The Process

Consult with an addiction specialist in the privacy of your own home

Meperidine Withdrawal Help - Illinois

Never ever Quit Stopping
Our doctors get on a mission to serve, assistance, and also elevate the lives of people we offer with Medication- Helped Therapy (MAT). MAT is taken into consideration the most effective therapy for opioid usage disorder by the CDC, SAMHSA, FDA and various other federal companies. We enjoy to report 95% of our clients state they have no withdrawal symptoms at 5 days.


OPIOID WITHDRAWAL Illinois
What is Opioid withdrawal?To understandopioid withdrawal, it is essential to first comprehend what taking opioids over a long period of time does to ones body. Taking an opioid day-to-day for three weeks or longer results in an adjustment in mind chemistry which can be defined as medication resistance. This implies that with time, more of the medicine is required to accomplish the exact same outcome (bliss, pain control, or control or anxiety/depression). Reliance does not necessarily suggest addiction however, which is characterized by frequently craving and continually busying oneself with the need to get more of the medicine. If someone who hinges on opioids quits unexpectedly, they will likely have both physical and also psychological signs of withdrawal as the body is no more receiving a drug that it depends on. One of the most common withdrawal signs and symptoms are flu- like in nature and also include:
1. Dripping nose

2. Muscle mass pains

3. Indigestion, nausea or vomiting, vomiting, looseness of the bowels

4. Chills/sweats.

5. Quick heart beat.

6. Goosebumps on the skin.

7. Anxiousness.

8. Failure to rest.

9. Exhaustion.


There are two major ways of entering into withdrawal:.

1) Instantly stopping all opioid use without tapering down first (spontaneous withdrawal).

2) Taking an opioid antagonist like naloxone (consisted of in suboxone) or naltrexone too early (precipitated withdrawal).





How Long Does Opioid Withdrawal Last?
If you ask any person who has experienced opioid withdrawal, the answer is that it is fairly uncomfortable as well as in some circumstances, life- threatening. Withdrawals can start as early as a few hours as well as typically last 3-5 days. Nonetheless, depending upon the intensity of addiction and the type of drug used, signs may last approximately 3-6 weeks (methadone). A rough general rule is a beginning of signs occur after two to three times the half-life of the withdrawn opioid.
Exists Anything to Make Withdrawals Easier?
While the pillar oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), focuses on pleasing your bodys physical dependence to opioids and also minimizing desires, we likewise have added treatment to help minimize the various other unpleasant symptoms of withdrawal. Below is a listing of symptoms with matching therapy medications:.
1) Muscle pains, headache- acetaminophen, ibuprofen, as well as naproxen.

2) Muscle spasm- cyclobenzaprine, baclofen, and methocarbamol.

3) Queasiness, vomiting- tigan, and ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

6) Inability to rest (sleeplessness) - diphenhydramine, hydroxyzine, melatonin, trazodone, and doxepin.

7) Anxiety, irritability, restlessness- diphenhydramine, hydroxyzine, and clonidine.


The Family Members MD Focuses On Opioid Dependency as well as Withdrawal Treatment.
We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patientsovercome opioid addictionand withdrawal. Begin today by scheduling a virtual visit with among our board- accredited medical professionals. Whether youre at home, at the workplace, or on lunch break, weve got you covered as well as are right here to make recovery simple. Click on this link to schedule now!


MEDICATION- ASSISTED TREATMENT Illinois

 
At the Family MD, we believe there are numerous roads that lead from addiction to recovery
What is Medication Assisted Therapy (FLOOR COVERING)?

Prior to we begin speaking about treatment for opioid dependency, it is necessary to recognize what is specified as opioid dependency. Opioid dependency is characterized by a solid, compulsive impulse to take in opioid drugs, also when they are no longer medically required. Opioid dependency remains at epidemic degrees in the U.S as well as the numbers are just expected to climb. Below are some quick facts:

-More than 263,000 people passed away from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 people passed away from opioid overdose in just this past year finishing in April 2021.
-10.1 million people mistreated prescription opioids this past year.
-Overdose deaths entailing opioid have actually raised at the very least 6 times considering that 1999.

Its clear that opioids have a high capacity for creating dependency in people, also when they are taken as suggested. Although there are numerous roads torecovery, just one is referred to as the most effective by the CDC and also approved by several government companies (FDA, SAMHSA, and also other agencies), which is Medication- assisted treatment.Medication- aided therapy( MAT) entails making use of medication, combined with cognitive or behavior modification, to supply an alternative method to treatingopioid addiction.

Below at The Household MD, we combine cutting side innovation with floor covering treatment inJolietIllinois.
Although floor covering has actually saved numerous individuals from opioid related difficulties and also death, less than 20% of those dealing with opioid dependency have accessibility to it.In enhancement to geographical restraints, there is a lack of doctors that are learnt its application. According to SAMHSA, much less than 7 percent of medical professionals are successfully waivered to deal with opioid dependency. Tele- MAT solutions, like we offer atThe Household MD, is one way to improve access to look after those that may not or else be able to do so as a result of cost, absence of access to or absence of schedule of recommending doctors.

The M inMATstands for specific FDA accepted drug that is utilized to decrease desires and also physiologic dependancy on opioids. While there are several solutions as well as producers, every one of them can be summed up in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The initial two, buprenorphine as well as methadone, are both partial as well as full opioid agonists specifically, whereas naltrexone is an opioid villain. While all three are approved for treatment of opioid addiction, possibly the most effective one for most patients is buprenorphine/naloxone (Suboxone) because of its favorable profile. Since it is just a partial agonist, it stops the sensations of bliss when taken, lowers desires at the very same time, as well as dissuades IV injection. For this reason, buprenorphine/naloxone (Suboxone) is the only FDA authorized therapy that is prescribed at The Family MD. With higher than 95% of clients withdrawal complimentary at 5 days, our results are a testament to our proficiency when dealing with opioid dependency. Arrange a consultation currently to review additional how we can best help you achieve long-term soberness.


TRANSITION FROM METHADONE Illinois.


What is Methadone?

Methadone is just one of three drugs that is FDA accepted for the therapy of opioid usage.
disorder, as aMedication- assisted treatment( MAT). It is the very first of the floor covering drugs (accepted in the 1960s) as well as is the most heavily researched.Unlike the other two medicines that are utilized in MAT, methadoneis a full opioid agonist, which indicates it lugs all the risks that any kind of various other opioid off the road would certainly have.These consist of bliss, danger of respiratory system depression, opportunity of overdose, and hallucinations among other points. Because of this, other MAT drugs such asSuboxonehave currently come to be much more chosen as a result of its marginal side effect profile. Joliet Illinois.



For How Long Does Methadone Withdrawal Last?

If switching over fromMethadoneto another floor covering medication, such asSuboxone, it is initially vital to.
reduce the quantity of methadone one is on to 30 mg daily for a minimum of one week. When steady on this dose, methadone is stopped totally and suboxone started once mild- moderate withdrawal signs and symptoms start to embed in, which is usually after 36 hrs however may differ depending on addiction extent. After three to 5 days, withdrawal is typically total and patient is now effectively on Suboxone.

The Family MD Focuses On Methadone Addiction and Withdrawal Treatment.

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to assist clients.
conquered methadone addictionand withdrawal.Get started today by setting up an online see with one of our board- accredited doctors.Whether youre in the house, at the office, or on lunch break, weve got you covered and also are below to make recovery easy.Click right here to schedule currently.

 

  

Just how it functions
It is essential to initial quit all methadone usage. You must wait up until you have mild to moderate withdrawal signs and symptoms (generally 12- 72 hrs) prior to taking your initial dose of Suboxone. If it is taken prematurely, it can require you into precipitated withdrawal, which is both very uncomfortable and also may threaten. Continue as routed by your doctor and thats it. Normally 95% of our clients do not have any kind of withdrawal signs and symptoms after the very first 5-7 days of starting Suboxone. You might additionally ask for additional medicine to assist alleviate withdrawal symptoms to ensure that you can continue with your daily tasks (job, school, and so on) without avoiding a beat.


 

TREATMENT FOR NORCO WITHDRAWAL Joliet Illinois 

 What is Norco?

Norco is a combination discomfort medicine, consisting of both acetaminophen and hydrocodone. It is used to treat moderate to serious discomfort. Hydrocodone, which is the addictiveopioidcontained withinNorco, is derived from either codeine or thebaine and it is one of the most often prescribed opioid in the USA. It is usually for short-term discomfort as well as is regularly utilized as an antitussive (coughing suppressant). When abused, it can additionally be squashed and grunted. It takes around ten to half an hour for you to really feel the impacts ofNorcowhen taken as well as effects can last approximately 4 to six hours. Various other trade names which contain both hydrocodone as well as acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and Vicoprofen.


How Much Time Does Norco Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts concerning six to twelve hrs after last use. Symptoms commonly come to a head around day three as well as are usually considerably decreased by 7 to 10 days. Often it is feasible to last longer than 10 days depending on the severity of the addiction and also it varies on a case by case basis.


The Household MD Concentrates On Norco Dependency and Withdrawal Therapy

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to assist individuals overcomeNorcoaddiction andwithdrawal. Get started today by scheduling a virtual go to with one of our board- licensed doctors. Whether youre at home, at the workplace, or on lunch break, weve got you covered and also are right here to make recuperation easy. Visit this site to set up now.





How it functions
It is essential to very first stop all Norco use. You must wait till you have moderate to modest withdrawal signs and symptoms (generally 12- 72 hrs) before taking your very first dose of Suboxone. If it is taken too early, it can compel you into precipitated withdrawal, which is both extremely awkward as well as may threaten. Proceed as directed by your physician which it. Usually 95% of our people do not have any type of withdrawal symptoms after the first 3-5 days of startingSuboxone. You might likewise request added medicine to help ease withdrawal symptoms to make sure that you can proceed with your everyday tasks (job, institution, and so on) without skipping a beat.

THERAPY FOR OXYCODONE WITHDRAWAL Joliet Illinois


What is Oxycodone?

Oxycodone is a prescription opioid medication that was first made in 1916 from thebaine, an ingredient of poppy plant. It is made use of for treatment of modest to extreme pain and is known for being extremely addictive. It normally begins to regulate discomfort within fifteen mins and also can for as much as six hrs with the immediate launch formula. It is additionally sold under the trademark name Roxicodone and also OxyContin (which is the prolonged release form), to name a few. The prolonged launch kind is slowly launched into the body as well as gives around the clock pain control. As a result of the slower start, it has less potential for misuse contrasted tooxycodonewhich has a quicker beginning of activity.



For How Long Does Oxycodone Withdrawal Last?

The start ofwithdrawal symptomsroughly begins regarding eight to twelve hrs after last use. Signs and symptoms usually come to a head around day three and hardly ever last longer than 5 to 7 days. As always, there can be a prolonged withdrawal phase depending upon the intensity of dependency as well as depending upon private aspects.

The Family Members MD Focuses On Oxycodone Dependency and Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid clients overcomeoxycodone addictionandwithdrawal. Get started today by arranging an online see with one of our board- accredited medical professionals. Whether youre in the house, at the office, or on lunch break, weve obtained you covered and also are here to make recovery easy. Click here to arrange now.

 

 

Just how it works
It is necessary to first stop all oxycodone usage. You should wait up until you have mild to moderatewithdrawal symptoms( normally 12- 72 hrs) prior to taking your initial dosage of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both really uncomfortable as well as might threaten. Proceed as directed by your physician which it. Normally 95% of our patients do not have any withdrawal signs after the initial 3-5 days of starting Suboxone. You may additionally ask for extra drug to assist ease withdrawal signs and symptoms to make sure that you can proceed with your day to day activities (work, college, and so on) without skipping a beat.

THERAPY FOR FENTANYL WITHDRAWAL Joliet Illinois


What is Fentanyl?

Fentanyl is an artificial opioid, which suggests that it is produced by pharmaceutical companies in the lab. It is a really powerful opioid and also has to do with 50- 100 times extra stronger than morphine. As a result of its effectiveness, it is primarily being made use of for discomfort administration treatment of cancer cells individuals. Of note, several individuals are uninformed they are purchasingfentanyllaced products when they acquire opioids. Distributors do this due to the fact that it makes medicines cheaper, enhances potency, increases addictive properties, and therefore, makes thesefentanyllaced medicines incredibly harmful also in little dosages. Start to activity is 3 to five minutes if utilized intravenously. Various other common forms that it is manufactured in is as a transdermal patch (Duragesic), as a lozenge called lollipops (Aqtic), and also in an injectable form (Sublimaze).



For How Long Does Fentanyl Withdrawal Last?

The start ofwithdrawal symptomsroughly begins about 6 to twelve hours after last usage. Signs and symptoms generally come to a head around day 3 and also hardly ever last longer than five to 7 days. Nonetheless, it might occur depending on the intensity of dependency or situation by instance basis.

The Family Members MD Specializes in Fentanyl Dependency as well as Withdrawal Treatment

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to assist clients overcomefentanyladdiction andwithdrawal. Get going today by setting up an online browse through with one of our board- accredited physicians. Whether youre in the house, at work, or on lunch break, weve got you covered and are right here to make recovery very easy. Go here to schedule now.





Just how it functions
It is very important to initial stop all Fentanyl usage. You have to wait till you have light to moderate withdrawal signs and symptoms (typically 12- 72 hrs) prior to taking your initial dose ofSuboxone. If it is taken prematurely, it can require you into precipitated withdrawal, which is both really uncomfortable as well as might threaten. Proceed as guided by your doctor which it. Typically 95% of our people do not have any type of withdrawal signs after the first 3-5 days of starting Suboxone. You might additionally ask for additional drug to aid relieve withdrawal symptoms so that you can proceed with your day to day tasks (work, college, etc) without avoiding a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Joliet Illinois

 

What is Oxymorphone?

Oxymorphoneis a highly potentopioidindicated for the therapy of severe pain. It is extra frequently known asOpanaor Numorphan. It is considerably more powerful than morphine as well as is used to treat discomfort that is unresponsive to other opioid drugs. In 2017, the FDA asked the producer of oxymorphone to eliminate its product from the US market and also because has been inaccessible in the US. However, extended launch oxymorphone formulas are still readily available in the United States as a result of its somewhat reduced misuse possibility. The immediate launch manages pain 5-10 minutes if taking IV, and after 30 minutes if taken orally, and after that last 3-4 hours. If taking the prolonged launch, discomfort control lasts 12 hours.

 

How Long Does Oxymorphone/Opana Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four to forty eight hours after last use. Symptoms typically intensify at two to five days and peak during the first week.
 

The Family MD Specializes in Oxymorphone Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome oxymorphone addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

How it works

It is important to initial quit all oxymorphone use. You must wait till you have moderate to modest withdrawal signs (usually 12- 72 hours) prior to taking your initial dosage of Suboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both really unpleasant and might threaten. Continue as guided by your physician and thats it. Usually 95% of our patients do not have anywithdrawalsymptoms after the very first 5-7 days of startingSuboxone. You may likewise request additional medication to help ease withdrawal signs to make sure that you can continue with your daily tasks (job, institution, etc) without skipping a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Joliet Illinois

 

What is Tramadol?

When it was originally approved in 1995, tramadol was ruled out an opiate even though its mechanism of action was similar. Nonetheless, due to all the situations of misuse and dependency, the FDA ultimately marked tramadol as a dangerous drug in 2014. Compared to various other abused substances however, tramadol has much less possibility for abuse. Due to this, tramadol is among the numerous typical treatments for osteoarthritis as well as other unpleasant conditions.


How Much Time Does Tramadol Withdrawal Last?

The start of withdrawal signs and symptoms about begins regarding thirty- 6 to seventy- two hrs after last use. Signs and symptoms normally last 5 to eight days. As constantly, there can be an extended withdrawal stage depending upon the severity of addiction and relying on private variables.


The Household MD Specializes in Tramadol Addiction and also Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to assist individuals get over tramadol addiction as well as withdrawal. Begin today by setting up a digital browse through with among our board- certified doctors. Whether youre in your home, at the office, or on lunch break, weve got you covered and are below to make healing easy. Visit this site to schedule currently.

 

 

How it works

It is important to initial quit all tramadol usage. You need to wait up until you have mild to moderate withdrawal signs and symptoms (generally 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both extremely uneasy and might be dangerous. Continue as directed by your doctor which it. Typically 95% of our individuals do not have any type of withdrawal symptoms after the first 3-5 days of beginning Suboxone. You may additionally ask for added medication to aid reduce withdrawal signs to make sure that you can continue with your daily tasks (job, school, and so on) without skipping a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Joliet Illinois

 

 What is Codeine?

Codeine is an opiate that is commonly found is prescription- grade cough suppressants. Tylenol 3, a popular painkiller, is codeine combined with acetaminophen. Because codeine- based cough syrups are less regulated that some other opiates considered to be more dangerous (Such as morphine and oxycodone), it is relatively easy to start getting and abusing it. Once ingested, codeine is converted into morphine in the body, thus producing similar effects but to a lesser degree.  

 

 How Long Does Codeine Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four hours after last use. Symptoms typically intensify at one to three days and peak during the first week. The final phase of codeine withdrawal can last anywhere from one week after last dose and can linger for months.

The Family MD Specializes in Tramadol Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome tramadol addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

How it works

It is important to first stop all methadone use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous.  Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .

TREATMENT FOR MORPHINE WITHDRAWAL Joliet Illinois

 

 What is Morphine?

Morphine is considered the classic opioid analgesic with which other painkillers are compared. It is a non- synthetic narcotic that is derived from opium and has a high potential for abuse. Traditionally morphine was almost exclusively used by injection, but the variety of pharmaceutical forms that it is marketed as today supports its use by oral and other routes of administration.  

 

How Long Does Morphine Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four hours after last use. Symptoms typically intensify at one to three days and peak during the first week.

The Family MD Specializes in Morphine Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome morphine addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

 

How it works

It is important to first stop all morphine use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous. Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .

TREATMENT FOR HYDROMORPHONE WITHDRAWAL Joliet Illinois

 
What is Hydromorphone?

Hydromorphone, also commonly known as dilaudid, is an opioid medication used to treat severe pain. It is a semi- synthetic opioid that is derived from morphine, however it is 2-8x more potent than morphine. It has higher addictive potential because of its shorter duration to onset and causes greater sedation. It is used to treat pain that is not controlled by other opiate medications.  

 

 How Long Does Hydromorphone Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four to eight hours after last use. Symptoms typically intensify and peak at one to two days. After three days the symptoms should start to subside and are generally resolved after the first week.

The Family MD Specializes in Hydromorphone Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome hydromorphone addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

  

How it works

It is important to first stop all hydromorphone use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous. Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .
 

TREATMENT FOR MEPERIDINE WITHDRAWAL Joliet Illinois

What is Meperidine?

The brand version of Meperidine is called Demerol. It has a misuse possible comparable to that of morphine, yet it needs to not be made use of for treatment of chronic pain. Meperidine must just be utilized in the treatment of intense episodes of extreme pain due to the risk of seizures from the buildup of meperidine metabolites, namely normeperidine, if it is used long term. Along with seizures, it can also trigger serotonin disorder if used in combination with certain medications. It is available in intramuscular, subcutaneous, intravenous, syrup, as well as tablet types.



For How Long Does Meperidine Withdrawal Last?

The onset of withdrawal signs approximately begins about three- twenty four hrs after last usage. Signs generally come to a head around three days and also start to lower in strength after the first week. Some signs and symptoms might exist for a long term time period depending on the severity of the addiction.

The Family Members MD Specializes in Meperidine Dependency and also Withdrawal Therapy

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to aid individuals get over Meperidine addiction as well as withdrawal. Begin today by scheduling a virtual see with among our board- certified doctors. Whether youre in your home, at the workplace, or on lunch break, weve got you covered and also are below to make recuperation simple. Click here to schedule currently.







How it functions

It is important to very first quit all Meperidine usage. You must wait until you have light to moderate withdrawal signs (normally 12- 72 hours) before taking your first dose of Suboxone. If it is taken prematurely, it can require you into precipitated withdrawal, which is both really awkward and might be dangerous. Proceed as routed by your physician and thats it. Normally 95% of our clients do not have any withdrawal signs after the first 5-7 days of starting Suboxone. You might likewise request added medicine to assist reduce withdrawal symptoms to make sure that you can proceed with your everyday activities (job, institution, and so on) without missing a beat.