Hormone Testing for Women

Loading...

13 Items

Set Descending Direction
  1. Sex Hormone Binding Globulin - SHBG
    $45.17

    SHBG (sex hormone binding globulin) binds to testosterone and estradiol. High SHBG may decrease free testosterone and free estradiol.

    Learn More
  2. Estrone
    $93.58

    Estrone (E1) is one of the three estrogens, which also include estriol and estradiol. Estrone is the least abundant of the three and is considered a pro-hormone of estradiol.

    Learn More
  3. THYROID Panel - COMPREHENSIVE
    $210.00

    This test panel includes most tests needed to more deeply explore the possibility of hypothyroidism and/or Hashimoto's disease diagnosis. It includes: TSH, Free T3, Free T4, Reverse T3, Thyroglobulin Antibody and Thyroid Peroxidase Antibody (Anti-TPO). If you are taking biotin, please stop it 72 hours before the blood draw since it may interfere with hormone blood tests. A study found that TSH was suppressed in all subjects after food, so fasting may be suggested although it is not reqired by Quest. Free T4 and Free T4 values did not change significantly after eating. NOTE: Reverse T3 is analyzed using a specific technique called liquid chromatography/tandem mass spectrometry (LC/MS-MS). There's a special place in the U.S. where these precise machines needed for LC/MS panels run only on two specific days a week. So, sometimes the clock ticks a bit while we wait for samples to return from their initial collection points. Results may take 7 business days.

    Learn More
  4. THYROID Panel (TSH + Free T3 + Free T4)

    As low as $65.10

    This panel includes comprehensive testing of the thyroid stimulating hormone (TSH) in addition to free thyroxine (T4) and free triiodothyronine (T3).

    Learn More
  5. Women's Elite Hormone and Wellness Panel
    $604.87

    This complete lab test panel for women includes tests and panels that show your status on immune function, electrolytes, liver and kidney function, cholesterol, testosterone, estradiol, DHEA, thyroid function, blood sugar control, inflammation, vitamin deficiencies, anemia/fatigue, progesterone, and LH & FSH hormones.

    Learn More
  6. Anti-Mullerian Hormone Test (AMH) - Females
    $79.00
    The Anti-Mullerian Hormone ( AMH ) Test is used to assess ovarian function and menopausal status; in the evaluation of polycystic ovary syndrome (PCOS) or to evaluate the effectiveness of ovarian cancer treatment. Learn More
  7. Women's Hormone & Wellness Panel
    $335.21

    This cost effective discounted lab panel will provide a baseline overview of your sex hormones, thyroid gland, adrenal function, metabolic function, and overall health. Includes: CBC (includes immune and red blood cells and platelets), CMP (Includes kidney and liver function, glucose and electrolytes), Lipid Panel (LDL, HDL, Triglycerides), Testosterone free and total, Estradiol, DHEA-sulfate, TSH, Progesterone, and LH & FSH.

    Learn More
  8. Women's Hormone Panel
    $251.10

    This hormone panel for women contains all basic hormones (except for LH and FSH, which you can add to your cart separately): DHEA-S, Estradiol (CLIA assay), Progesterone, Total Testosterone, LC/MS, Free Testosterone by Equilibrium Ultrafiltration, TSH,Free T3 and Free T4

    Learn More
  9. Fertility Panel for Women
    $343.36

    This fertility panel for women contains the main hormones tested (most using the most sensitive liquid chromatography/mass spectrometry) by reproductive endocrinologists to assess the potential for a woman to become pregnant.  Tests included are: LH, FSH, Anti-Müllerian Hormone (AMH), estradiol (LC/MS), progesterone (LC/MS), TSH and testosterone (LC/MS).

    Learn More
  10. Amenorrhea Test Panel
    $198.69

    Amenorrhea is the absence or abnormal cessation of the menses (menstruation periods). The initial useful laboratory tests are FSH, TSH, and prolactin.

    Learn More
  11. Women Ultra Elite Panel
    $1,155.00
    This women's ultra elite lab test panel offers the best savings for men to determine their immune health, liver and kidney function, electrolytes, blood sugar, advanced lipid panel, thyroid function, inflammatory markers involved in heart disease, testosterone total and free, urinalysis to determine UTIs and kidney function, ultrasensitive estradiol, DHEA-S, IGF-1, DHT, Prolactin, Progesterone, Estrone, Total Estrogens, vitamins D and B12+ folate, and iron/ferritin to determine fatigue, anemia or increased risk of iron overload.

    Tests included are:

    Complete Blood Count with Differential (CBC)
    Comprehensive Metabolic Panel (CMP)
    Hemoglobin A1c
    Cardio IQ Advanced Lipid Panel
    Urinalysis, Complete
    TSH
    Thyroid Free T3
    Thyroid Free T4
    Reverse T3
    TPO Antibodies
    Thyroglobulin Antibodies
    Homocysteine
    Cardio C-Reactive Protein
    CPK
    Estradiol, Ultra Sensitive
    Testosterone Total & Free (LC/MS- No upper limit)
    DHEA – S
    Prolactin
    DHT
    IGF-1
    Progesterone
    Estrone
    Total Estrogens
    LH + FSH
    Anti-Müllerian Hormone (AMH)
    Vitamin D (25OHD)
    Vitamin B-12
    Folate
    Ferritin
    Iron & TIBC (Total Iron Binding Capacity)

    Learn More
  12. Progesterone, LC/MS
    $43.00

    This is the most accurate progesterone test that has no potential interactions and can detect very low levels in men and women.  Since it is performed with liquid chromatography and mass spectrometry, results are available after 5 to 7 business days.

    Learn More
  13. Wellness by Design Female Panel
    $998.00

    Comprehensive and All-Inclusive Lab Test Panel for clients of The Wellness By Design Project.  The panel includes:  Testosterone Free with Total, Estrogens Total, Estrone, Estradiol, DHEA-S, Progesterone, Pregnenolone, Dihydrotestosterone (DHT), FSH/LH, Cortisol, Prolactin, TSH, Free T3, Free T4, Reverse T3, Anti TPO, AntiTG, C-reactive protein (high sensitivity), Homocysteine, Apolipoprotein B, Insulin-like Growth Factor 1 (IGF-1), Insulin, Sex Hormone Binding Globulin (SHBG), Vitamin D 25-hydroxy, Complete Metabolic Panel, Gamma Glutamyl Transferase (GGT), Lipid Profile, Complete Blood Count (CBC), Hemoglobin A1C (HbA1C), Magnesium (serum), Phosphorus (serum), LDH, Uric Acid, Iron Serum, Total Iron Binding Capacity (TIBC), Iron Saturation, Ferritin, and Fibrinogen activity.

    Learn More
per page

Hormone Testing for Women: A Comprehensive Guide

 

Key Highlights

  • Hormone testing is essential for women to understand their hormone levels and identify any imbalances that may be affecting their health.
  • The most common hormones tested in women include estrogen, progesterone, thyroid hormones, cortisol, and testosterone.
  • Hormone testing can be done through blood tests or saliva tests, and the results can help determine the presence of hormonal imbalances.
  • Interpreting hormone test results is crucial to understanding whether hormone levels are within the normal range or if there are any abnormalities that may require further evaluation.
  • Managing hormonal imbalances often involves lifestyle changes, supplements, and, in some cases, hormone replacement therapy.
  • Regular hormone testing can help women monitor their hormone levels and take proactive steps to maintain hormonal balance and overall health.

Introduction

Hormones play a vital role in women's health, influencing various aspects such as reproductive health, mood, energy levels, and metabolism. Hormone imbalances can lead to a range of symptoms and health issues, affecting quality of life. Hormone testing is a crucial tool that allows women to understand their hormone levels and identify any imbalances that may be present.

Hormone testing involves measuring the levels of specific hormones in the body. This can be done through blood tests or saliva tests. These tests provide valuable insights into hormone levels, helping healthcare providers diagnose and manage hormonal imbalances. By understanding hormone levels, women can take proactive steps to maintain hormonal balance, optimize their health, and address any underlying health concerns.

In this comprehensive guide, we will explore the importance of hormone balance in women's health, the different types of hormones and their functions, key hormones to test in women, how hormone testing works, interpreting hormone test results, managing hormonal imbalances, and preventative measures for hormone health. We will also address frequently asked questions about hormone testing for women. Let's dive in and discover the world of hormone testing for women.

Understanding Hormone Testing for Women

Understanding hormone testing is essential for women's health. Hormone testing involves measuring the levels of specific hormones in the body to assess their balance and function. Hormone panels are commonly used to evaluate a comprehensive range of hormones, including estrogen, progesterone, thyroid hormones, cortisol, and testosterone. These tests can be performed through blood tests or saliva tests, providing valuable information about hormone levels and any imbalances that may be present. By understanding hormone levels, women can gain insight into their overall health and take necessary steps to maintain hormone balance and address any imbalances that may negatively impact their well-being.

The Importance of Hormone Balance in Women's Health

Maintaining hormone balance is crucial for women's health, as hormones play a fundamental role in various bodily functions. Hormonal imbalances can lead to a wide range of symptoms and health issues, including reproductive health problems, mood swings, low energy levels, weight changes, sleep disturbances, and more. Hormone testing allows women to assess their hormone levels and identify any imbalances that may be contributing to these symptoms. By addressing hormonal imbalances, women can improve their overall health and well-being, enhance reproductive health, stabilize mood, boost energy levels, and effectively manage symptoms associated with hormonal imbalances.

Different Types of Hormones and Their Functions

The human body produces various hormones that serve critical functions to maintain overall health. The different types of hormones and their functions include:

  • Thyroid hormones: Produced by the thyroid gland, these hormones regulate metabolism, growth, and development, and play a vital role in maintaining body temperature, heart rate, and energy levels.
  • Pituitary hormones: The pituitary gland produces these hormones, which regulate growth, reproduction, and a number of bodily processes as well as other endocrine glands.
  • Adrenal hormones: Produced by the adrenal glands, these hormones, such as cortisol and adrenaline, help the body respond to stress, regulate blood pressure, and maintain a proper balance of salt and water.

Understanding the functions of these hormones is essential because imbalances in any of these hormone systems can lead to various health issues. Hormone testing allows healthcare providers to assess these hormone levels and identify any imbalances that may require further evaluation and treatment.

Female Hormone Test List

When it comes to hormone testing for women, certain key hormones are commonly evaluated. Here is a female hormone test list :

  • Estrogen: Estrogen plays a crucial role in regulating the menstrual cycle, maintaining bone density, and influencing mood, cognition, and cardiovascular health.
  • Progesterone: Progesterone is vital for reproductive health, including the menstrual cycle, fertility, and the maintenance of pregnancy.
  • Testosterone: plays an important role in sex drive, stamina, and body composition in women.

Evaluating the levels of these key hormones provides valuable insights into women's reproductive health, overall well-being, and the presence of any hormonal imbalances that may require further evaluation and management.

Estrogen and Its Impact on Women's Bodies

Estrogen is a primary female sex hormone that plays a vital role in women's bodies. It is responsible for regulating the menstrual cycle, promoting the development of secondary sexual characteristics, and influencing various aspects of health. Estrogen levels fluctuate throughout the menstrual cycle, with higher levels during the follicular phase and lower levels during the luteal phase.

Estrogen imbalance can lead to various symptoms and health issues, including irregular menstrual cycles, mood changes, weight gain, hot flashes, vaginal dryness, and more. Hormone testing can help assess estrogen levels and identify any imbalances that may be contributing to these symptoms. By addressing estrogen imbalances, women can effectively manage their reproductive health and reduce the impact of estrogen-related symptoms on their daily lives.

Progesterone's Role in Reproductive Health

Progesterone is another crucial hormone in women's reproductive health. It is primarily produced in the ovaries and plays a vital role in preparing the uterus for pregnancy and maintaining a healthy pregnancy. Progesterone levels rise during the luteal phase of the menstrual cycle and decline if pregnancy does not occur.

Low progesterone levels can lead to irregular menstrual cycles, difficulty conceiving, and an increased risk of miscarriage. Hormone testing can help evaluate progesterone levels and identify any imbalances that may be affecting reproductive health. By addressing progesterone imbalances, women can optimize their fertility and increase their chances of a healthy pregnancy.

The Importance of Testosterone in Women

Testosterone is often associated with men, but it plays a crucial role in women's health as well. While women have lower levels of testosterone compared to men, this hormone is essential for various bodily functions in females. Testosterone contributes to maintaining bone density, muscle mass, and strength in women. It also plays a role in regulating mood, energy levels, and libido.

In addition to its physical effects, testosterone also impacts cognitive function and overall well-being in women. Low levels of testosterone can lead to symptoms such as fatigue, decreased muscle mass, and reduced sex drive. Some women may experience hormonal imbalances that result in higher or lower-than-normal levels of testosterone, which can affect their health and quality of life.

Understanding the importance of testosterone in women's health is crucial for healthcare providers to diagnose and treat conditions related to hormonal imbalances. Hormone replacement therapy may be recommended for some women to restore testosterone levels to normal ranges and alleviate symptoms associated with low testosterone.

Overall, recognizing the significance of testosterone in women can help promote better health outcomes and improve the quality of life for many individuals.

The Significance of Testing Thyroid Hormones

The thyroid gland plays a crucial role in regulating metabolism and energy levels in the body. Thyroid hormone imbalances can lead to various symptoms, including weight changes, fatigue, mood swings, and hair loss. Testing thyroid hormones, such as TSH, T3, and T4, can help evaluate thyroid function and identify any imbalances that may be contributing to these symptoms. By addressing thyroid hormone imbalances, women can improve their energy levels, maintain a healthy weight, and stabilize their overall well-being.

Understanding Cortisol Levels and Stress Management

The adrenal glands produce the hormone cortisol in response to stress. It plays a vital role in regulating the body's stress response, metabolism, immune system, and sleep-wake cycle. Chronic stress can lead to elevated cortisol levels, which can have a negative impact on health, including weight gain, sleep disturbances, mood changes, and increased risk of chronic diseases.

Testing cortisol levels can provide insights into the body's stress response and help identify any imbalances that may be affecting overall health. By effectively managing stress and cortisol levels, women can improve their well-being, enhance sleep quality, stabilize mood, and reduce the risk of stress-related health issues.

How Hormone Testing Works

Hormone testing involves collecting samples to measure hormone levels. Two common methods used for hormone testing are blood tests and saliva tests.

For blood tests, a healthcare provider will collect a blood sample, usually from a vein in the arm. The sample is then sent to a laboratory for analysis, where hormone levels are measured.

Saliva tests involve collecting a saliva sample, usually by spitting into a collection tube. The sample is then sent to a laboratory for analysis, where hormone levels are measured.

Both methods provide valuable information about hormone levels and can help identify any imbalances that may be affecting women's health.

Interpreting Your Hormone Test Results

Interpreting hormone test results is essential to understanding the hormone levels and identifying any abnormalities or imbalances that may be present. Here are some key factors to consider when interpreting hormone test results:

  • Compare hormone levels with reference ranges: Reference ranges provide a guideline for normal hormone levels. Comparing the test results to these reference ranges can help identify if hormone levels are within the normal range or if there are any abnormalities.
  • Consult with a healthcare provider: Healthcare providers have the expertise to interpret hormone test results and provide personalized recommendations based on individual health and symptoms.
  • Consider symptoms and health concerns: Symptoms and health concerns play a crucial role in interpreting hormone test results. Understanding the correlation between hormone levels and symptoms can provide valuable insights into potential imbalances and guide further evaluation and treatment.

By understanding hormone test results, women can gain a better understanding of their hormone health and take necessary steps to address any imbalances or abnormalities.

What Normal and Abnormal Levels Mean for You

Understanding what normal and abnormal hormone levels mean is essential to assess hormone balance and overall health. Here are some key points to consider:

Normal hormone levels: Normal hormone levels indicate that hormone balance is within the expected range for a healthy individual. This suggests that the body's systems are functioning optimally and there are no significant imbalances.

Abnormal hormone levels: Abnormal hormone levels may indicate a hormone imbalance or an underlying health issue. These imbalances can lead to a wide range of symptoms and health issues, including reproductive problems, mood swings, weight changes, fatigue, and more. Identifying and addressing these imbalances is crucial to maintaining overall health and well-being.

If hormone test results indicate abnormal levels, it is important to consult with a healthcare provider for further evaluation and personalized treatment options.

Next Steps After Receiving Your Hormone Test Results

After receiving hormone test results, the next steps may include:

  • Consult with a healthcare provider: Discussing the test results with a healthcare provider is crucial for understanding the implications and developing a personalized treatment plan.
  • Further testing: Depending on the hormone test results and symptoms, healthcare providers may recommend additional tests to determine the underlying cause of hormone imbalances or assess specific health concerns.
  • Treatment options: Treatment options for hormone imbalances may include lifestyle changes, dietary modifications, supplements, and, in some cases, hormone replacement therapy (HRT). Healthcare providers can guide individuals in choosing the most appropriate treatment options based on their specific needs and health goals.

By taking the necessary steps after receiving hormone test results, women can effectively manage hormone imbalances and optimize their overall health and well-being.

Managing Hormonal Imbalance

Managing hormonal imbalances is essential to address symptoms and improve overall health. Here are some strategies for managing hormonal imbalances:

  • Lifestyle changes: Adopting a healthy lifestyle, including regular exercise, a balanced diet, stress management techniques, and adequate sleep, can help regulate hormone levels and promote overall well-being.
  • Dietary modifications: Incorporating hormone-balancing foods, such as fruits, vegetables, whole grains, and lean proteins, can support hormone health. Avoiding processed foods, sugar, caffeine, and alcohol can also be beneficial.
  • Supplements: Certain supplements, such as omega-3 fatty acids, vitamin D, and herbal remedies like black cohosh or chasteberry, may help support hormone balance. Consult with a healthcare provider before starting any supplements.

By implementing these strategies, women can effectively manage hormonal imbalances, reduce symptoms, and improve their overall health and well-being.

Lifestyle Changes for Hormonal Health

Lifestyle changes play a crucial role in maintaining hormonal health. Here are some key lifestyle changes that can support hormonal balance:

  • Diet and nutrition: Consuming a well-balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can provide essential nutrients for hormone production and regulation. Avoiding processed foods, sugar, and excessive caffeine can help stabilize hormone levels.
  • Exercise: Regular physical activity, such as aerobic exercises, strength training, and yoga, can help regulate hormone levels, reduce stress, improve mood, and support overall well-being.
  • Stress management: Practicing stress management techniques, such as meditation, deep breathing exercises, mindfulness, and engaging in hobbies or activities that promote relaxation, can help reduce stress hormone levels and support hormone balance.

By incorporating these lifestyle changes, women can optimize their hormonal health, reduce the impact of hormonal imbalances, and enhance overall well-being.

Supplements and Medications for Hormonal Balance

Supplements and medications can be beneficial for supporting hormonal balance. Here are some commonly used options:

  • Supplements: Certain supplements, such as omega-3 fatty acids, vitamin D, evening primrose oil, and herbal remedies like black cohosh or chasteberry, may help support hormone balance. However, it is important to consult with a healthcare provider before starting any supplements to ensure they are safe and appropriate for individual needs.
  • Medications: In some cases, healthcare providers may prescribe medications, such as hormonal contraceptives or hormone replacement therapy (HRT), to address specific hormone imbalances or manage symptoms associated with hormonal changes, such as menopause.

By working with a healthcare provider and considering supplements or medications when necessary, women can effectively manage hormonal imbalances and optimize their hormone health.

When to Consider Hormone Replacement Therapy

Hormone replacement therapy (HRT) may be considered for women experiencing menopause or certain hormone-related conditions. Here are some situations when HRT may be recommended:

  • Menopause: HRT can help alleviate menopausal symptoms, such as hot flashes, night sweats, mood changes, and vaginal dryness. It can also help prevent osteoporosis and reduce the risk of certain chronic health conditions.
  • PCOS: In some cases, HRT may be used to manage symptoms associated with polycystic ovary syndrome (PCOS), such as irregular periods, excess hair growth, and hormonal imbalances.

It is important to consult with a healthcare provider to assess individual needs, discuss potential risks and benefits, and determine the most suitable approach to hormone replacement therapy.

Preventative Measures for Hormone Health

Preventative measures play a significant role in maintaining hormone health. Here are some key strategies for promoting hormone balance and overall well-being:

  • Diet: Consuming a balanced diet rich in whole foods, fruits, vegetables, lean proteins, and healthy fats can support hormone health.
  • Exercise: Regular physical activity, including aerobic exercises, strength training, and flexibility exercises, can help regulate hormone levels and support overall health.

By incorporating these preventative measures into daily life, women can take proactive steps to maintain hormone balance, optimize their health, and reduce the risk of hormonal imbalances and associated health issues.

Diet and Nutrition for Optimal Hormone Function

Diet and nutrition play a crucial role in supporting optimal hormone function. Here are some key dietary factors to consider for hormonal health:

  • Balanced macronutrients: Including a balance of carbohydrates, proteins, and fats in meals can support hormone production and regulation. Focus on whole grains, lean proteins, and healthy fats.
  • Fiber: Consuming an adequate amount of fiber from fruits, vegetables, and whole grains can help regulate digestion and prevent blood sugar fluctuations, supporting hormone balance.
  • Hydration: Staying hydrated by drinking plenty of water can help support hormone production and overall health.
  • Limiting processed foods and sugar: Avoiding or minimizing processed foods and foods high in added sugars can help stabilize blood sugar levels and promote hormone balance.

By following a balanced and nutritious diet, women can optimize hormone function, support weight management, and promote overall well-being.

Exercise and Its Benefits on Hormonal Balance

Regular exercise offers numerous benefits for hormonal balance. Here's how exercise can support hormonal health:

  • Endorphin release: Exercise helps release endorphins, which are natural mood boosters. This can help regulate mood swings and improve overall emotional well-being.
  • Weight management: Regular exercise can help maintain a healthy weight, which is essential for hormone balance. Excess weight can contribute to hormonal imbalances, especially those related to insulin and estrogen.
  • Stress reduction: Exercise is an effective stress management tool. It can help reduce cortisol levels and promote overall hormonal balance.
  • Metabolism regulation: Physical activity supports a healthy metabolism, which is important for maintaining hormone production and regulation.

By incorporating regular exercise into a daily routine, women can optimize hormonal balance, improve mood, support weight management, and enhance overall well-being.

Conclusion

Hormone testing for women is a crucial step in understanding and managing their health. By balancing hormones, women can address various health concerns and improve their overall well-being. Whether it's monitoring estrogen, progesterone, thyroid hormones, or cortisol levels, understanding hormone testing results empowers women to make informed decisions about their health. Lifestyle changes, supplements, and sometimes hormone replacement therapy play vital roles in managing hormonal imbalances. Preventative measures like proper diet, exercise, and regular hormone testing are key to maintaining optimal hormone function. Stay proactive in your hormone health journey to lead a balanced and healthy life.

Frequently Asked Questions

When is the best time to test for hormone imbalance in women?

As menstrual cycle timing is crucial to female hormone blood testing, most premenopausal women will find labs to be at their most accurate state on days 19–21 of their monthly cycle. This period is when they are at their peak production of progesterone. As alluded to before, progesterone will be lower at other points of the cycle and even seemingly nonexistent during the follicular stage.

How Often Should Hormone Testing for Women Be Performed?

Hormone testing frequency depends on individual needs and health conditions. Women may consider testing their hormones if they experience symptoms of hormonal imbalances, have reproductive health concerns, or are undergoing specific treatments related to hormone health. Consult with a healthcare provider for personalized recommendations.

Can Hormone Imbalance Affect Fertility?

Yes, hormone imbalances can affect fertility. Imbalances in hormones such as estrogen and progesterone can disrupt the menstrual cycle, inhibit ovulation, and affect the ability to conceive. Identifying and addressing hormone imbalances can help optimize fertility and improve reproductive health.

Are There Any Side Effects to Hormone Testing?

Hormone testing itself does not typically cause side effects. However, some individuals may experience minor discomfort during blood sample collection or find collecting saliva samples challenging. It is important to follow the instructions provided with the testing kit and consult with a healthcare provider if any concerns arise.

How Can I Tell If I Have a Hormone Imbalance?

Common symptoms of hormonal imbalances in women include irregular periods, weight changes, mood swings, fatigue, hair loss, and changes in libido. If you suspect a hormone imbalance, it is important to consult with a healthcare provider for proper evaluation and diagnosis.

Does Menopause Require Special Hormone Testing?

Menopause may require specific hormone testing to evaluate hormone levels, such as estrogen levels, during this transitional phase. Hormone testing can help assess the impact of declining hormone levels on menopause symptoms, such as hot flashes, mood changes, and vaginal dryness.

Does insurance cover female hormone testing?

Insurance coverage for female hormone testing varies depending on the specific insurance plan. It is recommended to check with the insurance provider and healthcare provider to understand the coverage details and any out-of-pocket costs associated with hormone testing.