Performance
· 17 checks — Lighthouse + waterfall + sustainability rolled into one auditable list.Performance-focused optimization plan with CWV assessment, top offenders, and time estimates
First Contentful Paint First Contentful Paint — how long until the browser renders the first piece of content. Under 1.8s is good.
1.85 s
Largest Contentful Paint Largest Contentful Paint — how long until the largest visible element loads. Under 2.5s is good.
2.44 s
Total Blocking Time Total Blocking Time — total time the main thread was blocked, preventing user input. Under 200ms is good.
605 ms
Cumulative Layout Shift Cumulative Layout Shift — measures visual stability. How much the page layout shifts during loading. Under 0.1 is good.
0.007
Speed Index Speed Index — how quickly content is visually displayed during load. Under 3.4s is good.
1.91 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.
9.63 s
Page Load Progression
DThird-Party ImpactAction99% third-party, 0 ms blockingFIX
DJS Execution CostAction2145ms total JS executionFIX
Main Thread Breakdown
| Script | Total | Scripting | Parse/Compile | Party |
|---|---|---|---|---|
| Unattributable | 413ms | 18ms | 0ms | 3rd |
| https://www.googletagmanager.com/gtag/js?id=G-CSLL4ZEK4L | 412ms | 339ms | 58ms | 3rd |
| https://pubmed.ncbi.nlm.nih.gov/ | 402ms | 60ms | 3ms | 1st |
| https://siteintercept.qualtrics.com/dxjsmodule/12.1a2b7192fd54e87d3971.chunk.js?Q_CLIENTVERSION=2.46.0&Q_CLIENTTYPE=web&Q_BRANDID=pubmed.ncbi.nlm.nih.gov | 281ms | 251ms | 15ms | 3rd |
| https://www.googletagmanager.com/gtm.js?id=GTM-PC9B6M3&l=pingerDataLayer | 231ms | 182ms | 34ms | 3rd |
| https://www.googletagmanager.com/gtag/js?id=G-DP2X732JSX&l=pingerDataLayer&cx=c>m=4e64h1 | 227ms | 188ms | 31ms | 3rd |
| https://cdn.ncbi.nlm.nih.gov/pubmed/ffd2ec78-62e5-42af-9cba-3b683627d12e/CACHE/js/output.1119c5b65e07.js | 90ms | 51ms | 25ms | 3rd |
| https://cdn.ncbi.nlm.nih.gov/core/pinger/pinger.js | 89ms | 68ms | 9ms | 3rd |
CImage OptimizationAction15 images, 0 KB saveableREVIEW
Set explicit width and height to prevent CLS.
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.
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.
Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.
Source: web.dev / Core Web Vitals
CJS BundlesAction17 scripts, 252 KB unusedREVIEW
Downloaded but never executed on this page.
| Script | Size | Unused | Minified | Party |
|---|---|---|---|---|
| https://www.googletagmanager.com/gtag/js?id=G-CSLL4ZEK4L | 147 KB | 62 KB (42%) | ✓ | 3rd |
| https://www.googletagmanager.com/gtag/js?id=G-DP2X732JSX&l=pingerDataLayer&cx=c>m=4e64h1 | 148 KB | 62 KB (42%) | ✓ | 3rd |
| https://www.googletagmanager.com/gtm.js?id=GTM-PC9B6M3&l=pingerDataLayer | 130 KB | 60 KB (47%) | ✓ | 3rd |
| https://cdn.ncbi.nlm.nih.gov/pubmed/ffd2ec78-62e5-42af-9cba-3b683627d12e/CACHE/js/output.1119c5b65e07.js | 52 KB | 24 KB (46%) | ✓ | 3rd |
| https://siteintercept.qualtrics.com/dxjsmodule/12.1a2b7192fd54e87d3971.chunk.js?Q_CLIENTVERSION=2.46.0&Q_CLIENTTYPE=web&Q_BRANDID=pubmed.ncbi.nlm.nih.gov | 36 KB | 22 KB (63%) | ✓ | 3rd |
| https://siteintercept.qualtrics.com/dxjsmodule/CoreModule.js?Q_CLIENTVERSION=2.46.0&Q_CLIENTTYPE=web&Q_BRANDID=nlmenterprise | 31 KB | 22 KB (71%) | ✓ | 3rd |
| https://dap.digitalgov.gov/Universal-Federated-Analytics-Min.js?agency=HHS&subagency=NCBI%20-%20ncbi.nlm.nih.gov&sitetopic=NCBI%20Pinger%200.39.3&siteplatform=NCBI%20Pinger%200.39.3 | 9 KB | — | ✓ | 3rd |
| https://cdn.ncbi.nlm.nih.gov/core/alerts/alerts.js?_=1776797236780 | 6 KB | — | ✓ | 3rd |
| https://cdn.ncbi.nlm.nih.gov/pubmed/ffd2ec78-62e5-42af-9cba-3b683627d12e/core/dismissable-ncbi-alert.js | 2 KB | — | ✓ | 3rd |
| https://dap.digitalgov.gov/web-vitals/dist/web-vitals.attribution.iife.js | 4 KB | — | ✓ | 3rd |
Consider code splitting or tree shaking to reduce unused code.
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.
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.
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.
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.
This bundle has high unused code — code-split or tree-shake to ship only what executes.
Source: web.dev / Lighthouse coverage
BPage Weight Inventory45 resources · 818 KB · 252 KB savings availableREVIEW
~252.3 KiB of savings available
| # | Resource | Type | Size | Cache | Unused | 3rd party | Issues |
|---|---|---|---|---|---|---|---|
| — | — | ||||||
| 45 resources | 817.8 KiB | ||||||
BHTTP CachingprivateREVIEW
private
| Directive | Value | Meaning |
|---|---|---|
| private | — | Only browser cache, not CDN/proxy |
APage Weight Budget818 KB transferred, 45 requestsPASS
Large JavaScript bundles delay interactivity. Split code by route or defer non-critical scripts.
JavaScript bundle is large — code-split routes and lazy-load off-screen components to defer.
Source: web.dev
A+Text CompressionAll text resources are compressedPASS
A+Font Loading1 fonts (26 KB)PASS
Web fonts
1
26 KB total
Render-blocking
0
of 1
Dominant font-display
swap
Most common across fonts
Font loading timeline
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)
A+Resource CachingAll resources properly cachedPASS
A+Critical Rendering PathNo render-blocking resourcesPASS
A+Resource HintsNo optimization neededPASS
A+Render-Blocking ResourcesNo render-blocking resources detectedPASS
A+Third-Party ResourcesNo third-party resources detectedPASS
A+Green HostingWhether the site is served from green-energy infrastructurePASS
Green Hosting
This site is hosted on green energy infrastructure
Provider: Google Cloud
Network Waterfall45 requests over 1376msINFO
Third-Party Script CostPer-script blocking time, transfer cost, and cache headersINFO
| Script | Category | Execution | Transfer | Unused | Monthly Cost | Verdict |
|---|---|---|---|---|---|---|
Unattributable Unattributable | Other | 413ms | 0 KB | — | $5/mo | Costly |
Google Tag Manager www.googletagmanager.com | Tag Manager | 412ms | 147 KB | 42% | $5/mo | Costly |
siteintercept.qualtrics.com siteintercept.qualtrics.com | Other | 281ms | 36 KB | 63% | $4/mo | Costly |
Google Tag Manager www.googletagmanager.com | Tag Manager | 231ms | 130 KB | 47% | $3/mo | Costly |
Google Tag Manager www.googletagmanager.com | Tag Manager | 227ms | 148 KB | 42% | $3/mo | Costly |
cdn.ncbi.nlm.nih.gov cdn.ncbi.nlm.nih.gov | Other | 90ms | 52 KB | 46% | $1/mo | Optional |
cdn.ncbi.nlm.nih.gov cdn.ncbi.nlm.nih.gov | Other | 89ms | 29 KB | — | $1/mo | Optional |
These scripts may cost more than they're worth
- Unattributable adds 413ms and costs ~$5/month
- Google Tag Manager adds 412ms and costs ~$5/month
- siteintercept.qualtrics.com adds 281ms and costs ~$4/month
- Google Tag Manager adds 231ms and costs ~$3/month
- Google Tag Manager adds 227ms and costs ~$3/month
81% of JavaScript execution time is spent on third-party scripts. Consider auditing which scripts are essential.
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
Unattributable takes 413ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.
This script has high main-thread execution time — optimize hot paths or defer.
Source: web.dev
Google Tag Manager takes 412ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.
This script has high main-thread execution time — optimize hot paths or defer.
Source: web.dev
siteintercept.qualtrics.com takes 281ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.
This script has high main-thread execution time — optimize hot paths or defer.
Source: web.dev
63% of siteintercept.qualtrics.com's code is unused. The script may be loading features you don't use.
Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.
Source: web.dev
Google Tag Manager takes 231ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.
This script has high main-thread execution time — optimize hot paths or defer.
Source: web.dev
Google Tag Manager takes 227ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.
This script has high main-thread execution time — optimize hot paths or defer.
Source: web.dev