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Her Form Online Custom Package
Lab Test Package

Custom Lab Panel (17 biomarkers)

Rp 17.148.000(≈ $960 USD · A$1,370)

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

Custom Lab Panel — 17 biomarkers selected on the Her Form custom builder.

Included biomarkers (17):

  • TIBC ( SI,UIBC,TIBC,Saturasi Transferrin ) (TIBC ( SI,UIBC,TIBC,Saturasi Transferrin )) — Rp 590.000
  • Ferritin (Ferritin) — Rp 466.000
  • HDL Cholesterol (HDL Cholesterol) — Rp 117.000
  • LDL Cholesterol (LDL Cholesterol) — Rp 173.000
  • Triglycerides (Triglycerides) — Rp 92.000
  • TSH (TSH) — Rp 451.000
  • Free T4 (Thyroxine) (Free T4 (Thyroxine)) — Rp 585.000
  • Free T3 (Triiodothyronine) (Free T3 (Triiodothyronine)) — Rp 700.000
  • Thyroperoxidase (TPO) Ab (TPOAb / Anti-TPO) (Thyroperoxidase (TPO) Ab (TPOAb / Anti-TPO)) — Rp 1.318.000
  • Anti Thyroglobulin (Anti-Tg / TgAb) (Anti Thyroglobulin (Anti-Tg / TgAb)) — Rp 659.000
  • Reverse T3 (Reverse T3) — Rp 4.612.000
  • Vitamin B12 (cyanocobalamin) (Vitamin B12 (cyanocobalamin)) — Rp 1.647.000
  • Vitamin D 25-OH (Vitamin D 25-OH) — Rp 450.000
  • Progesterone (Progesterone) — Rp 834.000
  • Estrogen Fractionated & Total (Estrogen Fractionated & Total) — Rp 2.788.000
  • Free Testosteron (CIA method) (Free Testosteron (CIA method)) — Rp 923.000
  • Total Testosterone (Total Testosterone) — Rp 743.000

Total: Rp 17.148.000

TIBC ( SI,UIBC,TIBC,Saturasi Transferrin ), Ferritin, HDL Cholesterol, LDL Cholesterol, Triglycerides, TSH, Free T4 (Thyroxine), Free T3 (Triiodothyronine), Thyroperoxidase (TPO) Ab (TPOAb / Anti-TPO), Anti Thyroglobulin (Anti-Tg / TgAb), Reverse T3, Vitamin B12 (cyanocobalamin), Vitamin D 25-OH, Progesterone, Estrogen Fractionated & Total, Free Testosteron (CIA method), Total Testosterone

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 (17 biomarkers)
Rp 17.148.000(≈ $960 USD · A$1,370)
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