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Her Form
Her Form Custom Lab Panel
Lab Test Package

Custom Lab Panel (14 biomarkers)

Rp 7.574.000(≈ $430 USD · A$600)

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

Custom Lab Panel — 14 biomarkers selected on the Her Form custom builder.

Included biomarkers (14):

  • FSH (Follicle Stimulating Hormone) (307003) — Rp 684.000
  • LH (Luteinizing Hormone) (307002) — Rp 663.000
  • Estradiol (E2) (307005) — Rp 793.000
  • Progesterone (307004) — Rp 834.000
  • Total Testosterone (307014) — Rp 743.000
  • DHEA-S (306022) — Rp 1.318.000
  • TSH (305005) — Rp 451.000
  • Free T4 (305002) — Rp 585.000
  • Cholesterol Total (203001) — Rp 88.000
  • HDL Cholesterol (203002) — Rp 117.000
  • LDL Cholesterol (203003) — Rp 173.000
  • Triglycerides (203004) — Rp 93.000
  • hs-CRP (201004) — Rp 455.000
  • Vitamin D 25-OH (210003) — Rp 577.000

Total: Rp 7.574.000

FSH (Follicle Stimulating Hormone), LH (Luteinizing Hormone), Estradiol (E2), Progesterone, Total Testosterone, DHEA-S, TSH, Free T4, Cholesterol Total, HDL Cholesterol, LDL Cholesterol, Triglycerides, hs-CRP, Vitamin D 25-OH

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 (14 biomarkers)
Rp 7.574.000(≈ $430 USD · A$600)