Ultra — 73 biomarkers
Built for men who want zero blind spots and comprehensive health optimization.
73 biomarkers · nurse home draw in Bali · results in 7–14 days · expert-reviewed PDF report.
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.
From order to expert-reviewed report
- 01Order online
Secure Shopify checkout.
- 02Certified Indonesian nurses
Certified nurse home draw in Bali — villa, hotel or co-living.
- 03ISO 15189 accredited lab partner
Sample processed at our accredited partner lab, then doctor-reviewed.
- 04Expert-reviewed PDF report
Personalised 12-week protocol. Results in 7–14 days.
Every panel includes
- 73 biomarkers — the deepest panel we run
- 2 hours of MD consultations — 2× 1-hour sessions with Dr. Topalovic
- Advanced cardiometabolic (Apo A1, Apo B, hs-CRP, homocysteine)
- Expanded micronutrients (Vit A, D, E, B2, B12, folate, zinc, magnesium)
- Full thyroid + HOMA-IR insulin resistance
- Personalised 12-week protocol
Pay upfront. Claim most of it back.
Our customers average ~95% reimbursement from international insurance. We provide the itemised invoice, ICD-10 codes and supporting documents your insurer needs.
Most international insurers reimburse 90–100% with proper documentation. Coverage varies by plan and we cannot guarantee a specific outcome.
What your expert-reviewed report looks like
73 biomarkers across 11 health systems.
Metabolism & Weight Control
11- Fasting Glucose
- Fasting Insulin
- HbA1C
- HOMA-IR (Insulin + Glucose)
- Cholesterol Total
- Triglycerides
- HDL Cholesterol
- LDL Cholesterol
- Apolipoprotein A1
- Apolipoprotein B
- C-Peptide
Oxygen Transfer & Blood Function
23- RBC
- Hemoglobin
- Hematocrit
- MCV
- MCH
- MCHC
- RDW
- Platelets
- WBC
- Neutrophils
- Lymphocytes
- Monocytes
- Eosinophils
- Basophils
- Neutrophils Absolute
- Lymphs Absolute
- Monocytes Absolute
- Baso Absolute
- Ferritin
- Serum Iron (SI)
- UIBC
- TIBC
- Transferrin Saturation
Thyroid Health
3- TSH
- Free T4
- Free T3
Inflammation & Cardiovascular Health
2- hs-CRP
- Homocysteine
Liver Function & Toxicity
5- AST (SGOT)
- ALT (SGPT)
- Bilirubin Total
- Alkaline Phosphatase
- Gamma GT
Pancreatic & Digestive Health
2- Amylase Pancreatic
- PT/INR
Strength & Endurance
9- Free Testosterone
- Total Testosterone
- SHBG
- Estradiol (E2)
- Luteinizing Hormone (LH)
- Follicle Stimulating Hormone (FSH)
- Prolactin
- Cortisol
- PSA
Hormonal & Nutrient Health
3- Folic Acid
- Vitamin D 25-OH
- Vitamin B12
Electrolyte, Kidney & Trace Mineral Health
8- Sodium (Na)
- Potassium (K)
- Chloride (Cl)
- Total Magnesium
- Zinc (S) [ICP-MS]
- BUN
- Creatinine
- eGFR
Vitamin & Antioxidant Health
3- Vitamin A
- Vitamin E
- Vitamin B2
Bone & Protein Health
4- Calcium (Total)
- Total Protein
- Albumin
- Globulin
Found a marker their GP had missed
Raised free testosterone in 12 weeks
Would refer FORM to a friend
Aggregate, self-reported · FORM members · 2024–2026
Real results from real men.
Bloodwork and MD-reviewed expert reports — straight from clients who've done it.
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.
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 7–14 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, Foyer Global Health, Genki, XCover, AXA) 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.
How does insurance reimbursement work?
Our customers average ~95% reimbursement from international insurance. We provide the itemised invoice, ICD-10 codes and supporting documents your insurer needs. Most international insurers reimburse 90–100% with proper documentation. Coverage varies by plan and we cannot guarantee a specific outcome.