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Lipids & Cardiovascular

LDL Cholesterol

Lipids & Cardiovascular

LDL Cholesterol

Atherogenic 'bad' cholesterol. Lower is generally better.

22 SEK

VAT-exempt medical service

  • Results in 5 working days
  • 116 sampling locations
  • No doctor's referral needed
  • Sample: Blood (venous)
Find a sampling location →

What does this test measure?

Low-density lipoprotein (LDL) cholesterol is a lipoprotein containing Apolipoprotein B that carries cholesterol through the blood. When LDL levels are too high, cholesterol-laden particles can become trapped in artery walls, driving atherosclerosis and increasing the risk of heart attack and stroke. Wellth offers LDL cholesterol testing through accredited Swedish laboratories, typically as part of a comprehensive lipid panel that provides a complete view of your cardiovascular risk.

LDL cholesterol testing is fundamental for evaluating and managing cardiovascular risk. Both genetic studies and large clinical trials consistently show that lower LDL particle concentrations reduce heart disease risk. Testing is recommended for routine health screening, for people with a family history of cardiovascular disease, and for monitoring the effectiveness of dietary changes, lifestyle modifications, or lipid-lowering medications.

What a high value can mean

High LDL cholesterol means there are more atherogenic particles available to become trapped in artery walls, accelerating plaque formation and increasing the risk of heart attack and stroke. Causes include genetic factors such as familial hypercholesterolaemia, a diet high in saturated fats and trans fats, low fibre intake, smoking, hypothyroidism, and insulin resistance. The more Apolipoprotein B-containing particles circulating in your blood, the higher your cardiovascular risk.

What a low value can mean

Low LDL cholesterol is generally associated with lower cardiovascular risk. However, very low levels may indicate oxidative stress, malnutrition, hyperthyroidism, autoimmune conditions, or liver dysfunction. In pregnancy, low LDL may increase the risk of premature birth. If your LDL is significantly below normal, your doctor may investigate underlying causes.

Read more about this marker →

Associated symptoms

  • High LDL is typically a silent condition without direct symptoms
  • Chest pain (angina) when arteries narrow significantly
  • Shortness of breath
  • Fatty deposits under the skin (xanthomas)
  • Heart attack or stroke in advanced cases

Who should consider this test

  • All adults as part of routine cardiovascular screening
  • Anyone with a family history of high cholesterol or heart disease
  • People with diabetes, hypertension, or obesity
  • Smokers and those with sedentary lifestyles
  • Patients on statins or other lipid-lowering therapy

Before your appointment

Do not eat or drink anything except water for at least 10 hours (preferably 12) before the test. Postpone the test if you are ill and wait at least 6 weeks after illness. This test is best done in the early morning after an overnight fast. Bring valid identification.

  • Bring photo ID to the sampling location.
  • You do not need a doctor's referral — your referral is issued when you order.
  • Tell the staff which test you have ordered if they ask.

How it works

  1. 1

    Order your test

    Choose your test and pay online. Your lab referral is created straight away.

  2. 2

    Give your sample

    Visit any of our partner sampling locations. No appointment needed at most of them.

  3. 3

    The lab analyses it

    Your sample is analysed at an accredited Swedish laboratory.

  4. 4

    Get your results

    Your values appear in your account with reference ranges and an explanation of each marker.

Good to know

What is a normal LDL cholesterol level?

For most adults, an LDL below 3.0 mmol/L is considered desirable. For those at high cardiovascular risk, a target below 1.8 mmol/L is often recommended. Your lab results will include the specific reference range.

Why is LDL called the bad cholesterol?

LDL particles can become trapped in artery walls and trigger plaque formation (atherosclerosis). Higher numbers of circulating LDL particles mean greater risk. However, cholesterol itself is essential for health -- it is the excess LDL particles that drive disease.

How can I lower my LDL cholesterol?

Reducing saturated and trans fat intake, increasing dietary fibre, regular exercise, weight management, and quitting smoking all help lower LDL. When lifestyle changes are not enough, statin medications are highly effective.

Do I need to fast before an LDL test?

Yes. Fasting for at least 10 to 12 hours is recommended for accurate LDL measurement, as food intake can significantly affect lipid levels. Drink only water during the fasting period.