Ultra — 68 biomarkers
Built for men who want zero blind spots and comprehensive health optimization.
68 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
- 68 biomarkers — the deepest panel we run
- 2 hours of MD consultations — 2× 1-hour sessions with Dr. Topalovic
- Advanced cardiometabolic (Lp(a), homocysteine, omega-3 index)
- Expanded micronutrients (Vit D, B12, folate, magnesium)
- Advanced thyroid (reverse T3, TPO antibodies)
- Personalised 12-week protocol
What you'd pay if you bought every piece on its own
- Free TestosteroneRp 2.49M
- Total TestosteroneRp 743k
- SHBGRp 4.4M
- DHEA-SRp 1.31M
- CortisolRp 923k
- LH (Luteinizing Hormone)Rp 663k
- FSH (Follicle Stimulating Hormone)Rp 684k
- Estradiol (E2)Rp 793k
- ProlactinRp 617k
- Fasting GlucoseRp 57k
- Fasting InsulinRp 720k
- HbA1CRp 296k
- HOMA-IRRp 833k
- Cholesterol TotalRp 88k
- TriglyceridesRp 93k
- HDL CholesterolRp 117k
- LDL CholesterolRp 173k
- Apolipoprotein BRp 489k
- Lipoprotein(a)Rp 1.39M
- hs-CRPRp 455k
- HomocysteineRp 989k
- Omega ProfileRp 2.49M
- TSHRp 451k
- Free T4Rp 585k
- Free T3Rp 700k
- Reverse T3Rp 4.61M
- Thyroperoxidase (TPO) AbRp 1.31M
- Vitamin D 25-OHRp 577k
- Vitamin B12Rp 1.64M
- Folic Acid (Vitamin B9)Rp 1.51M
- Total MagnesiumRp 198k
- FerritinRp 466k
- Iron (SI)Rp 285k
- AST (SGOT)Rp 92k
- ALT (SGPT)Rp 92k
- Alkaline PhosphataseRp 147k
- Gamma GT (GGT)Rp 168k
- Bilirubin TotalRp 121k
- AlbuminRp 139k
- BUN (Blood Urea Nitrogen)Rp 108k
- Creatinine/eGFRRp 102k
- Total ProteinRp 142k
- Creatine KinaseRp 150k
- PSA (Prostate Specific Antigen)Rp 669k
- Complete Blood Count (CBC)(covers 15 markers)Rp 187k
- Electrolytes (Na, K, Cl)(covers 3 markers)Rp 695k
- 2× 1-hour consultations with Dr NikolaRp 6M
- Doctor review & expert-reviewed reportRp 3M
- Personalised 12-week protocolRp 2.5M
- Lifestyle & nutrition planRp 2M
- Personalised supplement protocolRp 1.5M
Biomarker prices are our real per-test /build rates. Service values are indicative of buying each element separately.
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
Full panel breakdown
Hormonal Health(9)
- Free Testosterone
- Total Testosterone
- SHBG
- DHEA-S
- Cortisol
- Luteinizing Hormone (LH)
- Follicle Stimulating Hormone (FSH)
- Estradiol (sensitive)
- Prolactin
Metabolism & Weight Control(10)
- Fasting Glucose
- Fasting Insulin
- HbA1C
- HOMA-IR
- Cholesterol Total
- Triglycerides
- HDL Cholesterol
- LDL Cholesterol
- Apolipoprotein B (ApoB)
- Lipoprotein(a)
Cardiovascular & Longevity(3)
- hs-CRP
- Homocysteine
- Omega-3 Index
Thyroid Health(5)
- TSH
- Free T4
- Free T3
- Reverse T3
- TPO Antibodies
Micronutrients(6)
- Vitamin D
- Vitamin B12
- Folate
- Magnesium (RBC)
- Ferritin
- Iron
Oxygen Transfer & Blood Function(8)
- RBC
- Hemoglobin
- Hematocrit
- MCV
- MCH
- MCHC
- RDW
- Platelets
Inflammation(7)
- WBC
- Neutrophils
- Lymphocytes
- Monocytes
- Eosinophils
- Basophils
- ESR
Liver Function(6)
- AST
- ALT
- ALP
- GGT
- Bilirubin Total
- Albumin
Kidney Health(4)
- BUN
- Creatinine
- eGFR
- Protein Total
Strength & Recovery(1)
- Creatine Kinase
Electrolyte & Fluid Balance(3)
- Sodium
- Potassium
- Chloride
Tumor Markers(1)
- PSA
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.