The Process

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

Online Suboxone Doctors Help - California

Never ever Quit Giving Up
Our physicians are on an objective to serve, support, and raise the lives of people we serve via Medication- Assisted Treatment (MAT). MAT is taken into consideration one of the most reliable treatment for opioid usage disorder by the CDC, SAMHSA, FDA and other government firms. We more than happy to report 95% of our clients state they have no withdrawal signs at 5 days.


OPIOID WITHDRAWAL California
What is Opioid withdrawal?To understandopioid withdrawal, it is important to first comprehend what taking opioids over an extended period of time does to ones body. Taking an opioid daily for three weeks or longer causes a modification in mind chemistry which can be defined as drug tolerance. This indicates that gradually, even more of the drug is needed to attain the exact same result (ecstasy, discomfort control, or control or anxiety/depression). Dependancy does not always indicate dependency nevertheless, which is defined by regularly food craving and continually preoccupying oneself with the need to acquire more of the drug. If somebody who is dependent on opioids quits instantly, they will likely have both physical and also psychological signs of withdrawal as the body is no more getting a drug that it is dependent on. One of the most typical withdrawal signs are flu- like in nature and also include:
1. Dripping nose

2. Muscle pains

3. Indigestion, nausea or vomiting, throwing up, diarrhea

4. Chills/sweats.

5. Fast heartbeat.

6. Goosebumps on the skin.

7. Anxiousness.

8. Failure to sleep.

9. Fatigue.


There are 2 main methods of entering into withdrawal:.

1) All of a sudden quiting all opioid use without tapering down first (spontaneous withdrawal).

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





How Long Does Opioid Withdrawal Last?
If you ask anyone who has actually experienced opioid withdrawal, the answer is that it is rather awkward as well as in some circumstances, life- threatening. Withdrawals can begin as early as a couple of hours as well as typically last 3-5 days. Nevertheless, depending on the extent of dependency as well as the type of substance abuse, signs may last up to 3-6 weeks (methadone). A harsh guideline is a beginning of signs and symptoms happen after two to three times the half-life of the taken out opioid.
Is There Anything to Make Withdrawals Easier?
While the pillar oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), concentrates on pleasing your bodys physical reliance to opioids as well as lowering desires, we likewise have added treatment to aid ease the other undesirable signs and symptoms of withdrawal. Below is a checklist of signs with equivalent treatment medications:.
1) Muscle pains, headache- acetaminophen, advil, and naproxen.

2) Muscle mass spasm- cyclobenzaprine, baclofen, as well as methocarbamol.

3) Nausea or vomiting, vomiting- tigan, as well as ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

6) Lack of ability to rest (sleeplessness) - diphenhydramine, hydroxyzine, melatonin, trazodone, as well as doxepin.

7) Anxiousness, irritation, restlessness- diphenhydramine, hydroxyzine, as well as clonidine.


The Household MD Specializes in Opioid Dependency and also Withdrawal Treatment.
We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to help patientsovercome opioid addictionand withdrawal. Get started today by setting up a virtual check out with one of our board- accredited physicians. Whether youre at home, at the office, or on lunch break, weve got you covered and also are here to make recovery simple. Visit this site to schedule now!


MEDICATION- ASSISTED TREATMENT California

 
At the Family members MD, our team believe there are several roads that lead from dependency to recuperation
What is Medicine Assisted Treatment (FLOOR COVERING)?

Before we begin speaking about therapy for opioid addiction, it is essential to understand what is defined as opioid dependency. Opioid dependency is identified by a strong, uncontrollable urge to eat opioid medications, even when they are no longer clinically needed. Opioid addiction remains at epidemic degrees in the U.S and also the numbers are just anticipated to rise. Below are some fast facts:

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

Its clear that opioids have a high possibility for triggering dependency in individuals, even when they are taken as suggested. Although there are numerous roads torecovery, only one is referred to as the most efficient by the CDC as well as approved by several government agencies (FDA, SAMHSA, and also various other companies), and that is Medication- assisted treatment.Medication- aided treatment( MAT) entails using drug, along with cognitive or behavior modification, to supply a holistic approach to treatingopioid addiction.

Here at The Family MD, we incorporate cutting side innovation with MAT therapy inLong BeachCalifornia.
Although MAT has actually conserved millions of patients from opioid relevant complications and death, much less than 20% of those struggling with opioid dependency have accessibility to it.In enhancement to geographical restraints, there is a lack of doctors that are trained in its application. According to SAMHSA, much less than 7 percent of physicians are effectively waivered to treat opioid dependency. Tele- MAT services, like we provide atThe Family MD, is one method to improve accessibility to look after those who might not or else have the ability to do so because of set you back, lack of access to or lack of schedule of prescribing medical professionals.

The M inMATstands for specific FDA authorized medicine that is utilized to lower desires and also physiologic dependence on opioids. While there are numerous formulas and also manufacturers, all of them can be summarized in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The first two, buprenorphine and methadone, are both partial as well as full opioid agonists specifically, whereas naltrexone is an opioid antagonist. While all three are authorized for treatment of opioid dependency, maybe the most effective one for a lot of patients is buprenorphine/naloxone (Suboxone) as a result of its favorable account. Because it is only a partial agonist, it stops the feelings of ecstasy when taken, minimizes yearnings at the exact same time, as well as inhibits IV injection. For this reason, buprenorphine/naloxone (Suboxone) is the only FDA accepted therapy that is suggested at The Family MD. With higher than 95% of individuals withdrawal cost-free at 5 days, our results are a testimony to our know-how when dealing with opioid addiction. Set up an appointment now to review more exactly how we can best help you accomplish long lasting soberness.


TRANSITION FROM METHADONE California.


What is Methadone?

Methadone is just one of three medicines that is FDA accepted for the therapy of opioid use.
disorder, as aMedication- assisted treatment( FLOOR COVERING). It is the first of the MAT drugs (authorized in the 1960s) and also is one of the most heavily researched.Unlike the various other two drugs that are utilized in MAT, methadoneis a full opioid agonist, which indicates it brings all the risks that any type of other opioid off the street would certainly have.These consist of bliss, danger of respiratory system depression, opportunity of overdose, as well as hallucinations to name a few things. Because of this, various other floor covering medicines such asSuboxonehave currently end up being a lot more liked due to its minimal adverse effects profile. Long Beach California.



The Length Of Time Does Methadone Withdrawal Last?

If changing fromMethadoneto an additional floor covering drug, such asSuboxone, it is first important to.
lower the quantity of methadone one is on to 30 mg daily for a minimum of one week. As soon as secure on this dosage, methadone is discontinued completely as well as suboxone began when mild- moderate withdrawal signs and symptoms start to set in, which is usually after 36 hrs but may differ depending upon dependency extent. After three to 5 days, withdrawal is generally total and also client is now effectively on Suboxone.

The Family MD Specializes in Methadone Dependency as well as Withdrawal Therapy.

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help individuals.
overcome methadone addictionand withdrawal.Get started today by arranging an online visit with among our board- accredited doctors.Whether youre in your home, at the office, or on lunch break, weve obtained you covered as well as are below to make healing easy.Click here to set up currently.

 

  

Just how it works
It is necessary to very first quit all methadone use. You need to wait up until you have light to modest withdrawal symptoms (usually 12- 72 hours) prior to taking your first dose of Suboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both very uneasy and also may threaten. Proceed as routed by your doctor which it. Generally 95% of our clients do not have any type of withdrawal signs after the very first 5-7 days of beginning Suboxone. You might likewise ask for additional medication to aid relieve withdrawal signs and symptoms so that you can continue with your everyday tasks (job, institution, and so on) without skipping a beat.


 

TREATMENT FOR NORCO WITHDRAWAL Long Beach California 

 What is Norco?

Norco is a combination pain medicine, containing both acetaminophen and hydrocodone. It is utilized to treat modest to extreme discomfort. Hydrocodone, which is the addictiveopioidcontained withinNorco, is derived from either codeine or thebaine and it is the most often suggested opioid in the United States. It is typically for short term pain as well as is frequently used as an antitussive (coughing suppressant). When over used, it can also be crushed and also snorted. It takes around 10 to thirty minutes for you to feel the effects ofNorcowhen taken as well as impacts can last as much as four to 6 hours. Other trade names which contain both hydrocodone and also acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and Vicoprofen.


The Length Of Time Does Norco Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts regarding six to twelve hrs after last use. Signs usually come to a head around day 3 and also are usually considerably decreased by 7 to ten days. Occasionally it is feasible to last longer than ten days relying on the extent of the addiction and also it differs on a situation by instance basis.


The Family Members MD Concentrates On Norco Addiction as well as Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid individuals overcomeNorcoaddiction andwithdrawal. Start today by scheduling an online go to with one of our board- certified medical professionals. Whether youre at home, at the workplace, or on lunch break, weve got you covered as well as are below to make recovery simple. Click here to arrange now.





Exactly how it functions
It is necessary to initial quit all Norco usage. You must wait until you have light to modest withdrawal signs and symptoms (normally 12- 72 hrs) prior to taking your first dose of Suboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both extremely awkward as well as may be dangerous. Proceed as directed by your physician which it. Typically 95% of our individuals do not have any withdrawal signs and symptoms after the very first 3-5 days of startingSuboxone. You might additionally ask for added medication to assist reduce withdrawal signs and symptoms so that you can proceed with your everyday activities (job, college, and so on) without avoiding a beat.

THERAPY FOR OXYCODONE WITHDRAWAL Long Beach California


What is Oxycodone?

Oxycodone is a prescription opioid drug that was first made in 1916 from thebaine, an ingredient of poppy plant. It is used for therapy of modest to serious pain and is recognized for being extremely habit forming. It commonly starts to manage pain within fifteen mins and also can for as much as 6 hrs with the immediate launch solution. It is also sold under the brand Roxicodone as well as OxyContin (which is the extended release form), among others. The extended launch form is slowly launched right into the body and provides all the time discomfort control. Due to the slower start, it has much less potential for abuse compared tooxycodonewhich has a quicker onset of activity.



The Length Of Time Does Oxycodone Withdrawal Last?

The start ofwithdrawal symptomsroughly starts about eight to twelve hours after last usage. Signs and symptoms usually come to a head around day three and also rarely last longer than five to 7 days. As constantly, there can be a prolonged withdrawal phase depending upon the seriousness of addiction and relying on specific variables.

The Family Members MD Concentrates On Oxycodone Dependency and also Withdrawal Therapy

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to aid individuals overcomeoxycodone addictionandwithdrawal. Get going today by arranging a virtual see with one of our board- certified medical professionals. Whether youre at home, at work, or on lunch break, weve obtained you covered and are below to make healing simple. Go here to set up now.

 

 

Just how it works
It is essential to initial quit all oxycodone use. You should wait till you have moderate to moderatewithdrawal symptoms( usually 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both very uneasy and may be dangerous. Proceed as guided by your medical professional which it. Typically 95% of our clients do not have any type of withdrawal signs and symptoms after the first 3-5 days of beginning Suboxone. You might also request extra medicine to help alleviate withdrawal signs and symptoms so that you can proceed with your day to day activities (job, institution, etc) without avoiding a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Long Beach California


What is Fentanyl?

Fentanyl is an artificial opioid, which implies that it is developed by pharmaceutical firms in the laboratory. It is a really powerful opioid and also has to do with 50- 100 times a lot more stronger than morphine. Due to its effectiveness, it is mostly being utilized for pain management treatment of cancer cells individuals. Of note, several users are uninformed they are purchasingfentanyllaced products when they buy opioids. Distributors do this since it makes medications less costly, raises potency, enhances habit forming properties, and therefore, makes thesefentanyllaced medicines exceptionally hazardous also in small dosages. Onset to action is 3 to 5 minutes if utilized intravenously. Various other common kinds that it is made in is as a transdermal spot (Duragesic), as a lozenge called lollipops (Aqtic), and in an injectable form (Sublimaze).



For How Long Does Fentanyl Withdrawal Last?

The onset ofwithdrawal symptomsroughly begins concerning six to twelve hours after last usage. Signs and symptoms commonly peak around day 3 as well as rarely last longer than 5 to 7 days. Nonetheless, it may take place depending upon the severity of addiction or situation by situation basis.

The Family Members MD Concentrates On Fentanyl Addiction as well as Withdrawal Therapy

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to aid clients overcomefentanyladdiction andwithdrawal. Get going today by arranging a digital go to with among our board- certified medical professionals. Whether youre in the house, at work, or on lunch break, weve got you covered and are here to make recovery very easy. Click here to arrange now.





How it functions
It is important to initial quit all Fentanyl usage. You should wait until you have light to modest withdrawal symptoms (normally 12- 72 hrs) before taking your initial dose ofSuboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both really uncomfortable and also may be dangerous. Proceed as guided by your medical professional which it. Generally 95% of our clients do not have any kind of withdrawal signs and symptoms after the very first 3-5 days of starting Suboxone. You might additionally ask for extra medicine to assist reduce withdrawal signs so that you can proceed with your everyday activities (job, institution, etc) without skipping a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Long Beach California

 

What is Oxymorphone?

Oxymorphoneis an extremely potentopioidindicated for the therapy of severe discomfort. It is much more typically known asOpanaor Numorphan. It is substantially stronger than morphine and is utilized to treat pain that is less competent to various other opioid medicines. In 2017, the FDA asked the manufacturer of oxymorphone to eliminate its item from the United States market as well as given that has actually been unavailable in the United States. Nonetheless, prolonged release oxymorphone solutions are still readily available in the United States as a result of its somewhat lower misuse possibility. The prompt release manages pain 5-10 mins if taking IV, and after 30 minutes if taken orally, and afterwards last 3-4 hrs. If taking the extended release, 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 until you have mild to modest withdrawal symptoms (typically 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both extremely unpleasant and might threaten. Continue as guided by your medical professional which it. Usually 95% of our people do not have anywithdrawalsymptoms after the first 5-7 days of startingSuboxone. You might additionally request added drug to aid ease withdrawal signs to ensure that you can continue with your daily tasks (job, institution, etc) without missing a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Long Beach California

 

What is Tramadol?

When it was originally authorized in 1995, tramadol was not considered an opiate even though its device of action was similar. Nevertheless, due to all the situations of abuse as well as addiction, the FDA at some point assigned tramadol as an abused substance in 2014. Compared to various other abused substances nonetheless, tramadol has less possibility for misuse. As a result of this, tramadol is just one of the lots of usual therapies for osteo arthritis as well as various other uncomfortable conditions.


For How Long Does Tramadol Withdrawal Last?

The start of withdrawal symptoms approximately starts concerning thirty- six to seventy- 2 hrs after last usage. Signs and symptoms commonly last five to 8 days. As always, there can be a prolonged withdrawal phase depending on the extent of addiction and relying on specific variables.


The Family Members MD Concentrates On Tramadol Addiction and Withdrawal Treatment

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to assist people get rid of tramadol dependency as well as withdrawal. Get started today by scheduling an online visit with one of our board- certified medical professionals. Whether youre in the house, at the workplace, or on lunch break, weve got you covered and also are right here to make recuperation easy. Visit this site to schedule now.

 

 

How it works

It is very important to very first stop all tramadol usage. You need to wait until you have light to modest withdrawal symptoms (usually 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both extremely awkward and might threaten. Continue as guided by your doctor which it. Normally 95% of our people do not have any kind of withdrawal signs after the first 3-5 days of starting Suboxone. You may additionally request added medicine to aid relieve withdrawal signs to ensure that you can continue with your daily activities (work, college, etc) without avoiding a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Long Beach California

 

 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 Long Beach California

 

 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 Long Beach California

 
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 Long Beach California

What is Meperidine?

The trademark name version of Meperidine is called Demerol. It has a misuse prospective comparable to that of morphine, but it should not be used for therapy of persistent pain. Meperidine needs to just be used in the treatment of severe episodes of extreme discomfort as a result of the danger of seizures from the buildup of meperidine metabolites, specifically normeperidine, if it is utilized long term. In addition to seizures, it can additionally create serotonin syndrome if made use of in combination with certain medications. It is offered in intramuscular, subcutaneous, intravenous, syrup, as well as tablet types.



The Length Of Time Does Meperidine Withdrawal Last?

The beginning of withdrawal signs roughly begins about three- twenty four hours after last use. Signs normally peak around 3 days and also begin to lower in strength after the very first week. Some symptoms may exist for a long term time period depending on the severity of the addiction.

The Household MD Specializes in Meperidine Addiction and Withdrawal Therapy

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to assist individuals overcome Meperidine addiction as well as withdrawal. Start today by arranging a virtual visit with one of our board- licensed physicians. Whether youre at home, at work, or on lunch break, weve obtained you covered as well as are below to make recuperation easy. Go here to arrange now.







How it functions

It is very important to initial stop all Meperidine usage. You have to wait till you have moderate to moderate withdrawal signs and symptoms (generally 12- 72 hrs) prior to taking your very first dosage of Suboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both extremely uneasy and may threaten. Continue as guided by your physician which it. Usually 95% of our clients do not have any kind of withdrawal symptoms after the first 5-7 days of starting Suboxone. You may additionally request added medication to aid relieve withdrawal symptoms to ensure that you can continue with your daily tasks (work, college, etc) without skipping a beat.