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Performance

· 17 checks — Lighthouse + waterfall + sustainability rolled into one auditable list.
SCORE
74
GRADE
C
FIX
4
REVIEW
2
PASS
9
INFO
2

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

Mobile Desktop
49
Performance Overall performance score (0–100) based on Core Web Vitals and other metrics. 90+ is good.
62
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.
83
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.

4.78 s

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

17.71 s

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

366 ms

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

0.000

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

9.33 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.

18.16 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
9 PASS 2 REVIEW 4 FIX
F
Page Weight Budget
Action
3.1 MB transferred, 124 requests
FIX
3.1 MB transferred, 124 requests
Warning::
Page weighs 5.3 MB (3.1 MB transferred)
Warning::
Images are 2.1 MB — compress or use modern formats
Convert images to WebP/AVIF and resize to display dimensions to reduce transfer size.
Got: 2.1 MB
Warning::
JavaScript is 743 KB — consider code splitting or lazy loading
Large JavaScript bundles delay interactivity. Split code by route or defer non-critical scripts.
Got: 743 KB
Info::
Fonts are 224 KB — consider subsetting or using system fonts
Subset fonts to include only used characters, or switch to system font stacks.
Got: 224 KB
Warning::
124 HTTP requests — consider bundling or reducing
Each request adds latency. Bundle small files, use sprites, or eliminate unnecessary requests.
Info::
Estimated 0.65 g CO2 per page load
3.1 MB / 2.4 MB budget
3.1 MB transferred
124 requests
0.65 g CO2 per page load
Images 2.1 MiB 67%
JavaScript 743.3 KiB 23%
Fonts 223.6 KiB 7%
HTML 46.6 KiB 1%
CSS 24.4 KiB 1%
Other 24.2 KiB 1%
Other 4.6 KiB 0%
Other 847 B 0%
Other 344 B 0%
Other 210 B 0%
Other 0 B 0%
0 2.4 MB 4.9 MB
Over budget

Convert images to WebP/AVIF and resize to display dimensions to reduce transfer size.

Why this matters

Image bandwidth is high — modern formats (WebP/AVIF) and resizing typically cut it 50%+.

Source: web.dev

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

Each request adds latency. Bundle small files, use sprites, or eliminate unnecessary requests.

Why this matters

High HTTP request count — bundling, sprite-ing, and HTTP/2 server push can reduce per-request overhead.

Source: web.dev

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 (3.1 MiB of 3.1 MiB)
Info::
Third-party blocking time is low (0 ms)
100%
First-party Third-party
D
JS Execution Cost
Action
2756ms total JS execution
FIX
2756ms total JS execution
Warning::
Unattributable: 537ms CPU time
Warning::
https://www.medscape.com/: 360ms CPU time
Warning::
https://img.medscapestatic.com/medscape-core/commo...: 358ms CPU time
Warning::
https://surveys-static-prd.survicate-cdn.com/widge...: 348ms CPU time
Warning::
https://www.medscape.com/cdn-cgi/challenge-platfor...: 257ms CPU time
Warning::
Third-party scripts: 2756ms (100% of total)

Main Thread Breakdown

Script Evaluation 53% Other 21% Style & Layout 10% Script Parsing & Compilation 8% Parse HTML & CSS 5%
ScriptTotalScriptingParse/CompileParty
Unattributable537ms20ms0ms3rd
https://www.medscape.com/360ms69ms25ms3rd
https://img.medscapestatic.com/medscape-core/common/js/global/medscape-script/all-scripts-no-defer.js358ms221ms7ms3rd
https://surveys-static-prd.survicate-cdn.com/widget_core-28.23.14.js348ms226ms56ms3rd
https://www.medscape.com/cdn-cgi/challenge-platform/scripts/jsd/main.js257ms242ms2ms3rd
https://assets.adobedtm.com/2c8c1e17b98c/017edbc80c83/launch-88df53f8d9c8.min.js210ms172ms24ms3rd
https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604090102/pubads_impl.js?cb=31097906192ms135ms42ms3rd
https://img.medscapestatic.com/medscape-core/www-content/js/homepage/homepage.js141ms111ms26ms3rd
https://securepubads.g.doubleclick.net/tag/js/gpt.js100ms92ms8ms3rd
https://img.medscapestatic.com/pi/scripts/omniture/bi_medscape.js97ms70ms13ms3rd

Showing top 10 of 12 scripts

D
Page Weight Inventory
Action
124 resources · 3.1 MB · 291 KB savings available
FIX
124 resources · 3.1 MB · 291 KB savings available
Warning::
Page weight 2.1 MB over 1MB target
Got: 3.1 MB Expected: ≤ 1 MB
Info::
~291 KB of savings available
Warning::
123 third-party resources (100% of weight)
Info::
1 resources over 200KB
124 resources · 3.1 MiB · 123 third-party 2.1 MiB over 1MB target
Image 67% · 2.1 MiB
JavaScript 23% · 743.8 KiB
Font 7% · 223.6 KiB
Document 2% · 48.9 KiB
Other 1% · 26.9 KiB
CSS 1% · 24.4 KiB

~290.5 KiB of savings available

Remove unused JavaScript: 290.5 KiB
C
Image Optimization
Action
80 images, 0 KB saveable
REVIEW
80 images, 0 KB saveable
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/thumbnail_library/0... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/pi/logos/mscp-logo.... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/thumbnail_library/2... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://img.medscapestatic.com/vim/live/profession... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
80 images 2.1 MB
0 oversized -0 KB
36 legacy format
15 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

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

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

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

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

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

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

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
JS Bundles
Action
20 scripts, 291 KB unused
REVIEW
20 scripts, 291 KB unused
Warning::
https://securepubads.g.doubleclick.net/pagead/mana...: 141 KB unused (75%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://surveys-static-prd.survicate-cdn.com/widge...: 78 KB unused (48%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://img.medscapestatic.com/medscape-core/www-c...: 41 KB unused (47%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://img.medscapestatic.com/pi/scripts/omniture...: 31 KB unused (58%)
Consider code splitting or tree shaking to reduce unused code.
Info::
Total unused JavaScript: 291 KB
291 KB unused JavaScript

Downloaded but never executed on this page.

ScriptSizeUnusedMinifiedParty
https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604090102/pubads_impl.js?cb=31097906188 KB141 KB (75%)✓3rd
https://surveys-static-prd.survicate-cdn.com/widget_core-28.23.14.js161 KB78 KB (48%)✓3rd
https://img.medscapestatic.com/medscape-core/www-content/js/homepage/homepage.js86 KB41 KB (47%)✓3rd
https://img.medscapestatic.com/pi/scripts/omniture/bi_medscape.js53 KB31 KB (58%)✓3rd
https://img.medscapestatic.com/medscape-core/shared-all/js/vendor/medscape-vt.js1 KB—✓3rd
https://img.medscapestatic.com/medscape-core/shared-all/js/sso-footer.js2 KB—✓3rd
https://img.medscapestatic.com/medscape-core/shared-all/js/medscape/medscape-site.js4 KB—✓3rd
https://img.medscapestatic.com/medscape-core/promo/js/invites-layer.js1 KB—✓3rd
https://img.medscapestatic.com/medscape-core/common/js/global/medscape-library.js14 KB—✓3rd
https://assets.adobedtm.com/2c8c1e17b98c/017edbc80c83/launch-88df53f8d9c8.min.js60 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

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
6 fonts (224 KB)
PASS
6 fonts (224 KB)
Info::
6 font(s) use font-display: swap (FOUT risk but functional)

Web fonts

6

224 KB total

Render-blocking

0

of 6

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 14.0 s 16.0 s 18.0 s FCP 4.8 s LCP 17.7 shttps://img.medscapestatic.com/medcss/fonts/nunito-sans/nunito-sans.woff2nunito-sans.woff2 https://img.medscapestatic.com/medcss/fonts/nunito-sans/nunito-sans.woff2 — 48.7 KiB — 116 ms — font-display: swaphttps://img.medscapestatic.com/medcss/fonts/nunito-sans/nunito-sans-ext.woff2nunito-sans-ext.woff2 https://img.medscapestatic.com/medcss/fonts/nunito-sans/nunito-sans-ext.woff2 — 42.9 KiB — 146 ms — font-display: swaphttps://img.medscapestatic.com/medcss/fonts/eb-garamond/eb-garamond.woff2eb-garamond.woff2 https://img.medscapestatic.com/medcss/fonts/eb-garamond/eb-garamond.woff2 — 39.3 KiB — 145 ms — font-display: swaphttps://img.medscapestatic.com/medcss/fonts/eb-garamond/eb-garamond-ext.woff2eb-garamond-ext.woff2 https://img.medscapestatic.com/medcss/fonts/eb-garamond/eb-garamond-ext.woff2 — 74.2 KiB — 152 ms — font-display: swaphttps://img.medscapestatic.com/medcss/fonts/roboto-condensed/roboto-condensed.woff2roboto-condensed.woff2 https://img.medscapestatic.com/medcss/fonts/roboto-condensed/roboto-condensed.woff2 — 10.9 KiB — 152 ms — font-display: swaphttps://img.medscapestatic.com/medcss/fonts/roboto-condensed/roboto-condensed-ext.woff2roboto-condensed-ext.woff2 https://img.medscapestatic.com/medcss/fonts/roboto-condensed/roboto-condensed-ext.woff2 — 7.6 KiB — 152 ms — font-display: swap
nunito-sans.woff2 woff2 swap
Size 49 KB
Load time 116 ms
Start 262 ms
Risk FOUT — text flashes from fallback to web font
nunito-sans-ext.woff2 woff2 swap
Size 43 KB
Load time 146 ms
Start 262 ms
Risk FOUT — text flashes from fallback to web font
eb-garamond.woff2 woff2 swap
Size 39 KB
Load time 145 ms
Start 262 ms
Risk FOUT — text flashes from fallback to web font
eb-garamond-ext.woff2 woff2 swap
Size 74 KB
Load time 152 ms
Start 263 ms
Risk FOUT — text flashes from fallback to web font
roboto-condensed.woff2 woff2 swap
Size 11 KB
Load time 152 ms
Start 263 ms
Risk FOUT — text flashes from fallback to web font
roboto-condensed-ext.woff2 woff2 swap
Size 8 KB
Load time 152 ms
Start 263 ms
Risk FOUT — text flashes from fallback to web font
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 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
No optimization needed
PASS
No optimization needed
Info::
No resource hint issues
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
A+
Green Hosting
Whether the site is served from green-energy infrastructure
PASS

Green Hosting

This site is hosted on green energy infrastructure

Provider: Cloudflare

A
HTTP Caching
max-age=3600 (1 hour)
PASS
max-age=3600 (1 hour)
Info::
Cache-Control header is set
Got: max-age=3600
Info::
Effective TTL: 1 hour (max-age=3600)
Info::
No ETag or Last-Modified header
Conditional requests (304 Not Modified) are not possible without validators.
Cache-Control

max-age=3600

DirectiveValueMeaning
max-age3600Cache for 1 hour
Effective TTL: 3600 seconds
Network Waterfall
124 requests over 1735ms
INFO
0 ms 2.0 s 4.0 s 6.0 s 8.0 s 10.0 s 12.0 s 14.0 s 16.0 s 18.0 s FCP 4.8 s LCP 17.7 shttps://medscape.com// https://medscape.com/ — 301 — 205 B — 68 ms — h2https://www.medscape.com/www.medscape.com/ https://www.medscape.com/ — 200 — 46.6 KiB — 185 ms — h2https://cdn.cookielaw.org/consent/d7b36c55-7b82-43bc-90c0-9ae20e7d25b4/otSDKStub.jscdn.cookielaw.org/consent/d7b36c55-... https://cdn.cookielaw.org/consent/d7b36c55-7b82-43bc-90c0-9ae20e7d25b4/otSDKStub.js — -1 — 0 B — 91 ms — https://img.medscapestatic.com/medcss/fonts/nunito-sans/nunito-sans.woff2img.medscapestatic.com/medcss/fonts... https://img.medscapestatic.com/medcss/fonts/nunito-sans/nunito-sans.woff2 — 200 — 48.7 KiB — 116 ms — h2https://img.medscapestatic.com/medcss/fonts/nunito-sans/nunito-sans-ext.woff2img.medscapestatic.com/medcss/fonts... https://img.medscapestatic.com/medcss/fonts/nunito-sans/nunito-sans-ext.woff2 — 200 — 42.9 KiB — 146 ms — h2https://img.medscapestatic.com/medcss/fonts/eb-garamond/eb-garamond.woff2img.medscapestatic.com/medcss/fonts... https://img.medscapestatic.com/medcss/fonts/eb-garamond/eb-garamond.woff2 — 200 — 39.3 KiB — 145 ms — h2https://img.medscapestatic.com/medcss/fonts/eb-garamond/eb-garamond-ext.woff2img.medscapestatic.com/medcss/fonts... https://img.medscapestatic.com/medcss/fonts/eb-garamond/eb-garamond-ext.woff2 — 200 — 74.2 KiB — 152 ms — h2https://img.medscapestatic.com/medcss/fonts/roboto-condensed/roboto-condensed.woff2img.medscapestatic.com/medcss/fonts... https://img.medscapestatic.com/medcss/fonts/roboto-condensed/roboto-condensed.woff2 — 200 — 10.9 KiB — 152 ms — h2https://img.medscapestatic.com/medcss/fonts/roboto-condensed/roboto-condensed-ext.woff2img.medscapestatic.com/medcss/fonts... https://img.medscapestatic.com/medcss/fonts/roboto-condensed/roboto-condensed-ext.woff2 — 200 — 7.6 KiB — 152 ms — h2https://img.medscapestatic.com/medscape-core/common/js/global/medscape-script/all-scripts-no-defer.jsimg.medscapestatic.com/medscape-cor... https://img.medscapestatic.com/medscape-core/common/js/global/medscape-script/all-scripts-no-defer.js — 200 — 36.3 KiB — 118 ms — h2https://img.medscapestatic.com/medscape-core/www-content/css/homepage/homepage.cssimg.medscapestatic.com/medscape-cor... https://img.medscapestatic.com/medscape-core/www-content/css/homepage/homepage.css — 200 — 13.0 KiB — 117 ms — h2https://img.medscapestatic.com/medscape-core/ads/js/dfp/profads2.jsimg.medscapestatic.com/medscape-cor... https://img.medscapestatic.com/medscape-core/ads/js/dfp/profads2.js — 200 — 34.1 KiB — 134 ms — h2https://img.medscapestatic.com/pi/logos/mscp-logo.pngimg.medscapestatic.com/pi/logos/msc... https://img.medscapestatic.com/pi/logos/mscp-logo.png — 200 — 12.9 KiB — 38 ms — h2https://img.medscapestatic.com/medscape-core/promo/js/invites-layer.jsimg.medscapestatic.com/medscape-cor... https://img.medscapestatic.com/medscape-core/promo/js/invites-layer.js — 200 — 783 B — 44 ms — h2https://img.medscapestatic.com/vim/live/professional_assets/medscape/images/thumbnail_library/gty_250624_pills_spilling_from_bottle_800x450.jpgimg.medscapestatic.com/vim/live/pro... https://img.medscapestatic.com/vim/live/professional_assets/medscape/images/thumbnail_library/gty_250624_pills_spilling_from_bottle_800x450.jpg — 200 — 27.5 KiB — 38 ms — h2https://img.medscapestatic.com/vim/live/professional_assets/medscape/images/thumbnail_library/gty-260421-senior-getting-flu-shot-800x450.jpgimg.medscapestatic.com/vim/live/pro... https://img.medscapestatic.com/vim/live/professional_assets/medscape/images/thumbnail_library/gty-260421-senior-getting-flu-shot-800x450.jpg — 200 — 63.2 KiB — 41 ms — h2https://img.medscapestatic.com/vim/live/professional_assets/medscape/images/thumbnail_library/dt-260421-psychedelic-assisted-psychotherapy-800x450.jpgimg.medscapestatic.com/vim/live/pro... 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h3https://pub.doubleverify.com/dvtag/signals/bsc/pub.json?ctx=17778638&cmp=DV1010728&url=https%3A%2F%2Fmedscape.com&bsc=1&abs=1&token=OieKwSfkk%2BOV%2FfibmMK0sui2%2BW%2F8DbQVVwBxL3QjlBrY6dAwarwwI7LYCNiyLOtiGv945RCy%2FZlKmDBFW52q3UcnY4SzRVyrcBfKgbp9lBQzO5Aji9fHzb5V9Dm5FSzOcSEWadN2psuMmuoIVebL6tgtnCdzntg%3Dpub.doubleverify.com/dvtag/signals/... https://pub.doubleverify.com/dvtag/signals/bsc/pub.json?ctx=17778638&cmp=DV1010728&url=https%3A%2F%2Fmedscape.com&bsc=1&abs=1&token=OieKwSfkk%2BOV%2FfibmMK0sui2%2BW%2F8DbQVVwBxL3QjlBrY6dAwarwwI7LYCNiyLOtiGv945RCy%2FZlKmDBFW52q3UcnY4SzRVyrcBfKgbp9lBQzO5Aji9fHzb5V9Dm5FSzOcSEWadN2psuMmuoIVebL6tgtnCdzntg%3D — 200 — 490 B — 60 ms — h3https://www.medscape.com/cdn-cgi/challenge-platform/h/b/scripts/jsd/0b8fb825cb67/main.js?www.medscape.com/cdn-cgi/challenge-... https://www.medscape.com/cdn-cgi/challenge-platform/h/b/scripts/jsd/0b8fb825cb67/main.js? — 200 — 11.9 KiB — 49 ms — h3https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604090102/pubads_impl.js?cb=31097906securepubads.g.doubleclick.net/page... https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604090102/pubads_impl.js?cb=31097906 — 200 — 187.6 KiB — 75 ms — h3https://www.medscape.com/mspx/tr.gif?e=ac&id=9efee0b2850e0346-CDG&ap=177680060769883365&vi=MCMID%7C06858913285969861394632903478456252105&idcf=9efee0b26ab5035awww.medscape.com/mspx/tr.gif?e=ac&i... https://www.medscape.com/mspx/tr.gif?e=ac&id=9efee0b2850e0346-CDG&ap=177680060769883365&vi=MCMID%7C06858913285969861394632903478456252105&idcf=9efee0b26ab5035a — 200 — 474 B — 780 ms — h3https://livecomments.viafoura.co/v4/livecomments/00000000-0000-4000-8000-4c2edca23fe5/content-containers/comment-count-and-status/by-container-idslivecomments.viafoura.co/v4/livecom... https://livecomments.viafoura.co/v4/livecomments/00000000-0000-4000-8000-4c2edca23fe5/content-containers/comment-count-and-status/by-container-ids — 200 — 548 B — 156 ms — h2https://www.medscape.com/cdn-cgi/challenge-platform/h/b/jsd/oneshot/0b8fb825cb67/0.2889736943988933:1776798611:JhAcgcFTqWduhobqPOYGc2dNFUeO_MBVB4fG2J7bOao/9efee0b26ab5035awww.medscape.com/cdn-cgi/challenge-... https://www.medscape.com/cdn-cgi/challenge-platform/h/b/jsd/oneshot/0b8fb825cb67/0.2889736943988933:1776798611:JhAcgcFTqWduhobqPOYGc2dNFUeO_MBVB4fG2J7bOao/9efee0b26ab5035a — 200 — 1.0 KiB — 28 ms — h3https://img.medscapestatic.com/pi/mscp-origin/courses/Business__of_Medicine_640x439.jpgimg.medscapestatic.com/pi/mscp-orig... https://img.medscapestatic.com/pi/mscp-origin/courses/Business__of_Medicine_640x439.jpg — 200 — 22.8 KiB — 56 ms — h2https://vtrk.dv.tech/?ec=dvtag&ea=ad-request&ctx=17778638&cmp=DV1010728&cd111=success&cm106=0&cm107=140&cd112=modern&cd115=&cm116=0&cd102=b68ea28&cd103=&cd107=ac32dfa9-31e7-4f6b-aeb6-cfa7b6234712&cd109=modern&cd200=com&cd108=&cd105=17778638&cd106=DV1010728&cd104=www.medscape.com&cd101=ad-request&cm101=1&cid=2508bf0f-8928-41b9-8443-579dd86c62bb&t=event&v=1&z=2508bf0f-8928-41b9-8443-579dd86c62bb&cd160=2508bf0f-8928-41b9-8443-579dd86c62bbvtrk.dv.tech/?ec=dvtag&ea=ad-reques... https://vtrk.dv.tech/?ec=dvtag&ea=ad-request&ctx=17778638&cmp=DV1010728&cd111=success&cm106=0&cm107=140&cd112=modern&cd115=&cm116=0&cd102=b68ea28&cd103=&cd107=ac32dfa9-31e7-4f6b-aeb6-cfa7b6234712&cd109=modern&cd200=com&cd108=&cd105=17778638&cd106=DV1010728&cd104=www.medscape.com&cd101=ad-request&cm101=1&cid=2508bf0f-8928-41b9-8443-579dd86c62bb&t=event&v=1&z=2508bf0f-8928-41b9-8443-579dd86c62bb&cd160=2508bf0f-8928-41b9-8443-579dd86c62bb — 204 — 210 B — 83 ms — h3https://www.medscape.com/mspx/tr.gif?e=bp&id=9efee0b2850e0346-CDG&idcf=9efee0b26ab5035awww.medscape.com/mspx/tr.gif?e=bp&i... https://www.medscape.com/mspx/tr.gif?e=bp&id=9efee0b2850e0346-CDG&idcf=9efee0b26ab5035a — 200 — 331 B — 789 ms — h3https://surveys-static-prd.survicate-cdn.com/fonts/fonts.csssurveys-static-prd.survicate-cdn.co... https://surveys-static-prd.survicate-cdn.com/fonts/fonts.css — 200 — 1.9 KiB — 97 ms — h2https://surveys-static-prd.survicate-cdn.com/widget_core-28.23.14.jssurveys-static-prd.survicate-cdn.co... https://surveys-static-prd.survicate-cdn.com/widget_core-28.23.14.js — 200 — 161.2 KiB — 151 ms — h2https://securepubads.g.doubleclick.net/pagead/managed/dict/m202604210101/gptsecurepubads.g.doubleclick.net/page... https://securepubads.g.doubleclick.net/pagead/managed/dict/m202604210101/gpt — 200 — 23.0 KiB — 37 ms — h3https://img.medscapestatic.com/pi/favicon/favicon-32x32.pngimg.medscapestatic.com/pi/favicon/f... https://img.medscapestatic.com/pi/favicon/favicon-32x32.png — 200 — 509 B — 37 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 2756ms · 731KB · $37/mo
Unattributable
Other
Costly
Execution 537ms
Transfer 0 KB
Monthly Cost $7/mo
www.medscape.com
Other
Costly
Execution 360ms
Transfer 47 KB
Monthly Cost $5/mo
img.medscapestatic.com
Other
Costly
Execution 358ms
Transfer 36 KB
Monthly Cost $5/mo
surveys-static-prd.survicate-cdn.com
Other
Costly
Execution 348ms
Transfer 161 KB
Unused 48%
Monthly Cost $5/mo
www.medscape.com
Other
Costly
Execution 257ms
Transfer 0 KB
Monthly Cost $3/mo
assets.adobedtm.com
Other
Costly
Execution 210ms
Transfer 60 KB
Monthly Cost $3/mo
securepubads.g.doubleclick.net
Other
Optional
Execution 192ms
Transfer 188 KB
Unused 75%
Monthly Cost $3/mo
img.medscapestatic.com
Other
Optional
Execution 141ms
Transfer 86 KB
Unused 47%
Monthly Cost $2/mo
securepubads.g.doubleclick.net
Other
Optional
Execution 100ms
Transfer 34 KB
Monthly Cost $1/mo
img.medscapestatic.com
Other
Optional
Execution 97ms
Transfer 53 KB
Unused 58%
Monthly Cost $1/mo
img.medscapestatic.com
Other
Optional
Execution 82ms
Transfer 34 KB
Monthly Cost $1/mo
pub.doubleverify.com
Other
Optional
Execution 75ms
Transfer 31 KB
Monthly Cost $1/mo

These scripts may cost more than they're worth

  • Unattributable adds 537ms and costs ~$7/month
  • www.medscape.com adds 360ms and costs ~$5/month
  • img.medscapestatic.com adds 358ms and costs ~$5/month
  • surveys-static-prd.survicate-cdn.com adds 348ms and costs ~$5/month
  • www.medscape.com adds 257ms and costs ~$3/month
  • assets.adobedtm.com adds 210ms and costs ~$3/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

Unattributable takes 537ms 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.medscape.com takes 360ms 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

img.medscapestatic.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

surveys-static-prd.survicate-cdn.com takes 348ms 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.medscape.com takes 257ms 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

assets.adobedtm.com takes 210ms 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 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

58% of img.medscapestatic.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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