Compare FORM bloodwork packages: Essential, Pro, Elite Protocol and Ultra
Compare
The full comparison.
Same nurse home draw, same ISO 15189 lab, same expert-reviewed report. Difference is depth — how many biomarkers, and which systems we cover.
Essential
21 biomarkers
Rp 2.99M≈ $187
Built for first-time testers who want to stop wondering.
Pro
39 biomarkers
Rp 8.99M≈ $562
Built for men pushing hard who want the full systems picture.
Most popularElite Protocol
55 biomarkers
Rp 17.99M≈ $1,125
Built for men who want the deepest hormone and metabolic picture without MD consults.
Ultra
68 biomarkers
Rp 28.5M≈ $1,781
Built for men who want zero blind spots and two MD consultations.
Essential
Built for first-time testers who want to stop wondering
Rp 2.99M≈ $187 USD
- Biomarkers21
- Total + Free Testosterone
- Cortisol
- Full thyroid (TSH/T3/T4)
- Advanced thyroid (rT3, TPO)
- Lipids + ApoB
- Lp(a), Homocysteine, Omega-3
- Liver + Kidney panels
- LH, FSH, Estradiol, Prolactin
- Fasting Insulin + HbA1c
- PSA cancer marker
- Micronutrients (Vit D, B12, Mg, Zn)
- Nurse home draw in Bali
- Expert-reviewed PDF report
- Personalised 12-week protocol
- Reimbursement docs
- 2× 1-hour MD consultations
Pro
Built for men pushing hard who want the full systems picture
Rp 8.99M≈ $562 USD
- Biomarkers39
- Total + Free Testosterone
- Cortisol
- Full thyroid (TSH/T3/T4)
- Advanced thyroid (rT3, TPO)
- Lipids + ApoBBasic
- Lp(a), Homocysteine, Omega-3
- Liver + Kidney panels
- LH, FSH, Estradiol, Prolactin
- Fasting Insulin + HbA1c
- PSA cancer marker
- Micronutrients (Vit D, B12, Mg, Zn)
- Nurse home draw in Bali
- Expert-reviewed PDF report
- Personalised 12-week protocol
- Reimbursement docs
- 2× 1-hour MD consultations
Elite Protocol
Built for men who want the deepest hormone and metabolic picture without MD consults
Rp 17.99M≈ $1,125 USD
- Biomarkers55
- Total + Free Testosterone
- Cortisol
- Full thyroid (TSH/T3/T4)
- Advanced thyroid (rT3, TPO)
- Lipids + ApoB
- Lp(a), Homocysteine, Omega-3
- Liver + Kidney panels
- LH, FSH, Estradiol, Prolactin
- Fasting Insulin + HbA1c
- PSA cancer marker
- Micronutrients (Vit D, B12, Mg, Zn)
- Nurse home draw in Bali
- Expert-reviewed PDF report
- Personalised 12-week protocol
- Reimbursement docs
- 2× 1-hour MD consultations
Ultra
Built for men who want zero blind spots and two MD consultations
Rp 28.5M≈ $1,781 USD
- Biomarkers68
- Total + Free Testosterone
- Cortisol
- Full thyroid (TSH/T3/T4)
- Advanced thyroid (rT3, TPO)
- Lipids + ApoB
- Lp(a), Homocysteine, Omega-3
- Liver + Kidney panels
- LH, FSH, Estradiol, Prolactin
- Fasting Insulin + HbA1c
- PSA cancer marker
- Micronutrients (Vit D, B12, Mg, Zn)
- Nurse home draw in Bali
- Expert-reviewed PDF report
- Personalised 12-week protocol
- Reimbursement docs
- 2× 1-hour MD consultations
| What's included | Essential Rp 2.99M ≈ $187 USD | Pro Rp 8.99M ≈ $562 USD | Elite Protocol Rp 17.99M ≈ $1,125 USD | Ultra Rp 28.5M ≈ $1,781 USD |
|---|---|---|---|---|
| Biomarkers | 21 | 39 | 55 | 68 |
| Total + Free Testosterone | ||||
| Cortisol | ||||
| Full thyroid (TSH/T3/T4) | ||||
| Advanced thyroid (rT3, TPO) | ||||
| Lipids + ApoB | Basic | |||
| Lp(a), Homocysteine, Omega-3 | ||||
| Liver + Kidney panels | ||||
| LH, FSH, Estradiol, Prolactin | ||||
| Fasting Insulin + HbA1c | ||||
| PSA cancer marker | ||||
| Micronutrients (Vit D, B12, Mg, Zn) | ||||
| Nurse home draw in Bali | ||||
| Expert-reviewed PDF report | ||||
| Personalised 12-week protocol | ||||
| Reimbursement docs | ||||
| 2× 1-hour MD consultations | ||||
| Get tested |
Customers average ~95% reimbursement from international insurance (Cigna, Allianz, Bupa, IMG, GeoBlue). Itemised receipts + ICD-10 codes included as standard.
Every marker
The full biomarker list, per package.
Expand each package to see every category and every individual marker we run.
EssentialShow all 21 biomarkers · 4 categories
Essential
Show all 21 biomarkers · 4 categories
Hormonal Health
- Free Testosterone
- Total Testosterone
Metabolism & Weight Control
- Glucose
Oxygen Transfer & Blood Function
- RBC
- Hematocrit
- Hemoglobin
- MCV
- MCH
- MCHC
- RDW
- Platelets
Inflammation
- Neutrophils
- Monocytes
- Basos
- Lymphs Absolute
- Lymphs
- Eos
- Neutrophils Absolute
- Monocytes Absolute
- Baso Absolute
- WBC
ProShow all 39 biomarkers · 9 categories
Pro
Show all 39 biomarkers · 9 categories
Hormonal Health
- Free Testosterone
- Total Testosterone
- Cortisol
Metabolism & Weight Control
- Fasting Glucose
- HbA1c
- Cholesterol Total
- Triglycerides
- HDL Cholesterol
- LDL Cholesterol
Oxygen Transfer & Blood Function
- RBC
- Hemoglobin
- Hematocrit
- MCV
- MCH
- MCHC
- RDW
- Platelet Count
- MPV
- Iron
Inflammation
- WBC
- Neutrophils
- Lymphocytes
- Monocytes
- Eosinophils
- Basophils
- ESR
Kidney Health
- BUN
- Creatinine
- eGFR
- Protein Total
Liver Function
- AST
- ALT
- ALP
- GGT
- Bilirubin Total
- Albumin
Thyroid Health
- TSH
- Free T4
- Free T3
Electrolyte & Fluid Balance
- Sodium
- Potassium
- Chloride
Strength & Recovery
- Creatine Kinase
Elite ProtocolShow all 55 biomarkers · 11 categories
Elite Protocol
Show all 55 biomarkers · 11 categories
Hormonal Health
- Free Testosterone
- Total Testosterone
- Cortisol
- Luteinizing Hormone (LH)
- Follicle Stimulating Hormone (FSH)
- Estradiol
- Prolactin
Metabolism & Weight Control
- Fasting Glucose
- Fasting Insulin
- HbA1C
- Cholesterol Total
- Triglycerides
- HDL Cholesterol
- LDL Chol Calc NIH
- Apolipoprotein (Apo-B)
Oxygen Transfer & Blood Function
- RBC
- Hemoglobin
- Hematocrit
- MCV
- MCH
- MCHC
- RDW
- Platelets
- Ferritin
- Iron
Thyroid Health
- TSH
- Thyroxine Free T4
- Triiodothyronine Free T3
Inflammation
- Neutrophils
- Monocytes
- Basos
- Lymphs Absolute
- Lymphs
- Eos
- Neutrophils Absolute
- Monocytes Absolute
- Baso Absolute
- WBC
- ESR
Liver Function
- AST
- ALT
- Bilirubin Total
- Alkaline Phosphatase
- Albumin
- GGT
Kidney Health
- BUN
- Creatinine
- Protein Total
- EGFR
- BUN/Creatinine Ratio
Strength & Recovery
- Creatine Kinase
Electrolyte & Fluid Balance
- Sodium
- Potassium
- Magnesium
- Chloride
Bone & Muscle Health
- Calcium
Tumor Markers
- PSA
UltraShow all 68 biomarkers · 12 categories
Ultra
Show all 68 biomarkers · 12 categories
Hormonal Health
- Free Testosterone
- Total Testosterone
- SHBG
- DHEA-S
- Cortisol
- Luteinizing Hormone (LH)
- Follicle Stimulating Hormone (FSH)
- Estradiol (sensitive)
- Prolactin
Metabolism & Weight Control
- Fasting Glucose
- Fasting Insulin
- HbA1C
- HOMA-IR
- Cholesterol Total
- Triglycerides
- HDL Cholesterol
- LDL Cholesterol
- Apolipoprotein B (ApoB)
- Lipoprotein(a)
Cardiovascular & Longevity
- hs-CRP
- Homocysteine
- Omega-3 Index
Thyroid Health
- TSH
- Free T4
- Free T3
- Reverse T3
- TPO Antibodies
Micronutrients
- Vitamin D
- Vitamin B12
- Folate
- Magnesium (RBC)
- Zinc
- Ferritin
- Iron
Oxygen Transfer & Blood Function
- RBC
- Hemoglobin
- Hematocrit
- MCV
- MCH
- MCHC
- RDW
- Platelets
Inflammation
- WBC
- Neutrophils
- Lymphocytes
- Monocytes
- Eosinophils
- Basophils
- ESR
Liver Function
- AST
- ALT
- ALP
- GGT
- Bilirubin Total
- Albumin
Kidney Health
- BUN
- Creatinine
- eGFR
- Protein Total
Strength & Recovery
- Creatine Kinase
Electrolyte & Fluid Balance
- Sodium
- Potassium
- Chloride
Tumor Markers
- PSA