Hcg Not Doubling But Rising - Hcg not doubling but rising.

has this happened to anyone else who went on to have a successful pregnancy? my level at 13dpo was 49 and today at 15dpo it only rose to 84. Dr sent me in for hCG testing and only went from 6,336 to 6,668 in 48 hrs. Another ultrasound at 11 weeks confirmed the same thing - no fetal pole, only a gestational sac. Went in for blood work the day after U/S. We would like to show you a description here but the site won’t allow us. I was in the 1800s when my tube ruptured a week. I'm worried this is not enough increase. They did rise some, but not doubled. Any success stories similar to mine?11/6, 10am: 8911/8 10am: 13511/10 10am: 24511/12 12pm: 40811/14 7pm: 70011/17 7am: 1098Ultrasound on. How soon will depend on how concerned they are. If tests show that your hCG level is increasing but not doubling in the first weeks of pregnancy, it might signal a miscarriage. But had first hcg 4w2d was 690 then 4w6d was 5585. My number was low to start - started at 35. They are saying it’s not viable. Mine went from 71 to 140 in 48 hours and then from 140 to 533 in 94 hours which is a 49 hour doubling time. You're going to freak everyone out who has high HCG. Obstetrics and Gynecology 29 years experience. A double lug meter base is an electric. It helps thicken a person's uterine lining to support a growing embryo and tells the body to stop menstruation. vintage tailcoat jacket Don’t let anyone tell you hcg should go up every 48 hours forever. Above 6,000 mIU/ml, the hCG often takes over four or more days to double. Really hoping that this one will stick. 1 at 4 weeks (we did IUI, so we knew it was 4 weeks). Just learned last week that I am 5w2d pregnant. Kristen asks, "A few of the windows in my 35 year old house have begun to lose their seal and turn opaque. 15 &18 dpo were 81 hours apart due to the holiday. Hi all,My HCG is rising but not doubling every 48 hours. hCG levels in our blood change during the first trimester, rising rapidly. So a doubling rate of 38% or 106 hours. My hCg has only gone from 86 to 118 over the span of the last 5-6 days. They are not doubling in 48 hours but are…. I'm 4 weeks officially today from last period but know I ovulated day 9-11 and had a trigger shot to force ovulation. Has anyone else been in a similar situation and everything turned out okay? We have an. Has anyone else had this happen to them? I’m worried about possible ectopic? Has anyone else had this and had a healthy pregnancy?? I’m just so tired of waiting and going through all of this. So numbers are still not rising the way they should be. (I also had spotting for a whole week too) I had an 8 week u/s and first OB appointment and my doctor said that as long as hcg is RISING that's a good sign. I have no bleeding, definitely nauseous and my boobs are on fire, but worried that this is going to end in another m/c. (I also had spotting for a whole week too) I had an 8 week u/s and first OB appointment and my doctor said that as long as hcg is RISING that’s a good sign. They finally started doubling at 5+1 and 5+3 but then slowed down again. I had an early ultrasound Thursday morning showing a healthy pregnancy with a yolk sac measuring around 5+4. A typical rate of increase after the first beta hCG is observing a doubling of the levels two days after the first test (e. HCG is rising but not doubling. Slower doubling times of hCG in the first trimester have been associated with an increased risk of miscarriage but studies have also shown that slow rising hCG levels occur in around 15% of healthy pregnancies. For HCG levels 1,200-6,000mIU/ml, the expected doubling time is 72-96 hours. During the start of a normal pregnancy, the levels of …. While “doubling” is emphasized, there is actually a range of increase that is appropriate. So the changes happen very quickly and I wouldnt worry too much (impossible I know) at this point since it’s still super early! Like. Kenya plans to double the digital service tax levied on tech companies such as Amazon, Uber, Spotify and Netflix beginning July this year. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc. I had a miscarriage back in October 2022. Hi ladies! I am looking for positive experiences with HCG not doubling. A member asked: My hcg levels are slowly rising but not doubling every 2 days. A declining hCG result is an indicator that the pregnancy has ended and will be miscarried over the next days or weeks. I got my first faint positive at 32days after my LMP. HCG at 3 weeks 6 days: 31 HCG at 4 weeks 1 day: 56 HCG at 4 weeks 5 days: 119 HCG at 5 weeks exactly: 130 Doc called after that last result…. My doctor was not overly concerned and wanted to wait until Monday to retest but I asked to come in on Friday instead and they said ok. My doctor has been checking my HCG levels every two days. I'm 5 weeks and friday my hcg was 5,250 and Monday it was 8,385. 8 after 4 days is not particularly reassuring. I had some HCG bloodwork and got the results back just know. I go back for more bloodwork in another 48 hours. My OB said to wait till my US in 2w, but I’m so nervous. The pharmacist told me it should be rising not declining. Here's a recipe on how to make the In-N-Out Double Double without buying a plane ticket. I went from 22,234 Monday afternoon to 31,791 Friday morning. Repeating the beta doesn’t make sense to me and if you haven’t had an ultrasound yet, I can’t believe they will wait until November 14th. dogwood ave Low progesterone slow rising hcg. Beta #1 - 12dp5dt (7/3) HCG: 583 Progesterone: 37. Started spotting 16dpo which turned to full red bleed 17dpo. and like I said didn't even reach the 72 hour mark. They didn't seem overly concerned and said I may not be as …. Hello all,I’m 38, this is my first pregnancy, after 2 miscarriages back to back ( very early on) I’m trying to stay hopeful for this one. If you want to create a promotional brochure on a doub. I can’t help but worry that it hasn’t doubled I made sure the blood was drawn. In most normal pregnancies at an hCG level below 1,200 mIU/ml, the hCG usually doubles every 48-72 hours. 62 So your level of 48 on monday looks great!!. With my last pregnancy my HCG was always…. I had an ectopic back in May and was really excited to conceive again. Enable debug mode to see the reason. Rising HCG but not doubling or even close? providencenj. You can usually expect your hCG level to stop rising between week eight and week 11 of pregnancy. Of course I wanted to be 150% sure before we did that. Has anyone had hcg numbers that didn't rise every forty eight hours but still had a successful pregnancy? I went from 22 to 165 in a week (I'm 4w2d) but my dr said. HCG levels rise quickly and exponentially, usually doubling every 2 days 3,4 in the first weeks before reaching a steady level There are studies showing a relationship between morning sickness, a healthy pregnancy, and rising levels of hCG, but the jury is still out. 15% of ladies have doubling times of more than 48 hrs & I'm one of them. I’m 5w6d and have gotten a few betas as I had a partial molar last year and want to ensure my hcg is rising appropriately. It wasn’t until 8 weeks that we saw his heartbeat, which was healthy. And unfortunately some don't too. Continued to bleed and actively miscarry for a week. I'm about 6 weeks pregnant and have been having some brown spotting on and off for almost 2 weeks now. 12/11- 69212/13- 192812/15- 276712/18- 6782Going again and they want to see around 13,000. As my hcg levels aren't much doubling in right time so on an early ultrasound would not show anything. rap tv news template It is my second pregnancy after my husband and I had a pregnancy loss in July at 13 weeks. Empty Gestational Sac but rising HCG Levels. My OB said he was 99% sure I had a blighted ovum but did a follow-up ultrasound a week later to confirm. They brought me into EPU & have been giving me blood tests where my HCG levels are rising but not doubling. Hey ladies! So I'm very worried about my HCG levels…they have a doubling time of 70 hours. During pregnancy, you will experience a …. But I have seen online that levels that high do not double in 48 hours, it takes about 4 days. volvo xc90 won't start immobilizer It can also possibly indicate an ectopic pregnancy that is ‘self-resolving’. groomers dog groomers near me Once your HCG levels reach a certain level they do NOT double ever 48hrs they double in 3 days. 5 weeks for this reason (unless there was HEAVY bleeding. Ultrasound showed g-sac no embryo/heartbeat doctor said i was 6 weeks 0 days&hcg levels r 1600. Created for people with ongoing healthcare needs but benefits everyone. Also, after a certain point doubling time does slow down, I just can't remember where. 3 then the third on 4/14 was 310. A drop in hCG level during this time is a sign that the pregnancy is not healthy. 5 weeks (before any ultrasound). 5 weeks and he couldn't see a heartbeat. My dr decided to mo it or my hcg levels. My RE and IVF nurse told me to no longer expect it to be doubling as quickly once HCG is over 1000. Id be worried if they only raised that much in a week. At 5weeks 5 days - HCG was 9434. Open menu Open navigation Go to Reddit Home. Nurse said she's seen pregnancies like this continue but honestly didn't sound terribly convincing. I had period-like bleeding in the past 5 days, starting from brown spotting, then turning to heavier bright red bleeding. A member asked: Hcg level last thurs 235, sat 614 then wed 1,821. On Saturday, they had me get my blood levels checked again. HCG levels are measured by milli-international units per milliliter (mIU/mL) and only rise considerably in pregnant women. I go in tomorrow for another blood test then next week I go in for an ultrasound. Comparable values for those with non-viability at 8 weeks were 2. Likewise, levels that aren't doubling and are only rising very slowly — for example, from 120 mIU/mL to 130 mIU/mL over a period of two days — can indicate a nonviable uterine pregnancy in. I would stop doing hcg blood tests and get a scan around 6w, where you should see most structures if the pregnancy were to progress normally. The American Pregnancy Association says that pregnancy levels of hCG (human chorionic gonadotropin) return to normal about four to six weeks after pregnancy ends. Fertility doctor said it could be ok as still rising but losing confidence. I also was feeling some symptoms the last few days - nausea, low appetite, cramping in my stomach - but today I feel. Especially once you get over 2000. the super mario bros. movie showtimes near regal gulf coast 2006 nissan altima won t start christy lee leaving garage squad Mar 14, 2013 · Unfortunately, my numbers doubled with my EP as well. slightly worried due to my hcg levels not doubling. Any **positive** stories or insight? Like. If you are worried about the sodium, replace 1/2 of the chicken broth with an additional amount of water. My 1st ultrasound was scheduled for 9/14, and surprisingly we discovered Twins!. " Jump to The Adani Group on Thursday doubled down on. I had an ultrasound yesterday and it only revealed a gestational sac and yolk sac (no fetal pole). But above 72 hours, unless there’s a vanishing twin and the numbers pickup afterwards, it’s not likely for things to work with doubling times above 72 hours. My first ultrasound is scheduled this week but in September I had a MC and now I’m am scared to death. I'm currently about 7+2 and just had my first US on Wednesday the 8th of November but there was nothing to see yet. I’ve evaluated thousands of early pregnancies and the beta values are rarely above 10000 in the first two months. If you are a homeowner or business owner, you may have come across the term “double lug meter base” while researching your electrical system. Hello all,I'm 38, this is my first pregnancy, after 2 miscarriages back to back ( very early on) I'm trying to stay hopeful for this one. They called me in for ultrasound and I was just expecting to see an empty sac but they. I’m gutted and just feel with my history, it’s not going to work out. Terrifying to hear! 😢 She had me do another blood draw to check my hcg. Had bright red blood 11/22 and went to the ER where they did an ultrasound and HCG level. My HCG bloods are rising but not doubling in 48 hours. Feb 2, 2023 · HCG rising and not doubling-concerned! Hello all, I have two previous losses, one missed miscarriage, one TFMR at 20 weeks and now pregnant again, hoping for the best! I’m 6 weeks, did some HCg blood work and my numbers were fine but not doubling so I’m terrified of another loss happening! 5w5d HCG 22471. 13 dpiui morning HPT negative, 13 dpiui evening HPT faintly positive, HCG 14 dpiui - 26, 16dpiui - 69, 19dpiui - 156, 22dpiui - 738 , 26dpiui - 2498 , 29dpiui - 3600 ( ie. Jun 8, 2023 · There's been a good increase. 48 hours after that, it was 892, which is a doubling time of 60 hours. Your latest doubling time is 107hrs which is slower than the median on betabase for this beta range. First HCG level was around 18,000, the second was 21,000 -- which is not doubling but still rising. Hi all my wife had a 2 embryo fresh transfer. HCG chart: hCG levels by week While hCG levels can vary widely from person to person and from pregnancy to pregnancy, they tend to fall within a range. richt and peony HCG rising and not doubling-concerned! Hello all, I have two previous losses, one missed miscarriage, one TFMR at 20 weeks and now pregnant again, hoping for the best! I’m 6 weeks, did some HCg blood work and my numbers were fine but not doubling so I’m terrified of another loss happening! 5w5d HCG 22471. I had some brown spotting so I asked my doctor for a check in appointment today. My first hcg test was 232 at 4 weeks, 2 days. Hcg not doubling but rising consistently. A normal HCG level will roughly double every 48 to 72 hours, up to 6,000 mIU/ml. Is there anything to be concerned about because the BHCG hasn't doubled. January 30 hcg 858 and I should be 6 weeks prego. We did do an ultrasound and saw a yolk and sac in my uterus, ruling out an ectopic. But above 72 hours, unless there’s a vanishing twin and the numbers pickup afterwards, it’s not likely for …. If doubling times for the next beta pick up, then it could be ok. Fertility ; Ovulation Calculator ; Ovulation Symptoms ; Preparing for Pregnancy. •In early pregnancy, a 48-hour increase of hCG by 35% can still be considered normal. DOUBLE UPDATE*Unfortunately my case ended in an ectopic that ruptured my right tube. The midwife that I visited (a day after the first draw and ultrasound) advised me that a scan at 5+4 was very early and not to loose hope - bleeding. History of miscarriage, bleeding, pain and maternal age at presentation statistically affected the rate of hCG rise, but differences were not clinically significant. 48 hours later (137% increase) April 29 13dp5dt HCG: 316. They said let's wait a week to retest. When I had my miscarriage my hcg levels were not doubling when they were checked every 48 hours. My hcg levels are as follows, wednesday they were 1959, at this point the doctor I was referred to is the one ordering my blood work. To confirm the pregnancy she got some blood work done. They didn't seem overly concerned and said I may not be as far along as we. I’ve read that this early 24-72 hour doubling time can be normal. Question? I need real advice here. I did as she asked and had more blood drawn Monday morning. 5w1d low HCG and not doubling but rising I'm worried I'm experiencing another ectopic pregnancy. From what I've read, it is possible to have a healthy pregnancy with slow rising hcg. I got a positive pregnancy test on Nov 22nd (1-2 weeks it said on test). Progesterone is also an essential hormone that helps maintain a healthy pregnancy. I am shocked to hear your doctor said that! Me RE said was fine with my levels plateauing any time after 7 weeks (as long as they didn't drop), because he's seen success with levels that plateaued as low as 5000. So far there’s a sac and yolk on my ultra sound Here are my hcg levels every 48 hours 1,065 1,900 4,726 8,106 Should I not get my hopes up ? They’re riding but not doubling every time so …. Had blood taken that day and hcg was 61. Anybody with a similar situation that ended positively ? Jan 25- 459 Jan 29- 1024 Jan 30- 1585 Feb 1- 1855 Feb 5-2633. I was really hoping I’d make it past Christmas without any issues if there were any. 5 weeks LMP: 18 – 7,340 mIU/mL. I've been getting HCG beta blood tests from my RE. I know they slow down but I thought they would be a bit higher than 9100. I have a three year old who was born at 34 weeks (water broke at 33 weeks for no known reason). hcg rising VERY slowly, low levels. when i miscarried in december, my hcg was 17k 9/29: 2070 10/2: 4955 10/4: 6122 10/6: 7546 our first ultrasound is 10/17. I followed up with my OB 4 days later, still nothing on ultrasound, hcg was 898. Any success stories similar to mine?11/6, 10am: 8911/8 10am: 13511/10 …. If your hCG levels are not doubling but are still increasing, it's essential to understand that every pregnancy is unique, and hCG patterns can vary widely among individuals. dogs for sale trenton nj After getting Tuesdays results and yesterdays, my OB called and is concerned that they aren't doubling as they should. Success stories-low hcg but doubling. 48 hours later, my Hcg had risen to 27000 and the spotting subsided. Unfortunately, it's possible to have a positive pregnancy test but no baby on the ultrasound. alphas regret chapter 101 13/14 DPO - 59 HCG (46 hour doubling time, 105% 2-day increase) 16/17 DPO - 228 HCG (36 hour doubling time, 145% 2-day increase) 21/22 DPO - 743 HCG (71 hour doubling time, 60% 2-day increase) I know it can vary from 48-72 hours in doubling time but that 4th beta with a 71-hour doubling time has me very concerned. werker batteries My Doctor is concerned bc my HCG levels aren't doubling. Fifteen percent of viable IUPs have a less than 66% increase in β‐hGC in 48 hours. I had a blood work the day after I started bleeding (HCG was 4600). First, maybe I'm not calculating things correctly but your HCG seems to be rising appropriately to me. It is a guideline that your numbers should double but not every women is the same. I asked my doctor to check to ensure my hcg was rising correctly. i hope they do another beta in a couple of days, because that one will be more …. HCG- rising but not doubling? m. Should be in the region of 5000+ at this point. high chance of miscarriage?: Advanced maternal ag: Unfortunately it is a watch and wait scenario. Gained 1k in less than 2 days, whereas it was about 2k per week. While symptoms may be severe, there are ways to manage them. v10 triton specs I got my BFP on 1/31 and had my hCG levels tested this past Tuesday and again this morning, 3 days later. told us to take the methotraxate shot and help things end. Preimplantation genetic testing was performed in almost 30% of cycles. My OB is 99% sure this is a blighted ovum, but wants my HCG levels taken again on Monday. Had another hcg Tuesday 16th it's gone up to 487, however they couldn't see anything on scan. Unfortunately I do not have good news to share on my case; but while I was going through that I did hear of a few women who had low, non doubling Betas still become healthy babies! Someone said their doctor only looked for above 50% growth every 48 hours. The nurse confirmed the level, which was 31 (no wonder my HPTs couldn’t pick it up because of very low levels) and also spoke to my FS that day who told me not to be hopeful. This shows generally accepted doubling times for a given base level of hCG. He has explained that it could be that i have ovulated and implanted much later in my cycle, but even so. And the whole doubling 48 hours thing isn't really reality either- at low levels the increase is usually much faster. According to my lmp I am 5w6d, went Monday for hcg and was 876, went back today and hcg rose to 1159 but not doubled and progesterone was low at 9. I would go in Monday but not let them give you a shot to terminate. 3 days ago I had my bloodwork done with my progesterone level went down from 17 to 13, with HGC of 2340. 10 to 25 mIU for a 'borderline' pregnancy result. Oct 25, 2021 · Oct 25, 2021 at 8:29 AM. craigslist jobs oregon Mine were initially slow rising, then doubling normally with my ectopic. I am 6w0d today and it seems as though my hcg levels stopped doubling. Carline Louis-Jacques answered. They are saying it's not viable. Download the free quilt block for your nextQuilting project. It’s also possible to not visualize an ectopic. It seems a little early to already have had an ultrasound. It wasn't until 8 weeks that we saw his heartbeat, which was healthy. My progesterone and estrogen shot down a lot between test #2 and #3. hersheypark facebook The doubling is a myth (at least according to my fertility dr). I have an ultrasound next Tuesday but I’m obviously very sceptical. HI there, I'm so sad- at first I was convinced the FET didn't work (4 negative pregnancy tests!) but then my HCG 10dp5dt blood test came back positive (but low). My first beta was on Wednesday and recorded at 500. I am in the same boat- HCG rising but not doubling and I am freaking out as I just went through a miscarriage at the end of March. Progesterone was only 6 and hcg doubling time was approx 6 days :( They started me on vaginal progesterone per my request. Based off of your HCG levels, it's not completely abnormal that you only see a sac so far. You want to see betas double in at least 48 hours, but early days betas rise very fast. The normal hcg levels for postmenopausal women go up tp 14 mlU/ml. However, doctor said she REALLY thinks this is not a viable pregnancy. My first beta was 286 (I did IVF and this was 11 days past a 5 day transfer—the equivalent of 16dpo). Some women don't get bfp's until many weeks into their. Hcg levels are expected to only rise by 66% every 48-72 hours. So not even 48 and not even 3 days/ 72 hrs. I know doubling slows after 6 weeks and after 6,000. From my online research it looked really high for 6 weeks. In the last year I've had one MMC and one chemical pregnancy. 2 bedroom pool house plans Low or slow-rising levels of hCG could be normal, but they might also point to a potential pregnancy loss. considering it can take up to 72 hours for hcg to double until it reaches over 6,000 I honestly dont see a real problem with your numbers. Hi all, last week, my 6th week of pregnancy , I unfortunately suffered a miscarriage. If tests show that your hCG level is increasing but not doubling in the first weeks. 25 mIU/ml in the first blood draw, and two days later 50 mIU/ml). at this point I feel like a pin cushion. I had blood work yesterday for my HCG because I’ve been lightly spotting. Currently 6 weeks pregnant and U/s today showed Gestational sac and yolk sac but no fetal pole. I was scheduled for an early US given age and the. All my other (5) miscarriages have been straight forward and symptoms have gone before the baby has gone. Between 1,200 and 6,000 mIU/ml serum, the hCG usually takes about 72-96 hours to double, and above 6,000 mIU/ml, the hCG often takes over four or more days to double. UPDATE @ ENDI found out this month that I was pregnant after a chemical in March 2023. I had high and doubling HCG in two of my miscarriages, but the actual embryonic demise occurred later on, around 8-9 weeks. So when I got the news from the nurse, all she said was, "I am so sorry, the level wasn't as high as the doctor would. Hcg9/30- 34510/2- 76510/4- 1245I know I need a second opinion about the progesterone. Below are my HCG tests: 2/8/16 HCG-151 Progesterone-18. 7% of cycles and when β-hCG levels “reached 100” by 15 days AOR, live birth occurred in 81. 9/9: 5776, initially they were concerned because it was rising but not doubling. They called me in for ultrasound and I was just expecting to see an empty sac but …. HCG 8/2: (48 hours later): 1250 approx (Dr said all looks great!) HCG 8/7 (5 days later): 2150 approx (Dr said very concerned. Save money on energy bills and increase comfort. HCG rising and not doubling-concerned! Hello all, I have two previous losses, one missed miscarriage, one TFMR at 20 weeks and now pregnant again, hoping for the best! I'm 6 weeks, did some HCg blood work and my numbers were fine but not doubling so I'm terrified of another loss happening! 5w5d HCG 22471. i look forward to your response. i’ve been having my beta hcg done following my positive test, for reassurance. Help with HCG levels !! Rising but not doubling. Embryo is a slow grower and HCG levels are slow rising. A rise of at least 35% over 48 hours can still be considered normal. Slow rising hcg + continuous brown discharge. My md said they no longer treat low progesterone due to research showing it doesn't have an effect but in terrified I'm going to lose another baby. The doctor found an empty sac so asked that I get my hCG tested.   He'd like to see them doubling, but since they aren't. Peter Baumann: Possible ectopic: At a hCG level of 3188 a pregnancy should be demonst. In your last trimester, the numbers will continue to decrease to 117,000 …. 10 to 25 mIU for a ‘borderline’ pregnancy result. 7weeks HCG levels rising but not doubling. 5! (5w+2) Everything is looking good! September 20th HCG is 2423! (5w+6) Awesome!. At levels below 6,000 mIU/ml, the hCG levels normally increase by at least 60% every 2-3 days. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. Hi everyone My hcg on Thursday was 1175 and then 90 hours later on Monday 3674. But now it is not doubling, but still rising. They did bloods and had them repeated 48 hours later: 5+3 weeks - hcg 159. 6 weeks pregnant - HCG rising but not doubling. I got my blood drawn at 14dpo and it came back at 35 and did another blood draw yesterday and it came back 55. They havent been doubling as they should but their still rising. April 11, 2024 | by courtney2789. Hey , so I just had my 4th hcg blood test. Fetal heartbeat, rising HCG but not doubling. Finally, it's important to understand that hCG levels may persist for up to a few weeks after a miscarriage. Today the blood draw was 965 (93% increase). I went back three days later and my HCG was 461. diy zj rock sliders The fact that your bHCG's are not rising adequately means that it is unlikely to be a normal progressing pregnancy, but you are still. I have an ultrasound next Tuesday but I'm obviously very sceptical. According to The American Pregnancy Association, hCG levels typically lie within the following ranges throughout pregnancy: Week 3: 5-50 mIU/ml. It was 519 exactly 50 hours later. I went again today and waiting to hear. Went in to see my ob/gyn at 6 weeks due to spotting and they could not detect a heartbeat so we decided to do a blood draw on 4/14 and 4/16. Aug 21, 2023 · When hCG isn’t rising fast enough, it could indicate a miscarriage or nonviable pregnancy. I am just about 7 weeks now and STILL having hcg trouble.