Cholesterol?

Non-HDL cholesterol is a calculated measure that captures all the cholesterol carried by potentially harmful lipoproteins in your blood. It's determined by subtracting HDL cholesterol (the "good" cholesterol) from your total cholesterol. What remains represents cholesterol packaged inside LDL, VLDL, IDL, and other atherogenic particles.

These non-HDL particles transport fats from your liver and intestines to tissues throughout your body. Unlike HDL, which ferries cholesterol back to the liver for disposal, non-HDL lipoproteins can deposit cholesterol into artery walls when present in excess.

It captures more than LDL alone

Non-HDL cholesterol is considered a more complete marker of cardiovascular risk than LDL cholesterol by itself. That's because it includes remnant lipoproteins and VLDL, which also contribute to plaque formation but aren't reflected in a standard LDL measurement.

A single number, multiple culprits

This single value efficiently summarizes the cholesterol burden from all the lipoproteins that promote atherosclerosis. It provides a clearer picture of your metabolic lipid profile without requiring fasting or complex calculations.

Why is Non-HDL Cholesterol important?

Non-HDL cholesterol captures all the cholesterol carried by particles that promote plaque buildup in your arteries - including LDL, VLDL, and remnants that standard LDL tests miss. It offers a more complete picture of cardiovascular risk than LDL alone, especially after eating or when triglycerides are elevated. Optimal values sit below 130 mg/dL, with lower generally meaning better protection for your heart and blood vessels.

It reveals your true atherogenic burden

When non-HDL is elevated, your arterial walls face a higher load of cholesterol-rich particles that infiltrate vessel linings, trigger inflammation, and form plaques. Over years, this silent process stiffens arteries, narrows coronary and carotid vessels, and raises the risk of heart attack and stroke. High values often accompany metabolic syndrome, insulin resistance, and obesity, linking lipid disorders to systemic metabolic health.

Low values signal strong vascular protection

Values well below the reference range reflect minimal atherogenic particle exposure and typically align with excellent cardiovascular outcomes. There are no adverse effects from having non-HDL cholesterol that is too low. This marker rarely drops to harmful levels through diet or lifestyle alone.

It connects lipids to long-term organ health

Non-HDL cholesterol integrates seamlessly into risk calculators and guides preventive strategies across the lifespan. It matters equally for men and women, though women often see rises after menopause. Tracking this biomarker helps you understand how your lipid profile influences not just heart disease, but also brain health, kidney function, and overall longevity.

What do my Non-HDL Cholesterol results mean?

Low non-HDL cholesterol values

Low values usually reflect reduced circulating levels of all cholesterol-carrying particles except HDL. This can occur with malnutrition, malabsorption syndromes, severe liver disease, or hyperthyroidism. Very low non-HDL cholesterol may signal impaired fat transport or synthesis, which can affect cell membrane integrity and hormone production. In some cases, genetic conditions affecting lipid metabolism are responsible.

Optimal non-HDL cholesterol range

Being in range suggests balanced production and clearance of atherogenic lipoproteins, including VLDL, IDL, and LDL. Non-HDL cholesterol captures all particles that can contribute to plaque formation, making it a useful integrative marker of cardiovascular risk. Most guidelines consider optimal values to sit toward the lower end of the reference range, particularly for individuals with existing cardiovascular risk factors.

High non-HDL cholesterol values

High values usually reflect increased circulating levels of cholesterol-rich particles that promote atherosclerosis. This can result from dietary patterns, insulin resistance, metabolic syndrome, hypothyroidism, or genetic lipid disorders such as familial hypercholesterolemia. Elevated non-HDL cholesterol indicates a higher burden of atherogenic particles and is strongly associated with increased cardiovascular risk over time.

Factors that influence non-HDL cholesterol interpretation

Non-HDL cholesterol is calculated by subtracting HDL from total cholesterol, so accuracy depends on both measurements. Pregnancy typically raises non-HDL cholesterol in the second and third trimesters. Acute illness, recent weight change, and certain medications can temporarily alter results.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

Subscribe for updates
By clicking “Subscribe” you agree to our Terms and Privacy Policy.
Your content is on its way!
By clicking “Subscribe” you agree to our TOS and Privacy Policy.
Oops! Something went wrong while submitting the form.

Similar biomarker tests from Superpower

See more biomarkers

Frequently Asked Questions

Read more
How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

“Best health check of my entire life.”

Vinay Hiremath, Founder of Loom

“Life changing”

Jordi Hayes, Founder of Capital.xyz

Frequently Asked Questions about Non-HDL Cholesterol Test

What is non-HDL cholesterol and how is it calculated from my lipid panel?

Non-HDL cholesterol is the amount of cholesterol carried by all “bad” (atherogenic) particles in your blood - everything except HDL (“good” cholesterol). It includes LDL, VLDL, and cholesterol remnants that can contribute to plaque buildup in artery walls. It’s calculated as total cholesterol minus HDL cholesterol, giving a single number that reflects the total plaque-forming cholesterol burden.

Why is non-HDL cholesterol considered a better cardiovascular risk marker than LDL cholesterol alone?

Non-HDL cholesterol captures all atherogenic lipoproteins (LDL, VLDL, remnants), not just LDL. This makes it a more complete snapshot of plaque-forming particles and can flag cardiovascular risk more accurately than LDL alone - especially after eating or when triglycerides are elevated, when triglyceride-rich particles rise and LDL alone may underestimate risk.

What is an optimal non-HDL cholesterol level, and what does “high” mean in mg/dL?

In this context, optimal non-HDL cholesterol is below 130 mg/dL, with lower generally meaning better vascular protection. Levels above 160 mg/dL suggest a higher burden of plaque-forming particles and a greater likelihood of silent artery damage over time. Persistently high non-HDL cholesterol is strongly associated with increased risk of atherosclerosis, heart attack, and stroke.

How does non-HDL cholesterol predict my risk of heart attack or stroke over the next 10 years?

Non-HDL cholesterol represents the cholesterol available to be deposited into arterial walls, where it can trigger inflammation and atherosclerosis. Because it includes LDL plus other atherogenic particles (like VLDL and remnants), it reflects total plaque-forming exposure more completely. Higher values are linked to progressive narrowing of coronary, carotid, and peripheral arteries, increasing 10-year risk of heart attack and stroke.

Why is non-HDL cholesterol especially useful after eating or when triglycerides are high?

After meals, triglyceride-rich lipoproteins and remnants rise in the bloodstream. Non-HDL cholesterol includes these triglyceride-associated particles, while LDL alone may miss part of the risk signal. That’s why non-HDL cholesterol can better reflect cardiovascular risk in non-fasting states or in people with elevated triglycerides, providing a clearer picture of the total atherogenic particle load.

What causes high non-HDL cholesterol, and which conditions are commonly linked to it?

High non-HDL cholesterol often reflects increased production of atherogenic lipoproteins by the liver, reduced clearance from the blood, or both. Common drivers include insulin resistance, metabolic syndrome, familial hypercholesterolemia, and hypothyroidism (which can slow lipoprotein clearance). Diet high in saturated and trans fats can contribute, and liver-related metabolic issues may also play a role.

What does low non-HDL cholesterol mean, and when can very low levels be a concern?

Low non-HDL cholesterol usually indicates efficient clearance or reduced production of cholesterol-carrying particles and is generally protective for cardiovascular health. Very low levels (below ~100 mg/dL) are uncommon outside aggressive lipid-lowering therapy or genetics like hypobetalipoproteinemia and are usually well tolerated. Rarely, extremely low cholesterol may signal malnutrition, severe liver disease, hyperthyroidism, or malabsorption.

How should I interpret non-HDL cholesterol results alongside HDL and triglycerides?

Non-HDL cholesterol is best interpreted together with triglycerides, HDL, and your overall cardiovascular risk factors. Non-HDL captures total plaque-forming cholesterol (LDL + VLDL + remnants), while HDL is protective and triglycerides indicate triglyceride-rich particle activity. Looking at the full lipid profile helps clarify whether risk is driven by insulin resistance, metabolic syndrome patterns, or other metabolic factors.

How does non-HDL cholesterol relate to diabetes, prediabetes, and metabolic syndrome?

Non-HDL cholesterol can clarify metabolic health because insulin resistance and metabolic syndrome often raise triglyceride-rich lipoproteins and remnants, increasing the total atherogenic burden. In diabetes and prediabetes, non-HDL may reveal “residual risk” even if LDL appears acceptable. Tracking non-HDL helps identify people who may need closer cardiovascular monitoring and more targeted lifestyle or medication strategies.

How is non-HDL cholesterol used to guide statin therapy and monitor treatment response?

Non-HDL cholesterol helps guide statin decisions by measuring the total plaque-forming cholesterol burden, not just LDL. It can also detect residual cardiovascular risk when LDL is at goal but other atherogenic particles remain elevated. Clinicians use changes in non-HDL over time to assess how well lipid-lowering therapy (like statins) is reducing atherogenic particles and improving overall cardiovascular risk profile.

Finally, healthcare that looks at the whole you