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Her Form
Her Form Online Custom Package
Lab Test Package

Custom Lab Panel (8 biomarkers)

Rp 6.726.000(≈ $380 USD · A$540)

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

Custom Lab Panel — 8 biomarkers selected on the Her Form custom builder.

Included biomarkers (8):

  • TSH (TSH) — Rp 451.000
  • Free T4 (Thyroxine) (Free T4 (Thyroxine)) — Rp 585.000
  • Free T3 (Triiodothyronine) (Free T3 (Triiodothyronine)) — Rp 700.000
  • Vitamin B12 (cyanocobalamin) (Vitamin B12 (cyanocobalamin)) — Rp 1.647.000
  • Vitamin D 25-OH (Vitamin D 25-OH) — Rp 450.000
  • Cortisol (Cortisol) — Rp 586.000
  • DHEA-S [ECLIA] (DHEA-S [ECLIA]) — Rp 1.318.000
  • Homocysteine (Homocysteine) — Rp 989.000

Total: Rp 6.726.000

TSH, Free T4 (Thyroxine), Free T3 (Triiodothyronine), Vitamin B12 (cyanocobalamin), Vitamin D 25-OH, Cortisol, DHEA-S [ECLIA], Homocysteine

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 (8 biomarkers)
Rp 6.726.000(≈ $380 USD · A$540)
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