Total Cholesterol to HDL Ratio
Lipids marker
Cholesterol/HDL Ratio
Total Cholesterol to HDL Ratio
Category: Lipids
Unit: N/A
Ratio of total cholesterol to HDL. Lower is better for cardiovascular health.
PED Notes
AAS users often have very unfavourable ratios due to suppressed HDL. Ratio >5.0 indicates elevated cardiovascular risk. Optimal is <4.0.
Supplements (raise HDL + lower LDL):
- Omega-3 (EPA/DHA) -- 2-3g/day
- Niacin -- if tolerated
- Citrus Bergamot -- 500mg 2x/day
Lifestyle:
- Regular aerobic exercise 30-45min 3-5x/week (most effective)
- Increase healthy fats (olive oil, avocado, fatty fish)
- Increase fibre, reduce processed foods
- Avoid oral AAS if ratio is persistently >6.0
References:
- Yokoyama, M., Origasa, H., Matsuzaki, M., et al. (2007). Effects of eicosapentaenoic acid on major coronary events (JELIS). The Lancet, 369(9567), 1090-1098. DOI: 10.1016/S0140-6736(07)60527-3
- AIM-HIGH Investigators, Boden, W. E., Probstfield, J. L., et al. (2011). Niacin in patients with low HDL cholesterol levels receiving intensive statin therapy. New England Journal of Medicine, 365(24), 2255-2267. DOI: 10.1056/NEJMoa1107579
- Lamiquiz-Moneo, I., Gine-Gonzalez, J., Alisente, S., et al. (2020). Effect of bergamot on lipid profile in humans: A systematic review. Critical Reviews in Food Science and Nutrition, 60(18), 3133-3143. DOI: 10.1080/10408398.2019.1677554
History Chart
Reading History
Frequently Asked Questions
Reference Ranges
Standard Range
0 - 5
VitalMetrics Range
0 - 7