Performance
· 15 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.
339 ms
Largest Contentful Paint Largest Contentful Paint — how long until the largest visible element loads. Under 2.5s is good.
808 ms
Total Blocking Time Total Blocking Time — total time the main thread was blocked, preventing user input. Under 200ms is good.
165 ms
Cumulative Layout Shift Cumulative Layout Shift — measures visual stability. How much the page layout shifts during loading. Under 0.1 is good.
0.026
Speed Index Speed Index — how quickly content is visually displayed during load. Under 3.4s is good.
613 ms
Time to Interactive Time to Interactive — how long until the page is fully interactive and responds to user input. Under 3.8s is good.
1.88 s
Page Load Progression
DThird-Party ImpactAction70% third-party, 0 ms blockingFIX
DJS BundlesAction26 scripts, 373 KB unusedFIX
Downloaded but never executed on this page.
| Script | Size | Unused | Minified | Party |
|---|---|---|---|---|
| https://www.googletagmanager.com/gtag/js?id=G-CSLL4ZEK4L&cx=c>m=4e64k0h2 | 147 KB | 106 KB (72%) | ✓ | 3rd |
| https://www.googletagmanager.com/gtag/js?id=G-7147EPK006&cx=c>m=4e64k0h2 | 161 KB | 65 KB (41%) | ✓ | 3rd |
| https://www.googletagmanager.com/gtag/js?id=G-P1FPTH9PL4&cx=c>m=4e64k0h2 | 156 KB | 63 KB (41%) | ✓ | 3rd |
| https://www.googletagmanager.com/gtag/js?id=G-CSLL4ZEK4L | 147 KB | 62 KB (42%) | ✓ | 3rd |
| https://www.googletagmanager.com/gtm.js?id=GTM-MMVM77 | 146 KB | 31 KB (39%) | ✓ | 3rd |
| https://siteintercept.qualtrics.com/dxjsmodule/CoreModule.js?Q_CLIENTVERSION=2.46.0&Q_CLIENTTYPE=web&Q_BRANDID=nlmenterprise | 31 KB | 23 KB (73%) | ✓ | 3rd |
| https://siteintercept.qualtrics.com/dxjsmodule/12.1a2b7192fd54e87d3971.chunk.js?Q_CLIENTVERSION=2.46.0&Q_CLIENTTYPE=web&Q_BRANDID=medlineplus.gov | 36 KB | 22 KB (63%) | ✓ | 3rd |
| https://script.crazyegg.com/pages/scripts/0027/2050.js | 3 KB | — | ✓ | 3rd |
| https://medlineplus.gov/jslib/control.js | 4 KB | — | ✓ | 1st |
| https://www.nlm.nih.gov/core/nlm-autocomplete/1.1/nlm-autocomplete.js | 6 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
DHTTP CachingActionNo cache headersFIX
No Cache-Control header
Adding a Cache-Control header can significantly improve repeat-visit performance.
BPage Weight Budget1.3 MB transferred, 58 requestsREVIEW
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
CImage OptimizationAction18 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
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
BJS Execution Cost890ms total JS executionREVIEW
Main Thread Breakdown
| Script | Total | Scripting | Parse/Compile | Party |
|---|---|---|---|---|
| https://medlineplus.gov/ | 145ms | 4ms | 1ms | 1st |
| Unattributable | 139ms | 3ms | 0ms | 3rd |
| https://www.googletagmanager.com/gtm.js?id=GTM-MMVM77 | 133ms | 105ms | 24ms | 3rd |
| https://www.googletagmanager.com/gtag/js?id=G-7147EPK006&cx=c>m=4e64k0h2 | 131ms | 107ms | 24ms | 3rd |
| https://www.googletagmanager.com/gtag/js?id=G-P1FPTH9PL4&cx=c>m=4e64k0h2 | 124ms | 104ms | 20ms | 3rd |
| https://www.googletagmanager.com/gtag/js?id=G-CSLL4ZEK4L | 118ms | 98ms | 19ms | 3rd |
| https://medlineplus.gov/jslib/jquery-3.6.0.min.js | 101ms | 63ms | 24ms | 1st |
CPage Weight InventoryAction58 resources · 1.3 MB · 373 KB savings availableREVIEW
~373.1 KiB of savings available
| # | Resource | Type | Size | Cache | Unused | 3rd party | Issues |
|---|---|---|---|---|---|---|---|
| — | — | ||||||
| 58 resources | 1.3 MiB | ||||||
CGreen HostingActionWhether the site is served from green-energy infrastructureREVIEW
Green Hosting
No green hosting detected
A+Text CompressionAll text resources are compressedPASS
A+Font Loading2 fonts (43 KB)PASS
Web fonts
2
43 KB total
Render-blocking
0
of 2
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
Network Waterfall58 requests over 1333msINFO
Third-Party Script CostPer-script blocking time, transfer cost, and cache headersINFO
| Script | Category | Execution | Transfer | Unused | Monthly Cost | Verdict |
|---|---|---|---|---|---|---|
Unattributable Unattributable | Other | 139ms | 0 KB | — | $2/mo | Optional |
Google Tag Manager www.googletagmanager.com | Tag Manager | 133ms | 146 KB | 39% | $2/mo | Optional |
Google Tag Manager www.googletagmanager.com | Tag Manager | 131ms | 161 KB | 41% | $2/mo | Optional |
Google Tag Manager www.googletagmanager.com | Tag Manager | 124ms | 156 KB | 41% | $2/mo | Optional |
Google Tag Manager www.googletagmanager.com | Tag Manager | 118ms | 147 KB | 42% | $2/mo | Optional |
72% 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