# Lipid Manager vs EchoRef

The clearest difference is ratings volume: EchoRef at 1.4K against Lipid Manager's 3. EchoRef also leads on update cadence (every 2 months vs every 5 months). Lipid Manager's advantage is iOS requirement (13.0 vs 26.0). On price, rating, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

On the App Store both sit at effectively the same score — 5.0 for Lipid Manager against 4.9 for EchoRef. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 3, so its average is the more settled of the two.

Lipid Manager ships an update every 5 months, EchoRef every 2 months. The most recent releases landed on October 17, 2026 and October 25, 2026 respectively.

## The numbers

| Metric | Lipid Manager | EchoRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (3 ratings)](https://appshunter.io/ios/app/lipid-manager/id1179044544/reviews)** | [4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews) |
| Number of ratings | 3 | **1.4K** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 5 months | **Every 2 months** |
| Monetization | Free | Free |
| Size | 114 MB | 104 MB |
| Requires iOS | **13.0** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [American College of Cardiology](https://appshunter.io/developer/502174543) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## What reviewers say

### Lipid Manager

[App page](https://appshunter.io/ios/app/lipid-manager/id1179044544)

This app offers three clinical decision support tools for healthcare professionals to manage patient triglycerides and LDL-C. It assists in determining lipid-lowering therapies, evaluating statin intolerance, and providing recommendations for hypertriglyceridemia management.

**Highlights:** LDL-C Lowering Therapy tool, Statin Intolerance evaluation, Hypertriglyceridemia management recommendations, Lifestyle intervention guidance, Pharmacological management guidance

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### EchoRef

[App page](https://appshunter.io/ios/app/echoref/id1434016053)

This educational reference app provides comprehensive information on point-of-care ultrasound (POCUS), echocardiography, and cardiac measurements. It includes lessons on interventional procedures and hemodynamic calculations for medical professionals.

**Highlights:** Point-of-care ultrasound (POCUS), Transthoracic echocardiography (TTE), Transesophageal echocardiography (TEE), Cardiac dimensions and valve measurements, Hemodynamic and ultrasound calculations, Interventional procedure lessons

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Lipid Manager free?

Lipid Manager is free to download, with no in-app purchases.

### Is EchoRef free?

EchoRef is free to download, with no in-app purchases.

### Which has better reviews, Lipid Manager or EchoRef?

Lipid Manager is rated higher. Lipid Manager averages 5.0 out of 5 from 3 ratings, while EchoRef averages 4.9 from 1.4K ratings.

### Do Lipid Manager or EchoRef have ads?

Neither Lipid Manager nor EchoRef shows ads.

### Which is updated more often, Lipid Manager or EchoRef?

Lipid Manager ships an update every 5 months, and EchoRef every 2 months. Most recently, Lipid Manager was updated on October 17, 2026 and EchoRef on October 25, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*