LDL Cholesterol: The Bad Cholesterol on Lab Reports
[Glossary · How doses act in the body]

LDL cholesterol

Also called LDL, LDL-C, low-density lipoprotein, "bad" cholesterol · Reviewed

Definition: LDL cholesterol (low-density lipoprotein) is the cholesterol carried in LDL particles, which move fat through the blood. MedlinePlus calls it the "bad" cholesterol because a high level leads to cholesterol building up in the arteries. HDL, the "good" cholesterol, carries cholesterol back to the liver to be removed. Both are part of the lipid panel.

Why a high level matters

MedlinePlus explains that extra LDL, with other substances, forms plaque that builds up in artery walls (atherosclerosis). In the heart arteries this is coronary artery disease, which can cause chest pain or, if blood flow is blocked, a heart attack. A high LDL usually causes no symptoms, so it is found by a blood test.

What labels report

LDL changes reported in each label's trials
LabelLDL change
Jardiance (SGLT2 inhibitor)+4.6% on 10 mg and +6.5% on 25 mg vs +2.3% on placebo
Invokana (SGLT2 inhibitor)+4.5% on 100 mg and +8.0% on 300 mg vs placebo
Farxiga (SGLT2 inhibitor)+2.9% vs -1.0% on placebo at week 24
Kyzatrex (oral testosterone)Total cholesterol, LDL, HDL and triglycerides all went down; lipids are checked periodically

These are average changes in a group. They say nothing about any one person's result.

Why it matters for your log

Lipid results are usually months apart. Keeping each result with its date, next to when a medicine was started or changed, is what makes a before-and-after comparison possible.

Read more on Dose Track: Cholesterol and blood fats · Does TRT affect cholesterol? · Jardiance side effects · Kyzatrex side effects

General education drawn from labels and published studies, not personal medical advice. Your prescriber, pharmacist and the label that came with your product are the final word.

Frequently asked questions

Why is LDL called bad cholesterol?+
MedlinePlus says a high LDL level leads to cholesterol building up in the arteries as plaque, which can narrow them and raise the risk of heart disease.
Do SGLT2 inhibitors raise LDL?+
Their labels report small average rises. Jardiance lists +4.6% on 10 mg and +6.5% on 25 mg vs +2.3% on placebo.