Online Suboxone Doctors Help - Tennessee

Never Give Up Quitting
Our medical professionals get on a goal to offer, assistance, and also boost the lives of people we offer with Medication- Helped Treatment (FLOOR COVERING). Floor covering is thought about one of the most effective therapy for opioid usage problem by the CDC, SAMHSA, FDA and also other federal companies. We are happy to report 95% of our individuals state they have no withdrawal signs at 5 days.


OPIOID WITHDRAWAL Tennessee
What is Opioid withdrawal?To understandopioid withdrawal, it is very important to initially understand what taking opioids over an extended period of time does to ones body. Taking an opioid daily for three weeks or longer results in a modification in mind chemistry which can be defined as medicine resistance. This implies that gradually, more of the medicine is required to achieve the exact same end result (euphoria, discomfort control, or control or anxiety/depression). Reliance does not necessarily imply addiction nevertheless, which is defined by constantly desire and also constantly preoccupying oneself with the demand to obtain more of the medication. If someone who is dependent on opioids stops suddenly, 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 usual withdrawal symptoms are flu- like in nature and include:
1. Drippy nose

2. Muscle aches

3. Indigestion, queasiness, throwing up, looseness of the bowels

4. Chills/sweats.

5. Fast heart beat.

6. Goosebumps on the skin.

7. Anxiousness.

8. Failure to rest.

9. Fatigue.


There are two main ways of entering into withdrawal:.

1) All of a sudden stopping all opioid usage without tapering down initially (spontaneous withdrawal).

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





The Length Of Time Does Opioid Withdrawal Last?
If you ask anybody that has actually experienced opioid withdrawal, the response is that it is rather uncomfortable and also in some scenarios, life- threatening. Withdrawals can start as early as a few hours and also generally last 3-5 days. Nonetheless, depending on the seriousness of dependency as well as the sort of drug used, signs may last as much as 3-6 weeks (methadone). A rough rule of thumb is an onset of symptoms take place after 2 to 3 times the half-life of the taken out opioid.
Exists Anything to Make Withdrawals Easier?
While the mainstay oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), concentrates on satisfying your bodys physical dependence to opioids and reducing yearnings, we also have added therapy to aid alleviate the various other undesirable signs and symptoms of withdrawal. Below is a listing of signs and symptoms with corresponding treatment medications:.
1) Muscular tissue pains, headache- acetaminophen, ibuprofen, and also naproxen.

2) Muscular tissue spasm- cyclobenzaprine, baclofen, and methocarbamol.

3) Queasiness, vomiting- tigan, and ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

6) Inability to sleep (insomnia) - diphenhydramine, hydroxyzine, melatonin, trazodone, and also doxepin.

7) Anxiety, irritability, restlessness- diphenhydramine, hydroxyzine, as well as clonidine.


The Family MD Specializes in Opioid Dependency and Withdrawal Therapy.
We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patientsovercome opioid addictionand withdrawal. Start today by setting up a digital browse through with one of our board- certified physicians. Whether youre in the house, at the office, or on lunch break, weve got you covered and also are here to make recovery easy. Click on this link to schedule currently!

MEDICATION- ASSISTED TREATMENT Tennessee

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

Prior to we begin discussing treatment for opioid dependency, it is essential to know what is defined as opioid addiction. Opioid addiction is defined by a strong, uncontrollable urge to consume opioid medications, even when they are no longer medically called for. Opioid addiction remains at epidemic degrees in the U.S as well as the numbers are just anticipated to climb. Right here are some quick facts:

-More than 263,000 individuals passed away from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 individuals passed away from opioid overdose in simply this previous year finishing in April 2021.
-10.1 million people misused prescription opioids this past year.
-Overdose deaths including opioid have raised a minimum of 6 times given that 1999.

Its clear that opioids have a high possibility for triggering dependency in people, even when they are taken as prescribed. Although there are several roads torecovery, just one is called one of the most efficient by the CDC as well as approved by numerous government agencies (FDA, SAMHSA, and various other firms), and that is Medication- assisted treatment.Medication- helped therapy( MAT) includes the use of drug, together with cognitive or behavior modification, to supply a holistic technique to treatingopioid addiction.

Right here at The Family members MD, we incorporate cutting edge innovation with MAT therapy inChattanoogaTennessee.
Although MAT has actually saved countless individuals from opioid related problems and fatality, less than 20% of those suffering from opioid addiction have accessibility to it.In enhancement to geographic restrictions, there is a lack of physicians that are learnt its application. According to SAMHSA, much less than 7 percent of medical professionals are successfully waivered to treat opioid dependency. Tele- MAT solutions, like we provide atThe Family members MD, is one way to enhance accessibility to care for those who might not or else be able to do so as a result of set you back, lack of access to or lack of accessibility of recommending medical professionals.

The M inMATstands for certain FDA authorized drug that is used to decrease cravings as well as physiologic dependancy on opioids. While there are numerous formulas and suppliers, all of them can be summarized in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The very first two, buprenorphine and methadone, are both partial and full opioid agonists respectively, whereas naltrexone is an opioid antagonist. While all 3 are approved for treatment of opioid addiction, perhaps the best one for the majority of people is buprenorphine/naloxone (Suboxone) due to its desirable profile. Given that it is only a partial agonist, it avoids the sensations of euphoria when taken, decreases desires at the same time, as well as dissuades IV shot. Therefore, buprenorphine/naloxone (Suboxone) is the only FDA authorized treatment that is prescribed at The Household MD. With more than 95% of people withdrawal complimentary at 5 days, our outcomes are a testimony to our expertise when taking care of opioid addiction. Set up an appointment now to discuss more exactly how we can best aid you accomplish long-term soberness.


CHANGE FROM METHADONE Tennessee.


What is Methadone?

Methadone is just one of 3 drugs that is FDA accepted for the therapy of opioid usage.
condition, as aMedication- assisted treatment( MAT). It is the very first of the floor covering medications (approved in the 1960s) and also is one of the most heavily researched.Unlike the other two drugs that are made use of in MAT, methadoneis a complete opioid agonist, which implies it carries all the threats that any various other opioid off the road would have.These consist of euphoria, danger of respiratory anxiety, opportunity of overdose, and also hallucinations among other things. Due to this, various other MAT medicines such asSuboxonehave now come to be much more favored due to its minimal negative effects account. Chattanooga Tennessee.



For How Long Does Methadone Withdrawal Last?

If switching over fromMethadoneto an additional MAT medication, such asSuboxone, it is initially essential to.
decrease the quantity of methadone one is on to 30 mg daily for a minimum of one week. When stable on this dosage, methadone is stopped entirely and suboxone began once mild- modest withdrawal signs and symptoms begin to set in, which is normally after 36 hours yet might vary depending on addiction extent. After three to 5 days, withdrawal is normally full as well as person is currently effectively on Suboxone.

The Household MD Specializes in Methadone Addiction and also Withdrawal Treatment.

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help people.
overcome methadone addictionand withdrawal.Get started today by arranging a digital go to with one of our board- certified doctors.Whether youre in the house, at work, or on lunch break, weve obtained you covered as well as are here to make recuperation easy.Click here to set up now.

 

  

How it functions
It is essential to first stop all methadone use. You have to wait until you have moderate to modest withdrawal signs and symptoms (generally 12- 72 hours) prior to taking your initial dosage of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both very unpleasant as well as may threaten. Proceed as guided by your medical professional and thats it. Generally 95% of our people do not have any kind of withdrawal signs and symptoms after the initial 5-7 days of starting Suboxone. You might also ask for additional drug to help reduce withdrawal signs and symptoms to ensure that you can continue with your daily tasks (job, institution, and so on) without skipping a beat.

 

TREATMENT FOR NORCO WITHDRAWAL Chattanooga Tennessee 

 What is Norco?

Norco is a mix pain drug, containing both acetaminophen and also hydrocodone. It is made use of to treat modest to extreme pain. Hydrocodone, which is the addictiveopioidcontained withinNorco, is derived from either codeine or thebaine and also it is one of the most regularly recommended opioid in the United States. It is typically for short-term discomfort and also is regularly used as an antitussive (cough suppressant). When mistreated, it can also be crushed and also snorted. It takes about ten to thirty minutes for you to really feel the impacts ofNorcowhen taken and also effects can last as much as four to 6 hours. Various other trade names that contain both hydrocodone as well as acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, as well as Vicoprofen.


How Much Time Does Norco Withdrawal Last?

The start ofwithdrawal symptomsroughly begins about 6 to twelve hours after last usage. Signs usually come to a head around day 3 and also are generally considerably lowered by seven to 10 days. Sometimes it is feasible to last longer than 10 days depending on the extent of the dependency and also it varies on an instance by case basis.


The Household MD Concentrates On Norco Dependency and Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid individuals overcomeNorcoaddiction andwithdrawal. Get going today by setting up a virtual see with among our board- certified medical professionals. Whether youre at home, at the workplace, or on lunch break, weve got you covered and also are below to make recovery easy. Click on this link to set up now.





Exactly how it works
It is very important to initial quit all Norco use. You must wait till you have light to moderate withdrawal symptoms (normally 12- 72 hours) prior to taking your initial dosage of Suboxone. If it is taken prematurely, it can require you into precipitated withdrawal, which is both really uneasy and also might be dangerous. Proceed as directed by your physician and thats it. Usually 95% of our individuals do not have any withdrawal signs after the very first 3-5 days of startingSuboxone. You may additionally request extra medicine to aid ease withdrawal symptoms to make sure that you can proceed with your everyday tasks (job, college, etc) without skipping a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Chattanooga Tennessee


What is Oxycodone?

Oxycodone is a prescription opioid medication that was initially made in 1916 from thebaine, an active ingredient of poppy plant. It is used for treatment of moderate to severe discomfort and also is recognized for being highly addicting. It generally starts to manage discomfort within fifteen minutes and can for approximately 6 hours with the prompt release formulation. It is additionally marketed under the brand Roxicodone as well as OxyContin (which is the extensive launch form), to name a few. The extensive release type is slowly launched right into the body and also gives around the clock pain control. Due to the slower beginning, it has less capacity for abuse contrasted tooxycodonewhich has a quicker start of action.



How Long Does Oxycodone Withdrawal Last?

The start ofwithdrawal symptomsroughly starts regarding 8 to twelve hrs after last usage. Symptoms commonly peak around day three as well as rarely last longer than 5 to 7 days. As always, there can be an extended withdrawal phase depending on the seriousness of addiction as well as depending on individual aspects.

The Family MD Focuses On Oxycodone Addiction and Withdrawal Treatment

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to assist clients overcomeoxycodone addictionandwithdrawal. Get going today by setting up a digital visit with among our board- accredited physicians. Whether youre in your 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 arrange now.

 

 

Exactly how it functions
It is necessary to first quit all oxycodone use. You need to wait up until you have light to moderatewithdrawal signs and symptoms( generally 12- 72 hours) before taking your initial dose of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both really awkward and might threaten. Continue as guided by your physician which it. Usually 95% of our individuals do not have any type of withdrawal symptoms after the first 3-5 days of beginning Suboxone. You may additionally request additional medicine to assist ease withdrawal symptoms to ensure that you can proceed with your everyday activities (work, institution, etc) without skipping a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Chattanooga Tennessee


What is Fentanyl?

Fentanyl is a synthetic opioid, which indicates that it is produced by pharmaceutical business in the lab. It is an extremely powerful opioid and has to do with 50- 100 times a lot more stronger than morphine. Due to its strength, it is largely being utilized for pain management treatment of cancer clients. Of note, many users are uninformed they are purchasingfentanyllaced products when they get opioids. Distributors do this since it makes medicines more affordable, boosts effectiveness, raises addictive properties, and also as a result, makes thesefentanyllaced medications very unsafe even in small doses. Start to action is 3 to 5 mins if utilized intravenously. Other typical types that it is produced in is as a transdermal spot (Duragesic), as a lozenge called lollipops (Aqtic), and in an injectable form (Sublimaze).



How Long Does Fentanyl Withdrawal Last?

The onset ofwithdrawal symptomsroughly starts concerning 6 to twelve hrs after last use. Signs commonly peak around day three and seldom last longer than five to 7 days. However, it may happen relying on the severity of dependency or case by instance basis.

The Family MD Concentrates On Fentanyl Dependency as well as Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid people overcomefentanyladdiction andwithdrawal. Start today by scheduling a virtual check out with one of our board- accredited medical professionals. Whether youre in your home, at the workplace, or on lunch break, weve obtained you covered as well as are below to make healing easy. Click here to set up now.





How it works
It is necessary to very first quit all Fentanyl usage. You must wait up until you have moderate to moderate withdrawal signs (generally 12- 72 hrs) before taking your first dosage ofSuboxone. If it is taken prematurely, it can require you right into precipitated withdrawal, which is both extremely uncomfortable and may be dangerous. Proceed as routed by your doctor and thats it. Typically 95% of our individuals do not have any type of withdrawal signs after the first 3-5 days of starting Suboxone. You might additionally ask for extra medicine to assist reduce withdrawal symptoms to make sure that you can continue with your daily activities (job, school, etc) without skipping a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Chattanooga Tennessee

 

What is Oxymorphone?

Oxymorphoneis a highly potentopioidindicated for the treatment of serious discomfort. It is extra generally understood asOpanaor Numorphan. It is significantly more powerful than morphine as well as is made use of to deal with pain that is less competent to other opioid drugs. In 2017, the FDA asked the supplier of oxymorphone to remove its product from the US market and also given that has been unavailable in the United States. Nevertheless, prolonged launch oxymorphone solutions are still available in the US as a result of its slightly reduced misuse capacity. The immediate release manages discomfort 5-10 minutes if taking IV, and also after thirty minutes if taken orally, and then last 3-4 hours. If taking the prolonged launch, pain control lasts 12 hrs.

 

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 necessary to initial stop all oxymorphone usage. You must wait until you have moderate to modest withdrawal signs (usually 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both very awkward and also might threaten. Proceed as routed by your physician which it. Generally 95% of our individuals do not have anywithdrawalsymptoms after the initial 5-7 days of startingSuboxone. You may likewise ask for added medication to help ease withdrawal signs to make sure that you can continue with your daily activities (work, institution, etc) without avoiding a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Chattanooga Tennessee

 

What is Tramadol?

When it was at first authorized in 1995, tramadol was ruled out an opiate although its system of activity was comparable. However, as a result of all the situations of abuse and also dependency, the FDA at some point designated tramadol as an illegal drug in 2014. Compared with other abused substances however, tramadol has less potential for misuse. Because of this, tramadol is among the several typical therapies for osteoarthritis and also various other painful conditions.


How Much Time Does Tramadol Withdrawal Last?

The start of withdrawal signs approximately starts about thirty- 6 to seventy- 2 hrs after last usage. Signs typically last 5 to eight days. As always, there can be a prolonged withdrawal stage depending upon the severity of addiction and also depending upon individual factors.


The Household MD Concentrates On Tramadol Dependency and also Withdrawal Therapy

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help people overcome tramadol dependency and withdrawal. Get started today by arranging a digital check out with among our board- accredited medical professionals. Whether youre at home, at the office, or on lunch break, weve obtained you covered and are here to make recovery very easy. Go here to schedule currently.

 

 

How it works

It is necessary to very first stop all tramadol use. You must wait until you have mild to modest withdrawal symptoms (generally 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both extremely awkward and might threaten. Continue as routed by your physician which it. Normally 95% of our patients do not have any kind of withdrawal signs after the initial 3-5 days of starting Suboxone. You may also ask for extra medicine to help alleviate withdrawal symptoms to make sure that you can proceed with your daily activities (job, school, etc) without missing a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Chattanooga Tennessee

 

 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 Chattanooga Tennessee

 

 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 Chattanooga Tennessee

 
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 Chattanooga Tennessee

What is Meperidine?

The brand name variation of Meperidine is called Demerol. It has an abuse possible similar to that of morphine, but it needs to not be used for treatment of persistent pain. Meperidine needs to just be made use of in the treatment of severe episodes of serious pain due to the risk of seizures from the accumulation of meperidine metabolites, namely normeperidine, if it is used long term. In addition to seizures, it can also cause serotonin syndrome if made use of in combination with particular drugs. It is offered in intramuscular, subcutaneous, intravenous, syrup, as well as tablet forms.



For How Long Does Meperidine Withdrawal Last?

The beginning of withdrawal signs roughly begins concerning three- twenty 4 hrs after last usage. Symptoms generally come to a head around three days and also start to lower in strength after the very first week. Some signs and symptoms may exist for a prolonged period of time depending upon the extent of the dependency.

The Household MD Focuses On Meperidine Dependency and also Withdrawal Treatment

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid patients get rid of Meperidine addiction and also withdrawal. Get started today by arranging a digital see with among our board- licensed physicians. Whether youre in your home, at work, or on lunch break, weve got you covered as well as are below to make healing easy. Click on this link to set up currently.







Just how it works

It is important to very first stop all Meperidine use. You have to wait till you have moderate to moderate withdrawal signs and symptoms (usually 12- 72 hrs) prior to taking your very first dose of Suboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both extremely unpleasant and may threaten. Continue as guided by your doctor which it. Normally 95% of our clients do not have any type of withdrawal symptoms after the first 5-7 days of starting Suboxone. You might likewise ask for added medicine to assist relieve withdrawal symptoms so that you can proceed with your day to day activities (job, college, and so on) without avoiding a beat.