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Her Form
Her Form Online Custom Package
Lab Test Package

Custom Lab Panel (12 biomarkers)

Rp 9.191.000(≈ $510 USD · A$730)

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

Custom Lab Panel — 12 biomarkers selected on the Her Form custom builder.

Included biomarkers (12):

  • Complete Blood Count (CBC) include ESR (Complete Blood Count (CBC) include ESR) — Rp 187.000
  • Estradiol (E2) (Estradiol (E2)) — Rp 793.000
  • Progesterone (Progesterone) — Rp 834.000
  • Total Testosterone (Total Testosterone) — Rp 743.000
  • LH (Luteinizing Hormone) (LH (Luteinizing Hormone)) — Rp 663.000
  • FSH (Follicle Stimulating Hormone) (FSH (Follicle Stimulating Hormone)) — Rp 684.000
  • DHEA-S [ECLIA] (DHEA-S [ECLIA]) — Rp 1.318.000
  • TSH (TSH) — Rp 451.000
  • Free T4 (Thyroxine) (Free T4 (Thyroxine)) — Rp 585.000
  • Free T3 (Triiodothyronine) (Free T3 (Triiodothyronine)) — Rp 700.000
  • Somatomedin C / IGF-1 (Somatomedin C / IGF-1) — Rp 1.647.000
  • Cortisol (Cortisol) — Rp 586.000

Total: Rp 9.191.000

Complete Blood Count (CBC) include ESR, Estradiol (E2), Progesterone, Total Testosterone, LH (Luteinizing Hormone), FSH (Follicle Stimulating Hormone), DHEA-S [ECLIA], TSH, Free T4 (Thyroxine), Free T3 (Triiodothyronine), Somatomedin C / IGF-1, Cortisol

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 (12 biomarkers)
Rp 9.191.000(≈ $510 USD · A$730)
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