Is hcg level 265 considered normal or too low at 4w2d?

At 4w2d, 265 is actually within normal range! HCG at that stage can vary a lot between pregnancies, anywhere from like 200-3000+ is considered normal at 4 weeks. The number itself is less impt than whether it’s doubling every 48-72hrs, so make sure u go back for the repeat blood test to check! As long as it’s going up consistently ur gynae shouldn’t be too worried 😊

I understand why you're worried, but this one really needs a doctor to look at properly, lah. HCG levels can vary quite a lot between women and also depend on how they're measuring it, so you'll need your doctor to tell you what's normal for your situation and whether they want to do a repeat test to see the trend.