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Her Form
Her Form Custom Lab Panel
Lab Test Package

Custom Lab Panel (13 biomarkers)

Rp 10.577.000(≈ $650 USD · A$1,000)

Prices shown in IDR — USD/AUD are rough estimates; your local-currency total is confirmed at checkout.

Custom Lab Panel — 13 biomarkers selected on the Her Form custom builder.

Included biomarkers (13):

  • Estradiol (E2) (307005) — Rp 793.000
  • Progesterone (307004) — Rp 834.000
  • LH (Luteinizing Hormone) (307002) — Rp 663.000
  • FSH (Follicle Stimulating Hormone) (307003) — Rp 684.000
  • Prolactin (307009) — Rp 617.000
  • TSH (305005) — Rp 451.000
  • SHBG (307012) — Rp 4.404.000
  • HbA1C (204005) — Rp 296.000
  • HOMA-IR (Fasting Glucose + Fasting Insulin) (303011) — Rp 833.000
  • Free T3 (305001) — Rp 700.000
  • Triglycerides (203004) — Rp 93.000
  • HDL Cholesterol (203002) — Rp 117.000
  • ALT (SGPT) (202002) — Rp 92.000

Total: Rp 10.577.000

Estradiol (E2), Progesterone, LH (Luteinizing Hormone), FSH (Follicle Stimulating Hormone), Prolactin, TSH, SHBG, HbA1C, HOMA-IR (Fasting Glucose + Fasting Insulin), Free T3, Triglycerides, HDL Cholesterol, ALT (SGPT)

Reviewed by Her Form's health specialists. Optional 1:1 consults with Robyn available on request. A 2% service fee is added at checkout.

Custom Lab Panel (13 biomarkers)
Rp 10.577.000(≈ $650 USD · A$1,000)