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Elite Protocol panel
5.016 Google reviews

Built for men who want the deepest hormone and metabolic picture without MD consults.

55 biomarkers · nurse home draw in Bali · results from 7 days · expert-reviewed PDF report.

Rp 17.99M$1,125 USD
Customers average ~95% reimbursement on international insurance
60,000+ panels analysedISO 15189 accredited lab partner
Take the 60-sec quiz →
Secure Shopify checkout
90-day progress guarantee
Elite Protocol blood test vial
ISO 15189 accredited lab partner
Certified Indonesian nurses
Results from 7 days
Reimbursed by Cigna · Allianz · Bupa · IMG

Our customers average ~95% reimbursement from international insurance. 60,000+ panels analysed.

Reimbursement rates are typical and vary by plan. We don't guarantee a specific outcome.

How it works

From order to expert-reviewed report

  1. 01
    Order online

    Secure Shopify checkout.

  2. 02
    Certified Indonesian nurses

    Certified nurse home draw in Bali — villa, hotel or co-living.

  3. 03
    ISO 15189 accredited lab partner

    Sample processed at our accredited partner lab, then doctor-reviewed.

  4. 04
    Expert-reviewed PDF report

    Personalised 12-week protocol. Results from 7 days.

What you get

Every panel includes

  • 55 biomarkers — full hormone + metabolic depth
  • LH, FSH, Estradiol, Prolactin
  • Fasting Insulin + HbA1c
  • PSA cancer marker
  • Expert-reviewed PDF report with personalised insights
  • Personalised 12-week protocol
Bundle vs assembled separately

What you'd pay if you bought every piece on its own

Total value if assembled separately
Rp 24.23M
This panel
Rp 17.99M
You save
Rp 6.23M
26% off
Biomarkers à-la-carte (real /build prices)
  • Free TestosteroneRp 2.25M
  • Total TestosteroneRp 671k
  • CortisolRp 833k
  • LH (Luteinizing Hormone)Rp 599k
  • FSH (Follicle Stimulating Hormone)Rp 618k
  • Estradiol (E2)Rp 716k
  • ProlactinRp 557k
  • Fasting GlucoseRp 51k
  • Fasting InsulinRp 650k
  • HbA1CRp 267k
  • Cholesterol TotalRp 80k
  • TriglyceridesRp 84k
  • HDL CholesterolRp 105k
  • LDL CholesterolRp 156k
  • Apolipoprotein BRp 441k
  • FerritinRp 421k
  • Iron (SI)Rp 257k
  • TSHRp 407k
  • Free T4Rp 529k
  • Free T3Rp 633k
  • AST (SGOT)Rp 83k
  • ALT (SGPT)Rp 83k
  • Bilirubin TotalRp 109k
  • Alkaline PhosphataseRp 133k
  • AlbuminRp 126k
  • Gamma GT (GGT)Rp 151k
  • BUN (Blood Urea Nitrogen)Rp 98k
  • Creatinine/eGFRRp 93k
  • Total ProteinRp 128k
  • Creatine KinaseRp 150k
  • Total MagnesiumRp 179k
  • Calcium TotalRp 165k
  • PSA (Prostate Specific Antigen)Rp 604k
  • Complete Blood Count (CBC)(covers 19 markers)Rp 169k
  • Electrolytes (Na, K, Cl)(covers 3 markers)Rp 628k
Biomarkers subtotalRp 13.23M
Expert services & support
  • Doctor review & expert-reviewed reportRp 3M
  • Personalised 12-week protocolRp 2.5M
  • Lifestyle & nutrition planRp 2M
  • Personalised supplement protocolRp 2M
  • Results dashboard + lifetime trackingRp 1.5M
Services subtotalRp 11M
Total value if assembled separatelyRp 24.23M

Biomarker prices are our real per-test /build rates. Service values are indicative of buying each element separately.

90-day progress guarantee

Progress in 90 days — or your retest is free.

Follow your personalised 12-week protocol and retest at day 90. If your flagged priority biomarkers haven't improved, your retest is on us — we're that confident in the protocol.

Eligible when you've completed your protocol and retest within 14 days of day 90. "Priority biomarkers" are the out-of-range markers flagged in your original report. Final terms to be confirmed.

Sample report

What your expert-reviewed report looks like

form.report / M-2401
Member
James, 34 — Canggu
Drawn
15 Jun 2026
Total Testosterone
ng/dL
412Watch
Free Testosterone
pg/mL
6.2Low
Estradiol (E2)
pg/mL
31OK
SHBG
nmol/L
48Watch
Personalised report
Restore free T · raise Vit D · drop SHBG
55 biomarkers

Full panel breakdown

Hormonal Health(7)
  • Free Testosterone
  • Total Testosterone
  • Cortisol
  • Luteinizing Hormone (LH)
  • Follicle Stimulating Hormone (FSH)
  • Estradiol
  • Prolactin
Metabolism & Weight Control(8)
  • Fasting Glucose
  • Fasting Insulin
  • HbA1C
  • Cholesterol Total
  • Triglycerides
  • HDL Cholesterol
  • LDL Chol Calc NIH
  • Apolipoprotein (Apo-B)
Oxygen Transfer & Blood Function(10)
  • RBC
  • Hemoglobin
  • Hematocrit
  • MCV
  • MCH
  • MCHC
  • RDW
  • Platelets
  • Ferritin
  • Iron
Thyroid Health(3)
  • TSH
  • Thyroxine Free T4
  • Triiodothyronine Free T3
Inflammation(11)
  • Neutrophils
  • Monocytes
  • Basos
  • Lymphs Absolute
  • Lymphs
  • Eos
  • Neutrophils Absolute
  • Monocytes Absolute
  • Baso Absolute
  • WBC
  • ESR
Liver Function(6)
  • AST
  • ALT
  • Bilirubin Total
  • Alkaline Phosphatase
  • Albumin
  • GGT
Kidney Health(5)
  • BUN
  • Creatinine
  • Protein Total
  • EGFR
  • BUN/Creatinine Ratio
Strength & Recovery(1)
  • Creatine Kinase
Electrolyte & Fluid Balance(4)
  • Sodium
  • Potassium
  • Magnesium
  • Chloride
Bone & Muscle Health(1)
  • Calcium
Tumor Markers(1)
  • PSA
Real members. Real deltas.
Rated 5.0 on Google · 16 reviews
68%

Found a marker their GP had missed

73%

Raised free testosterone in 12 weeks

92%

Would refer FORM to a friend

Aggregate, self-reported · FORM members · 2024–2026

Verified reviews

Real results from real men.

Bloodwork and MD-reviewed expert reports — straight from clients who've done it.

Expert review

Reviewed by a doctor, not an algorithm

Every panel is interpreted by Dr. Nikola Topalovic, MD PhD, MD PhD Medical Director, FORM · Assistant Professor of Medical Physiology, University of Belgrade · Sports Medicine. Our customers average ~95% reimbursement from international insurance.

FAQ

What buyers ask before ordering

How does the home blood draw work?

A certified Indonesian nurse comes to your address in Bali — villa, hotel, or co-living. The draw takes about 15 minutes. We use standard vacutainer tubes and a temperature-controlled transport kit to the lab the same morning.

How fast are results?

From 7 days for the full panel. Out-of-range markers are flagged inside 72 hours with an immediate note from our expert.

How much does international insurance reimburse?

In our experience expat insurance (Cigna, Allianz, Bupa, IMG, GeoBlue) reimburses 90–100% of diagnostic bloodwork when accompanied by an itemised receipt and ICD-10 codes. We provide both as standard. Reimbursement rates are typical and vary by plan. We don't guarantee a specific outcome.

Who reviews my results?

Dr. Nikola Topalovic, MD PhD, MD PhD and our expert team. Every report is expert-reviewed before it's sent — no algorithm-only output.

Where is the lab?

Our partner lab is ISO 15189 accredited and located in Denpasar. Same-day processing for samples drawn before 11am.

What's the 90-day guarantee?

Follow your personalised 12-week protocol and retest at day 90. If your flagged priority biomarkers haven't improved, your retest is on us — we're that confident in the protocol. Eligible when you've completed your protocol and retest within 14 days of day 90. "Priority biomarkers" are the out-of-range markers flagged in your original report. Final terms to be confirmed.

Elite Protocol panel
Rp 17.99M · 55 markers
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