Inflammation calculator

NLR — Neutrophil : Lymphocyte Ratio

An underrated inflammation and longevity marker calculated straight from your CBC differential — costs nothing extra.

Home › Tools › NLR — Neutrophil : Lymphocyte Ratio
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How this is worked out. Absolute neutrophils divided by absolute lymphocytes, both K/µL. Unitless, so the ratio is the same whichever way a lab reports the counts.
Lower is generally better; under 2 is excellent. Elevated NLR associates with systemic inflammation, cardiovascular risk and worse outcomes across many conditions. Free on every CBC with differential.

The bands on this page

ResultWhat it is called here
under 1.5Excellent
1.5 to 2.5Normal
2.5 to 3.5Elevated — systemic inflammation
over 3.5High — investigate

What goes in, and where each number comes from

Every input is a real test. Follow one to see its normal range, its optimal range and what moves it — the calculation is only as good as the numbers you feed it.

What it costs to actually get these numbers

The 1 test on their own$8.10
The cheapest panel that covers them — Am I Iron Deficient? (2 markers)$16.20
Order the tests, not the panel. This calculation needs 1 result, and buying it individually is $8.10 cheaper than the smallest panel that happens to contain it. The panel is worth it only if you want the other 1 markers on it too.
Order Am I Iron Deficient? →

Prices are Marek Diagnostics with the 10% code already applied, and they are what was filed when this page was built — check the cart. Ordering through these links pays a commission at no cost to you.

What could have moved the measurement, not the marker

A wrong number and a real change look identical on a report. These are the reasons a result here can be an artifact of how the blood was drawn or run, and they are worth ruling out before anything else.

prepDelay before the sample is run

Platelet clumping in the EDTA tube produces a falsely low platelet count, and cells swell over time, shifting indices.

What to do: A surprisingly low platelet count with no symptoms is usually clumping. Ask for a citrate tube repeat.

stateDehydration

Concentrates the blood and falsely raises hemoglobin, hematocrit and red cell count. Genuinely important on TRT, where a hematocrit near the ceiling changes management.

What to do: Hydrate normally the day before. Do not over-drink immediately before either — that dilutes in the other direction.

stateRecent hard training or endurance sport

Plasma volume expands with endurance training, diluting hemoglobin — 'athlete's pseudoanemia', which is an adaptation and not a deficiency. White cells also rise acutely after hard exercise.

What to do: Distinguish it by a normal ferritin. Draw 48–72 hours after hard work.

stateAcute illness or infection

This is an acute-phase reactant — it moves substantially during any infection, injury or inflammatory episode, and the change has nothing to do with your baseline.

What to do: Wait two weeks after any illness, vaccination or injury before drawing or interpreting.

This tool does not diagnose anything. It puts a number next to a published interval and shows the arithmetic that got there. It cannot see your symptoms, your medications, your history or the assay your lab ran. A result outside the outer bounds belongs in front of a clinician, not in a supplement search.

Where to go with this

Read one of these results on its ownType a value, pick your units and sex, and see where it sits and what could have moved it.The Am I Iron Deficient?2 markers, $16.20 with the code — what it settles and what it does not.Every marker on this site103 markers, each with the normal range, the optimal range and what moves it.