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Performance

· 17 checks — Lighthouse + waterfall + sustainability rolled into one auditable list.
SCORE
72
GRADE
C
FIX
6
REVIEW
2
PASS
7
INFO
2

Performance-focused optimization plan with CWV assessment, top offenders, and time estimates

Mobile Desktop
29
Performance Overall performance score (0–100) based on Core Web Vitals and other metrics. 90+ is good.
86
Accessibility Measures how accessible the page is for users with disabilities. Checks color contrast, ARIA labels, and semantic HTML.
77
Best Practices Checks for modern web development best practices including HTTPS, no console errors, and secure JavaScript.
100
SEO Measures basic SEO optimizations: meta tags, crawlability, link text, and mobile friendliness.

First Contentful Paint First Contentful Paint — how long until the browser renders the first piece of content. Under 1.8s is good.

5.87 s

Largest Contentful Paint Largest Contentful Paint — how long until the largest visible element loads. Under 2.5s is good.

11.54 s

Total Blocking Time Total Blocking Time — total time the main thread was blocked, preventing user input. Under 200ms is good.

2.11 s

Cumulative Layout Shift Cumulative Layout Shift — measures visual stability. How much the page layout shifts during loading. Under 0.1 is good.

0.108

Speed Index Speed Index — how quickly content is visually displayed during load. Under 3.4s is good.

6.28 s

Time to Interactive Time to Interactive — how long until the page is fully interactive and responds to user input. Under 3.8s is good.

17.88 s

Page Load Progression

375 ms
750 ms
1.1 s
1.5 s
1.9 s
2.2 s
2.6 s
3.0 s
Checks
17
7 PASS 2 REVIEW 6 FIX
D
Page Weight Budget
Action
2.1 MB transferred, 97 requests
FIX
2.1 MB transferred, 97 requests
Info::
Page weighs 5.8 MB (2.1 MB transferred)
Warning::
JavaScript is 1.7 MB — consider code splitting or lazy loading
Large JavaScript bundles delay interactivity. Split code by route or defer non-critical scripts.
Got: 1.7 MB
Info::
Fonts are 210 KB — consider subsetting or using system fonts
Subset fonts to include only used characters, or switch to system font stacks.
Got: 210 KB
Info::
97 HTTP requests
Info::
Estimated 0.44 g CO2 per page load
2.1 MB / 2.4 MB budget
2.1 MB transferred
97 requests
0.44 g CO2 per page load
JavaScript 1.7 MiB 81%
Fonts 209.5 KiB 10%
Images 58.0 KiB 3%
CSS 53.4 KiB 3%
HTML 33.5 KiB 2%
Other 24.6 KiB 1%
Other 16.5 KiB 1%
Other 5.4 KiB 0%
Other 766 B 0%
0 2.4 MB 4.9 MB
Approaching limit

Large JavaScript bundles delay interactivity. Split code by route or defer non-critical scripts.

Why this matters

JavaScript bundle is large — code-split routes and lazy-load off-screen components to defer.

Source: web.dev

Subset fonts to include only used characters, or switch to system font stacks.

Why this matters

Font payload is large — subset to used glyphs only, or fall back to system fonts (zero load time).

Source: web.dev font loading

D
Third-Party Impact
Action
100% third-party, 0 ms blocking
FIX
100% third-party, 0 ms blocking
Warning::
Third-party code accounts for 100% of page weight (2.1 MiB of 2.1 MiB)
Info::
Third-party blocking time is low (0 ms)
100%
First-party Third-party
F
JS Execution Cost
Action
6469ms total JS execution
FIX
6469ms total JS execution
Warning::
https://clf1.medpagetoday.net/assets/scripts/js/ho...: 2127ms CPU time
Warning::
https://clf1.medpagetoday.net/assets/scripts/js/mp...: 772ms CPU time
Warning::
Unattributable: 692ms CPU time
Warning::
https://www.medpagetoday.com/: 358ms CPU time
Warning::
https://cdn.p-n.io/pushly-sdk.min.js?domain_key=xp...: 285ms CPU time
Warning::
Third-party scripts: 6469ms (100% of total)

Main Thread Breakdown

Script Evaluation 75% Other 13% Script Parsing & Compilation 5% Style & Layout 5%
ScriptTotalScriptingParse/CompileParty
https://clf1.medpagetoday.net/assets/scripts/js/homepage.54d9905b.js2127ms1927ms1ms3rd
https://clf1.medpagetoday.net/assets/scripts/js/mpt-header.5d998053.js772ms734ms1ms3rd
Unattributable692ms82ms0ms3rd
https://www.medpagetoday.com/358ms20ms8ms3rd
https://cdn.p-n.io/pushly-sdk.min.js?domain_key=xpGbN8zfFONYWbA2xxppE0KoXOsI0cEnitvg285ms249ms11ms3rd
https://tagan.adlightning.com/everydayhealth-medpagetoday/bl-0d6ee0c-9040c953.js272ms241ms31ms3rd
https://www.googletagmanager.com/gtm.js?id=GTM-MDXF2M&gtm_auth=clplyHpqv5s4qDs-F9_BhQ&gtm_preview=env-1&gtm_cookies_win=x270ms197ms45ms3rd
https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604160201/pubads_impl.js261ms214ms46ms3rd
https://micro.rubiconproject.com/prebid/dynamic/13346.js261ms212ms46ms3rd
https://www.googletagmanager.com/gtag/js?id=G-J1967M8JXE&cx=c&gtm=4e64k0253ms215ms37ms3rd

Showing top 10 of 18 scripts

F
JS Bundles
Action
30 scripts, 664 KB unused
FIX
30 scripts, 664 KB unused
Warning::
https://clf1.medpagetoday.net/assets/scripts/js/co...: 250 KB unused (89%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://securepubads.g.doubleclick.net/pagead/mana...: 134 KB unused (71%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://micro.rubiconproject.com/prebid/dynamic/13...: 70 KB unused (49%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://www.googletagmanager.com/gtag/js?id=G-J196...: 62 KB unused (40%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://www.googletagmanager.com/gtm.js?id=GTM-MDX...: 56 KB unused (38%)
Consider code splitting or tree shaking to reduce unused code.
Info::
Total unused JavaScript: 664 KB
664 KB unused JavaScript

Downloaded but never executed on this page.

ScriptSizeUnusedMinifiedParty
https://clf1.medpagetoday.net/assets/scripts/js/components.88ab19ae.js280 KB250 KB (89%)✓3rd
https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604160201/pubads_impl.js188 KB134 KB (71%)✓3rd
https://micro.rubiconproject.com/prebid/dynamic/13346.js144 KB70 KB (49%)✓3rd
https://www.googletagmanager.com/gtag/js?id=G-J1967M8JXE&cx=c&gtm=4e64k0154 KB62 KB (40%)✓3rd
https://www.googletagmanager.com/gtm.js?id=GTM-MDXF2M&gtm_auth=clplyHpqv5s4qDs-F9_BhQ&gtm_preview=env-1&gtm_cookies_win=x150 KB56 KB (38%)✓3rd
https://connect.facebook.net/en_US/fbevents.js97 KB35 KB (37%)✓3rd
https://clf1.medpagetoday.net/assets/scripts/js/homepage.54d9905b.js48 KB33 KB (69%)✓3rd
https://tagan.adlightning.com/everydayhealth-medpagetoday/b-c7ca5a2-45618540.js32 KB24 KB (75%)✓3rd
https://clf1.medpagetoday.net/assets/scripts/js/mpt-footer.6884e614.js1 KB—✓3rd
https://clf1.medpagetoday.com/assets/scripts/js/hcp/uc.js?v=202301093 KB—✓3rd

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

F
Page Weight Inventory
Action
97 resources · 2.1 MB · 664 KB savings available
FIX
97 resources · 2.1 MB · 664 KB savings available
Warning::
Page weight 1.1 MB over 1MB target
Got: 2.1 MB Expected: ≤ 1 MB
Info::
~664 KB of savings available
Warning::
96 third-party resources (100% of weight)
Info::
1 resources over 200KB
97 resources · 2.1 MiB · 96 third-party 1.1 MiB over 1MB target
JavaScript 81% · 1.7 MiB
Font 10% · 209.5 KiB
Image 3% · 58.3 KiB
CSS 3% · 53.4 KiB
Other 2% · 45.1 KiB
Document 2% · 35.2 KiB

~663.7 KiB of savings available

Remove unused JavaScript: 663.7 KiB
F
HTTP Caching
Action
No cache headers
FIX
No cache headers
Warning::
No Cache-Control header found
Browsers will use heuristic caching, which can be unpredictable. Set explicit cache headers.

No Cache-Control header

Adding a Cache-Control header can significantly improve repeat-visit performance.

C
Image Optimization
Action
23 images, 0 KB saveable
REVIEW
23 images, 0 KB saveable
Warning::
data:image/png;base64,R0lGODlhAQABAAD/ACwAAAAAAQAB... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://assets.medpagetoday.net/media/images/120xx... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
23 images 58 KB
0 oversized -0 KB
19 legacy format
2 missing dimensions CLS risk

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

C
Green Hosting
Action
Whether the site is served from green-energy infrastructure
REVIEW

Green Hosting

No green hosting detected

A+
Text Compression
All text resources are compressed
PASS
All text resources are compressed
Info::
All text resources are compressed
All text resources are properly compressed.
A+
Font Loading
7 fonts (210 KB)
PASS
7 fonts (210 KB)
Info::
7 font(s) use font-display: swap (FOUT risk but functional)

Web fonts

7

210 KB total

Render-blocking

0

of 7

Dominant font-display

swap

Most common across fonts

Font loading timeline
Transfer FOIT (block) FOUT (swap)
0 ms 2.0 s 4.0 s 6.0 s 8.0 s 10.0 s 12.0 s FCP 5.9 s LCP 11.5 shttps://clf1.medpagetoday.net/assets/fonts/BerninaSans-Web-Bold.woffBerninaSans-Web-Bold.woff https://clf1.medpagetoday.net/assets/fonts/BerninaSans-Web-Bold.woff — 39.5 KiB — 6 ms — font-display: swaphttps://clf1.medpagetoday.com/assets/fonts/iconset.woff?kqhfh8iconset.woff https://clf1.medpagetoday.com/assets/fonts/iconset.woff?kqhfh8 — 6.3 KiB — 73 ms — font-display: swaphttps://use.typekit.net/af/ea8d85/0000000000000000000151d1/27/l?primer=7fa3915bdafdf03041871920a205bef951d72bf64dd4c4460fb992e3ecc3a862&fvd=n7&v=3l https://use.typekit.net/af/ea8d85/0000000000000000000151d1/27/l?primer=7fa3915bdafdf03041871920a205bef951d72bf64dd4c4460fb992e3ecc3a862&fvd=n7&v=3 — 23.2 KiB — 29 ms — font-display: swaphttps://clf1.medpagetoday.net/assets/fonts/BerninaSans-Web-Regular.woffBerninaSans-Web-Regular... https://clf1.medpagetoday.net/assets/fonts/BerninaSans-Web-Regular.woff — 41.1 KiB — 9 ms — font-display: swaphttps://clf1.medpagetoday.net/assets/fonts/BerninaSans-Web-Light.woffBerninaSans-Web-Light.woff https://clf1.medpagetoday.net/assets/fonts/BerninaSans-Web-Light.woff — 38.4 KiB — 11 ms — font-display: swaphttps://use.typekit.net/af/1286c7/0000000000000000000151d6/27/l?primer=7fa3915bdafdf03041871920a205bef951d72bf64dd4c4460fb992e3ecc3a862&fvd=n4&v=3l https://use.typekit.net/af/1286c7/0000000000000000000151d6/27/l?primer=7fa3915bdafdf03041871920a205bef951d72bf64dd4c4460fb992e3ecc3a862&fvd=n4&v=3 — 23.3 KiB — 18 ms — font-display: swaphttps://clf1.medpagetoday.com/assets/fonts/BerninaSans-Web-Semibold.woffBerninaSans-Web-Semibol... https://clf1.medpagetoday.com/assets/fonts/BerninaSans-Web-Semibold.woff — 37.7 KiB — 73 ms — font-display: swap
BerninaSans-Web-Bold.woff woff swap
Size 40 KB
Load time 6 ms
Start 1.1 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
iconset.woff woff swap
Size 6 KB
Load time 73 ms
Start 1.1 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
l woff2 swap
Size 23 KB
Load time 29 ms
Start 1.1 s
Risk FOUT — text flashes from fallback to web font
BerninaSans-Web-Regular... woff swap
Size 41 KB
Load time 9 ms
Start 1.1 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
BerninaSans-Web-Light.woff woff swap
Size 38 KB
Load time 11 ms
Start 1.1 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
l woff2 swap
Size 23 KB
Load time 18 ms
Start 1.1 s
Risk FOUT — text flashes from fallback to web font
BerninaSans-Web-Semibol... woff swap
Size 38 KB
Load time 73 ms
Start 1.1 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
Optimization checklist
  • Preload critical fonts (priority=high)
  • Use woff2 format for all fonts
  • Set font-display to swap, optional, or fallback
  • Subset large fonts (≤100 KB each)

Fixing the unchecked items could save ~49 KB and ~98 ms

A+
Resource Caching
All resources properly cached
PASS
All resources properly cached
Info::
No caching issues found
All static resources have appropriate caching headers.
A+
Critical Rendering Path
No render-blocking resources
PASS
No render-blocking resources
Info::
No render-blocking resources detected
A+
Resource Hints
7 hints, 0 missing preconnects
PASS
7 hints, 0 missing preconnects
Info::
Page uses 7 resource hint(s)

Current Resource Hints

preconnect
3
preload
2
dns-prefetch
2
prefetch
—

7 resource hints configured

A+
Render-Blocking Resources
No render-blocking resources detected
PASS
No render-blocking resources detected
Info::
No render-blocking resources detected in <head>
A+
Third-Party Resources
No third-party resources detected
PASS
No third-party resources detected
Network Waterfall
97 requests over 3383ms
INFO
0 ms 2.0 s 4.0 s 6.0 s 8.0 s 10.0 s 12.0 s FCP 5.9 s LCP 11.5 shttps://medpagetoday.com// https://medpagetoday.com/ — 301 — 98 B — 304 ms — h2https://www.medpagetoday.com/www.medpagetoday.com/ https://www.medpagetoday.com/ — 200 — 33.5 KiB — 173 ms — h2https://cdn.ziffstatic.com/jst/zdconsent.jscdn.ziffstatic.com/jst/zdconsent.js https://cdn.ziffstatic.com/jst/zdconsent.js — 302 — 137 B — 62 ms — h2https://use.typekit.net/lhg2koz.cssuse.typekit.net/lhg2koz.css https://use.typekit.net/lhg2koz.css — 200 — 932 B — 543 ms — h2https://p.typekit.net/p.css?s=1&k=lhg2koz&ht=tk&f=6812.6815.6817&a=35182499&app=typekit&e=cssp.typekit.net/p.css?s=1&k=lhg2koz&h... https://p.typekit.net/p.css?s=1&k=lhg2koz&ht=tk&f=6812.6815.6817&a=35182499&app=typekit&e=css — 200 — 172 B — 51 ms — h2https://btg.medpagetoday.com/country.jsbtg.medpagetoday.com/country.js https://btg.medpagetoday.com/country.js — 200 — 448 B — 94 ms — h2https://clf1.medpagetoday.net/assets/scripts/css/homepage.bd7d33da.cssclf1.medpagetoday.net/assets/script... https://clf1.medpagetoday.net/assets/scripts/css/homepage.bd7d33da.css — 200 — 41.3 KiB — 132 ms — h2https://assets.medpagetoday.net/assets/images/MPT_logo.svgassets.medpagetoday.net/assets/imag... https://assets.medpagetoday.net/assets/images/MPT_logo.svg — 200 — 1.4 KiB — 87 ms — h2https://clf1.medpagetoday.net/assets/scripts/js/homepage.54d9905b.jsclf1.medpagetoday.net/assets/script... https://clf1.medpagetoday.net/assets/scripts/js/homepage.54d9905b.js — 200 — 48.2 KiB — 144 ms — h2https://clf1.medpagetoday.net/assets/scripts/js/components.88ab19ae.jsclf1.medpagetoday.net/assets/script... https://clf1.medpagetoday.net/assets/scripts/js/components.88ab19ae.js — 200 — 279.8 KiB — 137 ms — h2https://clf1.medpagetoday.net/assets/scripts/js/page-setup-global.3fc39a63.jsclf1.medpagetoday.net/assets/script... https://clf1.medpagetoday.net/assets/scripts/js/page-setup-global.3fc39a63.js — 200 — 15.5 KiB — 135 ms — h2https://cdn.ziffstatic.com/jst/zdconsent_eu.jscdn.ziffstatic.com/jst/zdconsent_eu... https://cdn.ziffstatic.com/jst/zdconsent_eu.js — 200 — 27.8 KiB — 5 ms — h2https://c.evidon.com/pub/icong1.pngc.evidon.com/pub/icong1.png https://c.evidon.com/pub/icong1.png — 200 — 898 B — 7 ms — h2https://www.googletagmanager.com/gtm.js?id=GTM-MDXF2M&gtm_auth=clplyHpqv5s4qDs-F9_BhQ&gtm_preview=env-1&gtm_cookies_win=xwww.googletagmanager.com/gtm.js?id=... https://www.googletagmanager.com/gtm.js?id=GTM-MDXF2M&gtm_auth=clplyHpqv5s4qDs-F9_BhQ&gtm_preview=env-1&gtm_cookies_win=x — 200 — 150.3 KiB — 177 ms — h2https://pub.doubleverify.com/dvtag/21184944/DV1058794/pub.jspub.doubleverify.com/dvtag/21184944... https://pub.doubleverify.com/dvtag/21184944/DV1058794/pub.js — 200 — 19.2 KiB — 111 ms — h3https://securepubads.g.doubleclick.net/tag/js/gpt.jssecurepubads.g.doubleclick.net/tag/... https://securepubads.g.doubleclick.net/tag/js/gpt.js — 200 — 33.8 KiB — 144 ms — h3https://pub.doubleverify.com/dvtag/signals/ids/pub.json?ctx=21184944&cmp=DV1058794&url=https%3A%2F%2Fmedpagetoday.com&ids=1&token=PBEaJGmnGvby9RxSWb5g%2BgTyvl7DQokTfuDMKlUBAgo4laEllX1rqyeKEP8VFi6tUsD9%2FoFITW%2FrYhntUHd0kpaEG%2FoXcxGmWnLAWSG6zswWejns8P02bBjMGooNy5ikPTH1pQjrGVhigkueQJjkhHg%3Dpub.doubleverify.com/dvtag/signals/... https://pub.doubleverify.com/dvtag/signals/ids/pub.json?ctx=21184944&cmp=DV1058794&url=https%3A%2F%2Fmedpagetoday.com&ids=1&token=PBEaJGmnGvby9RxSWb5g%2BgTyvl7DQokTfuDMKlUBAgo4laEllX1rqyeKEP8VFi6tUsD9%2FoFITW%2FrYhntUHd0kpaEG%2FoXcxGmWnLAWSG6zswWejns8P02bBjMGooNy5ikPTH1pQjrGVhigkueQJjkhHg%3D — 200 — 360 B — 125 ms — h3https://pub.doubleverify.com/dvtag/signals/bsc/pub.json?ctx=21184944&cmp=DV1058794&url=https%3A%2F%2Fmedpagetoday.com&bsc=1&token=PBEaJGmnGvby9RxSWb5g%2BgTyvl7DQokTfuDMKlUBAgo4laEllX1rqyeKEP8VFi6tUsD9%2FoFITW%2FrYhntUHd0kpaEG%2FoXcxGmWnLAWSG6zswWejns8P02bBjMGooNy5ikPTH1pQjrGVhigkueQJjkhHg%3Dpub.doubleverify.com/dvtag/signals/... https://pub.doubleverify.com/dvtag/signals/bsc/pub.json?ctx=21184944&cmp=DV1058794&url=https%3A%2F%2Fmedpagetoday.com&bsc=1&token=PBEaJGmnGvby9RxSWb5g%2BgTyvl7DQokTfuDMKlUBAgo4laEllX1rqyeKEP8VFi6tUsD9%2FoFITW%2FrYhntUHd0kpaEG%2FoXcxGmWnLAWSG6zswWejns8P02bBjMGooNy5ikPTH1pQjrGVhigkueQJjkhHg%3D — 200 — 465 B — 111 ms — h3https://cdn.adsafeprotected.com/iasPET.1.jscdn.adsafeprotected.com/iasPET.1.js https://cdn.adsafeprotected.com/iasPET.1.js — 200 — 6.8 KiB — 120 ms — http/1.1https://clf1.medpagetoday.net/assets/scripts/js/edh.fast.jsclf1.medpagetoday.net/assets/script... https://clf1.medpagetoday.net/assets/scripts/js/edh.fast.js — 200 — 6.9 KiB — 5 ms — 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https://gurgle.medpagetoday.com/clear_fpid/medpagetoday.comgurgle.medpagetoday.com/clear_fpid/... https://gurgle.medpagetoday.com/clear_fpid/medpagetoday.com — 200 — 225 B — 100 ms — h2https://gurgle.medpagetoday.com/clear_uids/medpagetoday.comgurgle.medpagetoday.com/clear_uids/... https://gurgle.medpagetoday.com/clear_uids/medpagetoday.com — 200 — 225 B — 101 ms — h2https://zdbb.net/clear_czdbb.net/clear_c https://zdbb.net/clear_c — 200 — 255 B — 36 ms — h2https://jogger.zdbb.net/check?href=https%3A%2F%2Fwww.medpagetoday.com%2Fjogger.zdbb.net/check?href=https%3A... https://jogger.zdbb.net/check?href=https%3A%2F%2Fwww.medpagetoday.com%2F — 200 — 231 B — 343 ms — h2https://assets.medpagetoday.net/assets/images/favicon.svgassets.medpagetoday.net/assets/imag... https://assets.medpagetoday.net/assets/images/favicon.svg — 200 — 384 B — 2 ms — h2https://assets.medpagetoday.net/assets/images/favicon.svgassets.medpagetoday.net/assets/imag... https://assets.medpagetoday.net/assets/images/favicon.svg — 200 — 0 B — 1 ms — h2https://rp4.liadm.com/j?dtstmp=1776893799846&se=e30&duid=a6ca9a509d9a--01kpvhzaxa8xc6fqw6ymrf49jn&tv=10.23.0&pu=https%3A%2F%2Fwww.medpagetoday.com%2F&wpn=prebid&cd=.medpagetoday.com&i6=MjAwMTo0MWQwOmFiMDA6OjQ6MDoyMQ%3D%3D&n3pc=truerp4.liadm.com/j?dtstmp=177689379984... https://rp4.liadm.com/j?dtstmp=1776893799846&se=e30&duid=a6ca9a509d9a--01kpvhzaxa8xc6fqw6ymrf49jn&tv=10.23.0&pu=https%3A%2F%2Fwww.medpagetoday.com%2F&wpn=prebid&cd=.medpagetoday.com&i6=MjAwMTo0MWQwOmFiMDA6OjQ6MDoyMQ%3D%3D&n3pc=true — 200 — 285 B — 371 ms — h2https://api.medpagetoday.com/engagement?guid=0&netid=m58920110b7230&callback=MptHcpNs.processResponse&refurl=https%3A%2F%2Fwww.medpagetoday.com%2F&rand=1776893800216api.medpagetoday.com/engagement?gui... https://api.medpagetoday.com/engagement?guid=0&netid=m58920110b7230&callback=MptHcpNs.processResponse&refurl=https%3A%2F%2Fwww.medpagetoday.com%2F&rand=1776893800216 — 200 — 674 B — 167 ms — h2https://sli.medpagetoday.com/baker?dtstmp=1776893800557sli.medpagetoday.com/baker?dtstmp=1... https://sli.medpagetoday.com/baker?dtstmp=1776893800557 — 200 — 543 B — 133 ms — h2
HTML JavaScript CSS Images Fonts XHR/Fetch Other
Third-Party Script Cost
Per-script blocking time, transfer cost, and cache headers
INFO
100% of JavaScript execution is third-party
First-party Third-party 6469ms · 1182KB · €103/mo
clf1.medpagetoday.net
Other
Costly
Execution 2127ms
Transfer 48 KB
Unused 69%
Monthly Cost €34/mo
clf1.medpagetoday.net
Other
Costly
Execution 772ms
Transfer 6 KB
Monthly Cost €12/mo
Unattributable
Other
Costly
Execution 692ms
Transfer 0 KB
Monthly Cost €11/mo
www.medpagetoday.com
Other
Costly
Execution 358ms
Transfer 33 KB
Monthly Cost €6/mo
cdn.p-n.io
Other
Costly
Execution 285ms
Transfer 46 KB
Monthly Cost €5/mo
tagan.adlightning.com
Other
Costly
Execution 272ms
Transfer 184 KB
Monthly Cost €4/mo
Google Tag Manager
Tag Manager
Costly
Execution 270ms
Transfer 150 KB
Unused 38%
Monthly Cost €4/mo
securepubads.g.doubleclick.net
Other
Costly
Execution 261ms
Transfer 188 KB
Unused 71%
Monthly Cost €4/mo
micro.rubiconproject.com
Other
Costly
Execution 261ms
Transfer 144 KB
Unused 49%
Monthly Cost €4/mo
Google Tag Manager
Tag Manager
Costly
Execution 253ms
Transfer 154 KB
Unused 40%
Monthly Cost €4/mo
tagan.adlightning.com
Other
Optional
Execution 196ms
Transfer 32 KB
Unused 75%
Monthly Cost €3/mo
tagan.adlightning.com
Other
Optional
Execution 167ms
Transfer 9 KB
Monthly Cost €3/mo
cdn.static.zdbb.net
Other
Optional
Execution 135ms
Transfer 0 KB
Monthly Cost €2/mo
Facebook Pixel
Advertising
Optional
Execution 115ms
Transfer 97 KB
Unused 37%
Monthly Cost €2/mo
Facebook Pixel
Advertising
Optional
Execution 94ms
Transfer 36 KB
Monthly Cost €2/mo
zdstatic.medpagetoday.com
Other
Optional
Execution 77ms
Transfer 0 KB
Monthly Cost €1/mo
securepubads.g.doubleclick.net
Other
Optional
Execution 73ms
Transfer 34 KB
Monthly Cost €1/mo
pub.doubleverify.com
Other
Optional
Execution 60ms
Transfer 19 KB
Monthly Cost €1/mo

These scripts may cost more than they're worth

  • clf1.medpagetoday.net adds 2127ms and costs ~€34/month
  • clf1.medpagetoday.net adds 772ms and costs ~€12/month
  • Unattributable adds 692ms and costs ~€11/month
  • www.medpagetoday.com adds 358ms and costs ~€6/month
  • cdn.p-n.io adds 285ms and costs ~€5/month
  • tagan.adlightning.com adds 272ms and costs ~€4/month
  • Google Tag Manager adds 270ms and costs ~€4/month
  • securepubads.g.doubleclick.net adds 261ms and costs ~€4/month
  • micro.rubiconproject.com adds 261ms and costs ~€4/month
  • Google Tag Manager adds 253ms and costs ~€4/month

100% of JavaScript execution time is spent on third-party scripts. Consider auditing which scripts are essential.

Why this matters

When third-party JS execution time exceeds your own, performance gains from frontend work are capped by code you don't own.

Learn more ▾

Every millisecond of third-party JS competes with your own for main-thread time. If their share is bigger than yours, optimization on your code base barely moves the needle. Audit, defer, or remove third-parties before further frontend optimization. Use Lighthouse's third-party audit to identify the worst offenders.

Source: web.dev

clf1.medpagetoday.net takes 2127ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

69% of clf1.medpagetoday.net's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

clf1.medpagetoday.net takes 772ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

Unattributable takes 692ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

www.medpagetoday.com takes 358ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

cdn.p-n.io takes 285ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

tagan.adlightning.com takes 272ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

Google Tag Manager takes 270ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

securepubads.g.doubleclick.net takes 261ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

71% of securepubads.g.doubleclick.net's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

micro.rubiconproject.com takes 261ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

Google Tag Manager takes 253ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

75% of tagan.adlightning.com's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

How third-party costs are calculated

All checks on this page are automated. Results are estimates - run targeted manual reviews when the score affects a release decision.

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