Online Suboxone Doctors Help - Alabama

Never Quit Stopping
Our doctors get on a goal to serve, support, and elevate the lives of individuals we serve with Medication- Aided Therapy (MAT). Floor covering is considered one of the most effective treatment for opioid usage disorder by the CDC, SAMHSA, FDA and other government companies. We more than happy to report 95% of our clients state they have no withdrawal signs and symptoms at 5 days.


OPIOID WITHDRAWAL Alabama
What is Opioid withdrawal?To understandopioid withdrawal, it is essential to first recognize what taking opioids over an extended period of time does to ones body. Taking an opioid everyday for three weeks or longer leads to a modification in brain chemistry which can be defined as drug tolerance. This implies that in time, even more of the medication is required to accomplish the same end result (ecstasy, discomfort control, or control or anxiety/depression). Reliance does not always imply dependency however, which is characterized by frequently food craving as well as constantly busying oneself with the requirement to acquire even more of the medicine. If a person who depends on opioids quits instantly, they will likely have both physical and also emotional signs and symptoms of withdrawal as the body is no more getting a medication that it depends on. One of the most usual withdrawal symptoms are flu- like in nature as well as include:
1. Runny nose

2. Muscle mass pains

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

4. Chills/sweats.

5. Fast heart beat.

6. Goosebumps on the skin.

7. Stress and anxiety.

8. Failure to rest.

9. Fatigue.


There are two major means of entering into withdrawal:.

1) Unexpectedly quiting all opioid use without tapering down first (spontaneous withdrawal).

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





How Much Time Does Opioid Withdrawal Last?
If you ask anybody who has actually experienced opioid withdrawal, the response is that it is rather awkward and in some situations, life- threatening. Withdrawals can start as early as a few hrs and generally last 3-5 days. However, relying on the intensity of addiction and also the type of drug used, signs and symptoms might last as much as 3-6 weeks (methadone). A rough general rule is a start of signs and symptoms happen after 2 to 3 times the half-life of the withdrawn opioid.
Exists Anything to Make Withdrawals Easier?
While the pillar oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), concentrates on satisfying your bodys physical dependancy to opioids as well as decreasing food cravings, we likewise have additional therapy to help minimize the other undesirable signs and symptoms of withdrawal. Below is a list of symptoms with equivalent treatment medications:.
1) Muscle mass aches, headache- acetaminophen, ibuprofen, and also naproxen.

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

3) Nausea or vomiting, vomiting- tigan, and also ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

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

7) Anxiousness, impatience, restlessness- diphenhydramine, hydroxyzine, and also clonidine.


The Family Members MD Specializes in Opioid Dependency and also Withdrawal Therapy.
We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to assist patientsovercome opioid addictionand withdrawal. Get going today by arranging a digital go to with one of our board- certified physicians. Whether youre in your home, at the workplace, or on lunch break, weve obtained you covered and are here to make healing simple. Click here to set up now!

MEDICATION- ASSISTED TREATMENT Alabama

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

Before we start speaking about treatment for opioid addiction, it is important to understand what is defined as opioid dependency. Opioid addiction is identified by a solid, compulsive urge to take in opioid medicines, even when they are no more medically required. Opioid dependency remains at epidemic degrees in the U.S and the numbers are only expected to increase. 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 just this previous year ending in April 2021.
-10.1 million people mistreated prescription opioids this past year.
-Overdose fatalities including opioid have actually 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 prescribed. Although there are several roads torecovery, only one is called one of the most efficient by the CDC and also approved by multiple federal agencies (FDA, SAMHSA, and also various other firms), and that is Medication- assisted treatment.Medication- aided treatment( MAT) involves using medication, together with cognitive or behavior modification, to provide an alternative strategy to treatingopioid addiction.

Below at The Family MD, we incorporate cutting side modern technology with MAT treatment inPrincetonAlabama.
Although MAT has actually conserved millions of people from opioid associated difficulties as well as death, much less than 20% of those suffering from opioid addiction have accessibility to it.In addition to geographic restraints, there is a scarcity of physicians that are trained in its application. According to SAMHSA, much less than 7 percent of physicians are effectively waivered to deal with opioid dependency. Tele- floor covering solutions, like we offer atThe Household MD, is one way to boost accessibility to look after those who may not otherwise have the ability to do so due to set you back, lack of access to or absence of accessibility of prescribing medical professionals.

The M inMATstands for certain FDA accepted drug that is made use of to reduce yearnings as well as physiologic dependence on opioids. While there are numerous formulas and manufacturers, every one of them can be summarized in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The first two, buprenorphine as well as methadone, are both partial as well as full opioid agonists respectively, whereas naltrexone is an opioid antagonist. While all three are approved for therapy of opioid dependency, maybe the very best one for many people is buprenorphine/naloxone (Suboxone) because of its favorable profile. Given that it is only a partial agonist, it protects against the sensations of ecstasy when taken, decreases cravings at the same time, as well as discourages IV shot. Because of this, buprenorphine/naloxone (Suboxone) is the only FDA accepted therapy that is recommended at The Household MD. With higher than 95% of clients withdrawal totally free at 5 days, our results are a testimony to our experience when managing opioid dependency. Arrange a visit now to talk about more just how we can best help you accomplish lasting sobriety.


CHANGE FROM METHADONE Alabama.


What is Methadone?

Methadone is just one of 3 drugs that is FDA authorized for the treatment of opioid use.
problem, as aMedication- assisted treatment( FLOOR COVERING). It is the first of the floor covering medicines (accepted in the 1960s) and is the most heavily researched.Unlike the other two medications that are used in MAT, methadoneis a complete opioid agonist, which suggests it brings all the threats that any other opioid off the street would have.These include bliss, threat of respiratory system clinical depression, possibility of overdose, as well as hallucinations among other points. Because of this, various other floor covering medicines such asSuboxonehave now become more preferred as a result of its marginal side effect profile. Princeton Alabama.



The Length Of Time Does Methadone Withdrawal Last?

If changing fromMethadoneto one more MAT medication, such asSuboxone, it is initially crucial to.
reduce the quantity of methadone one is on to 30 mg daily for at least one week. When secure on this dosage, methadone is stopped totally and suboxone began as soon as mild- moderate withdrawal signs begin to set in, which is usually after 36 hours but might differ depending upon addiction severity. After three to 5 days, withdrawal is normally total and also person is now effectively on Suboxone.

The Family MD Focuses On Methadone Addiction as well as Withdrawal Therapy.

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help people.
overcome methadone addictionand withdrawal.Get began today by scheduling an online see with among our board- accredited doctors.Whether youre in the house, at the office, or on lunch break, weve got you covered and are below to make recovery easy.Click below to set up now.

 

  

Exactly how it functions
It is necessary to very first stop all methadone use. You have to wait till you have mild to modest withdrawal signs and symptoms (typically 12- 72 hours) before taking your very first dose of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both very awkward and also might be dangerous. Continue as routed by your physician which it. Normally 95% of our people do not have any withdrawal symptoms after the initial 5-7 days of beginning Suboxone. You might also ask for additional medication to assist relieve withdrawal signs to make sure that you can proceed with your everyday tasks (work, school, etc) without skipping a beat.

 

TREATMENT FOR NORCO WITHDRAWAL Princeton Alabama 

 What is Norco?

Norco is a combination pain medicine, consisting of both acetaminophen and hydrocodone. It is used to deal with modest to extreme pain. Hydrocodone, which is the addictiveopioidcontained withinNorco, is derived from either codeine or thebaine and it is the most frequently suggested opioid in the USA. It is normally for short-term pain and is regularly used as an antitussive (cough suppressant). When mistreated, it can additionally be squashed and also grunted. It takes around ten to thirty minutes for you to really feel the results ofNorcowhen taken as well as impacts can last up to 4 to six hours. Various other brand name which contain both hydrocodone as well as acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and Vicoprofen.


For How Long Does Norco Withdrawal Last?

The onset ofwithdrawal symptomsroughly starts regarding 6 to twelve hrs after last usage. Signs commonly peak around day 3 as well as are typically substantially decreased by seven to ten days. Often it is possible to last longer than 10 days depending on the extent of the dependency and it varies on an instance by case basis.


The Household MD Concentrates On Norco Dependency and Withdrawal Therapy

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patients overcomeNorcoaddiction andwithdrawal. Get going today by setting up a digital check out with one of our board- licensed physicians. Whether youre at home, at the office, or on lunch break, weve got you covered and also are here to make recuperation simple. Click on this link to schedule now.





How it works
It is very important to first stop all Norco use. You have to wait until you have light to modest withdrawal signs and symptoms (typically 12- 72 hours) prior to taking your initial dose of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both extremely unpleasant as well as might be dangerous. Proceed as routed 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 startingSuboxone. You might also request extra medication to help relieve withdrawal signs so that you can proceed with your day to day activities (work, institution, etc) without missing a beat.

THERAPY FOR OXYCODONE WITHDRAWAL Princeton Alabama


What is Oxycodone?

Oxycodone is a prescription opioid drug that was first made in 1916 from thebaine, an active ingredient of poppy plant. It is utilized for treatment of modest to severe discomfort and also is recognized for being highly addictive. It typically begins to regulate discomfort within fifteen minutes as well as can for approximately six hours with the prompt release formula. It is also sold under the brand names Roxicodone and OxyContin (which is the extended launch form), to name a few. The extensive launch kind is gradually released right into the body and supplies all the time discomfort control. As a result of the slower beginning, it has much less possibility for misuse compared tooxycodonewhich has a quicker beginning of action.



The Length Of Time Does Oxycodone Withdrawal Last?

The start ofwithdrawal symptomsroughly begins about 8 to twelve hrs after last use. Symptoms typically come to a head around day 3 as well as seldom last longer than five to 7 days. As always, there can be a prolonged withdrawal phase depending upon the seriousness of addiction as well as relying on individual variables.

The Family MD Specializes in Oxycodone Dependency as well as Withdrawal Therapy

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to help patients overcomeoxycodone addictionandwithdrawal. Begin today by arranging a digital see with one of our board- certified medical professionals. Whether youre at home, at work, or on lunch break, weve obtained you covered as well as are here to make healing very easy. Visit this site to set up currently.

 

 

Exactly how it works
It is necessary to first stop all oxycodone usage. You have to wait till you have mild to moderatewithdrawal signs and symptoms( usually 12- 72 hours) prior to taking your initial dose of Suboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both extremely awkward and also may be dangerous. Continue as guided by your medical professional which it. Generally 95% of our people do not have any type of withdrawal signs after the first 3-5 days of beginning Suboxone. You may likewise ask for added drug to aid relieve withdrawal symptoms to make sure that you can proceed with your day to day tasks (work, school, etc) without avoiding a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Princeton Alabama


What is Fentanyl?

Fentanyl is a synthetic opioid, which suggests that it is produced by pharmaceutical companies in the laboratory. It is a very powerful opioid and also has to do with 50- 100 times extra stronger than morphine. As a result of its effectiveness, it is largely being used for pain monitoring treatment of cancer people. Of note, many individuals are unaware they are purchasingfentanyllaced products when they acquire opioids. Distributors do this due to the fact that it makes medicines less costly, raises strength, enhances habit forming properties, and because of this, makes thesefentanyllaced medications extremely dangerous even in small doses. Beginning to activity is three to 5 minutes if made use of intravenously. Various other common types that it is manufactured in is as a transdermal spot (Duragesic), as a lozenge called lollipops (Aqtic), and in an injectable type (Sublimaze).



For How Long Does Fentanyl Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts about 6 to twelve hours after last usage. Signs generally peak around day three and also rarely last longer than 5 to 7 days. However, it may take place depending on the severity of addiction or case by situation basis.

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

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to assist clients overcomefentanyladdiction andwithdrawal. Begin today by scheduling a virtual check out with one of our board- certified doctors. Whether youre in the house, at work, or on lunch break, weve got you covered as well as are right here to make healing very easy. Click on this link to set up now.





Exactly how it works
It is very important to initial quit all Fentanyl use. You must wait up until you have light to moderate withdrawal signs (normally 12- 72 hours) prior to taking your initial dosage ofSuboxone. If it is taken prematurely, it can require you into precipitated withdrawal, which is both extremely uncomfortable and also might be dangerous. Continue as guided by your doctor which it. Normally 95% of our clients do not have any type of withdrawal symptoms after the initial 3-5 days of starting Suboxone. You might additionally request extra medicine to help ease withdrawal symptoms to make sure that you can continue with your daily activities (work, school, etc) without skipping a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Princeton Alabama

 

What is Oxymorphone?

Oxymorphoneis an extremely potentopioidindicated for the treatment of serious discomfort. It is a lot more typically known asOpanaor Numorphan. It is substantially stronger than morphine as well as is used to deal with discomfort that is unresponsive to various other opioid drugs. In 2017, the FDA asked the supplier of oxymorphone to remove its product from the US market as well as since has actually been inaccessible in the United States. Nonetheless, prolonged launch oxymorphone formulas are still readily available in the United States because of its a little reduced abuse potential. The instant launch controls pain 5-10 minutes if taking IV, and also after 30 minutes if taken by mouth, 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 necessary to very first quit all oxymorphone use. You have to wait up until you have moderate to moderate withdrawal signs and symptoms (typically 12- 72 hours) prior to taking your initial dose of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both very awkward and also may threaten. Continue as routed by your physician and thats it. Generally 95% of our individuals do not have anywithdrawalsymptoms after the first 5-7 days of startingSuboxone. You may likewise request additional medicine to help reduce withdrawal symptoms to ensure that you can proceed with your everyday activities (work, school, etc) without avoiding a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Princeton Alabama

 

What is Tramadol?

When it was initially authorized in 1995, tramadol was not considered an opiate although its mechanism of activity was comparable. Nevertheless, because of all the instances of misuse and also dependency, the FDA eventually designated tramadol as a controlled substance in 2014. Compared with various other dangerous drugs nevertheless, tramadol has much less possibility for misuse. As a result of this, tramadol is just one of the lots of common treatments for osteoarthritis and also other excruciating problems.


How Long Does Tramadol Withdrawal Last?

The beginning of withdrawal signs approximately starts concerning thirty- six to seventy- 2 hrs after last use. Symptoms normally last 5 to 8 days. As always, there can be a prolonged withdrawal phase depending on the extent of dependency and relying on private factors.


The Family MD Focuses On Tramadol Dependency and also Withdrawal Therapy

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help people get over tramadol addiction and also withdrawal. Get started today by setting up a digital see with one of our board- certified physicians. Whether youre at home, at the office, or on lunch break, weve obtained you covered and also are below to make recuperation easy. Click here to arrange currently.

 

 

How it works

It is essential to very first stop all tramadol use. You need to wait up until you have mild to modest withdrawal signs (normally 12- 72 hrs) prior to taking your first dosage of Suboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both very uneasy as well as may threaten. Continue as guided by your medical professional and thats it. Typically 95% of our patients do not have any type of withdrawal signs after the first 3-5 days of starting Suboxone. You might additionally ask for extra medication to assist relieve withdrawal signs to make sure that you can continue with your everyday tasks (work, school, and so on) without avoiding a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Princeton Alabama

 

 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 Princeton Alabama

 

 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 Princeton Alabama

 
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 Princeton Alabama

What is Meperidine?

The brand variation of Meperidine is called Demerol. It has a misuse potential comparable to that of morphine, but it needs to not be made use of for therapy of persistent pain. Meperidine should just be made use of in the therapy of acute episodes of serious discomfort because of the risk of seizures from the buildup of meperidine metabolites, particularly normeperidine, if it is used long-term. Along with seizures, it can additionally cause serotonin disorder if used in mix with particular medications. It is readily available in intramuscular, subcutaneous, intravenous, syrup, as well as tablet types.



How Much Time Does Meperidine Withdrawal Last?

The beginning of withdrawal signs and symptoms approximately starts concerning three- twenty 4 hrs after last use. Signs typically come to a head around 3 days and also start to lower in strength after the initial week. Some signs and symptoms might exist for a long term period of time depending upon the intensity of the addiction.

The Family MD Focuses On Meperidine Dependency as well as Withdrawal Therapy

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid clients conquer Meperidine addiction and withdrawal. Begin today by scheduling a digital visit with among our board- certified medical professionals. Whether youre in your home, at the workplace, or on lunch break, weve got you covered as well as are right here to make recuperation very easy. Click here to arrange now.







Exactly how it functions

It is important to initial quit all Meperidine usage. You have to wait till you have moderate to modest withdrawal signs and symptoms (usually 12- 72 hours) before taking your first dosage of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both extremely uneasy as well as may be dangerous. Proceed as guided by your medical professional which it. Generally 95% of our individuals do not have any kind of withdrawal signs after the very first 5-7 days of beginning Suboxone. You might also ask for additional medicine to aid reduce withdrawal signs and symptoms to ensure that you can proceed with your everyday tasks (job, college, etc) without skipping a beat.