Online Suboxone Doctors Help - Kansas

Never ever Quit Quitting
Our physicians are on an objective to offer, assistance, and also elevate the lives of individuals we offer through Medication- Aided Therapy (FLOOR COVERING). Floor covering is considered one of the most effective therapy for opioid usage condition by the CDC, SAMHSA, FDA as well as other federal firms. We are happy to report 95% of our clients state they have no withdrawal signs at 5 days.


OPIOID WITHDRAWAL Kansas
What is Opioid withdrawal?To understandopioid withdrawal, it is essential to initially understand what taking opioids over an extended period of time does to ones body. Taking an opioid everyday for three weeks or longer leads to an adjustment in brain chemistry which can be specified as medicine resistance. This indicates that over time, more of the medicine is required to accomplish the very same result (bliss, pain control, or control or anxiety/depression). Dependence does not necessarily imply dependency nonetheless, which is characterized by frequently food craving and also continuously busying oneself with the demand to acquire even more of the medication. If a person that is dependent on opioids stops unexpectedly, they will likely have both physical as well as psychological signs and symptoms of withdrawal as the body is no longer getting a medicine that it depends on. The most typical withdrawal signs are flu- like in nature and include:
1. Drippy nose

2. Muscle mass pains

3. Indigestion, nausea, throwing up, diarrhea

4. Chills/sweats.

5. Rapid heart beat.

6. Goosebumps on the skin.

7. Stress and anxiety.

8. Lack of ability to sleep.

9. Exhaustion.


There are 2 primary methods of going into withdrawal:.

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

2) Taking an opioid villain like naloxone (contained 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 answer is that it is fairly uneasy and also in some situations, life- harmful. Withdrawals can begin as early as a couple of hours and generally last 3-5 days. However, relying on the extent of dependency as well as the kind of drug used, signs may last as much as 3-6 weeks (methadone). A harsh rule of thumb is a beginning of 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 satisfying your bodys physical reliance to opioids and minimizing yearnings, we additionally have extra treatment to help alleviate the other unpleasant signs of withdrawal. Below is a list of symptoms with corresponding therapy medications:.
1) Muscular tissue aches, headache- acetaminophen, ibuprofen, as well as naproxen.

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

3) Queasiness, vomiting- tigan, and ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

6) Failure to sleep (sleep problems) - diphenhydramine, hydroxyzine, melatonin, trazodone, and also doxepin.

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


The Family MD Focuses On Opioid Addiction and also Withdrawal Therapy.
We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to help patientsovercome opioid addictionand withdrawal. Begin today by scheduling an online go to with one of our board- certified physicians. Whether youre at home, at work, or on lunch break, weve obtained you covered as well as are here to make recovery very easy. Click here to schedule now!

MEDICATION- ASSISTED TREATMENT Kansas

 
At the Family members MD, our team believe there are numerous roads that lead from addiction to healing
What is Drug Assisted Treatment (MAT)?

Prior to we start speaking about treatment for opioid dependency, it is essential to recognize what is specified as opioid dependency. Opioid addiction is characterized by a solid, uncontrollable desire to eat opioid medications, also when they are no more clinically required. Opioid addiction remains at epidemic levels in the U.S and also the numbers are only expected to rise. 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 people passed away from opioid overdose in simply this past year ending in April 2021.
-10.1 million individuals misused prescription opioids this previous year.
-Overdose deaths entailing opioid have actually raised at the very least 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 multiple roadways torecovery, only one is called one of the most efficient by the CDC as well as authorized by several federal agencies (FDA, SAMHSA, and also various other companies), which is Medication- assisted treatment.Medication- helped therapy( MAT) entails using medicine, together with cognitive or behavior modification, to give a holistic technique to treatingopioid addiction.

Right here at The Family MD, we integrate reducing side innovation with MAT treatment inTopekaKansas.
Although floor covering has actually saved numerous clients from opioid associated issues and also death, less than 20% of those suffering from opioid addiction have access to it.In enhancement to geographic restrictions, there is a shortage 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 addiction. Tele- floor covering services, like we offer atThe Family members MD, is one way to enhance access to take care of those that might not or else have the ability to do so because of set you back, absence of access to or absence of schedule of recommending medical professionals.

The M inMATstands for certain FDA approved drug that is utilized to reduce desires and physiologic dependence on opioids. While there are multiple solutions and also suppliers, all of them can be summarized in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The initial 2, buprenorphine and methadone, are both partial and complete opioid agonists specifically, whereas naltrexone is an opioid antagonist. While all three are approved for treatment of opioid dependency, possibly the very best one for the majority of patients is buprenorphine/naloxone (Suboxone) because of its positive account. Considering that it is only a partial agonist, it avoids the sensations of bliss when taken, lowers yearnings at the very same time, and also dissuades IV injection. Consequently, buprenorphine/naloxone (Suboxone) is the only FDA accepted therapy that is suggested at The Family members MD. With more than 95% of clients withdrawal complimentary at 5 days, our results are a testament to our experience when taking care of opioid addiction. Arrange an appointment currently to talk about further how we can best assist you attain enduring sobriety.


TRANSITION FROM METHADONE Kansas.


What is Methadone?

Methadone is among three medications that is FDA accepted for the treatment of opioid usage.
condition, as aMedication- assisted treatment( MAT). It is the first of the floor covering medications (approved in the 1960s) and is the most heavily researched.Unlike the various other two drugs that are used in MAT, methadoneis a complete opioid agonist, which suggests it carries all the threats that any various other opioid off the road would certainly have.These consist of euphoria, danger of respiratory anxiety, possibility of overdose, and also hallucinations to name a few things. As a result of this, other MAT medications such asSuboxonehave currently end up being a lot more liked because of its marginal adverse effects account. Topeka Kansas.



How Long Does Methadone Withdrawal Last?

If changing fromMethadoneto one more MAT drug, such asSuboxone, it is initially important to.
lower the quantity of methadone one is on to 30 mg daily for a minimum of one week. Once secure on this dosage, methadone is ceased entirely as well as suboxone began once mild- modest withdrawal symptoms begin to embed in, which is normally after 36 hrs however may vary relying on dependency intensity. After three to five days, withdrawal is normally complete and individual is currently efficiently on Suboxone.

The Family Members MD Specializes in Methadone Addiction and Withdrawal Therapy.

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to assist clients.
conquered methadone addictionand withdrawal.Get started today by arranging a digital check out with one of our board- accredited doctors.Whether youre in your home, at the workplace, or on lunch break, weve got you covered as well as are right here to make recovery easy.Click here to schedule now.

 

  

Just how it works
It is important to very first quit all methadone use. You have to wait till you have mild to modest withdrawal signs and symptoms (usually 12- 72 hours) prior to taking your first dose of Suboxone. If it is taken prematurely, it can require you right into precipitated withdrawal, which is both very uneasy as well as may be dangerous. Proceed as guided by your physician and thats it. Generally 95% of our individuals do not have any withdrawal symptoms after the initial 5-7 days of starting Suboxone. You may also ask for extra medicine to assist relieve withdrawal signs and symptoms to ensure that you can continue with your day to day tasks (work, institution, etc) without skipping a beat.

 

TREATMENT FOR NORCO WITHDRAWAL Topeka Kansas 

 What is Norco?

Norco is a mix pain drug, consisting of both acetaminophen and hydrocodone. It is made use of to treat modest to serious discomfort. Hydrocodone, which is the addictiveopioidcontained withinNorco, is stemmed from either codeine or thebaine and also it is one of the most often prescribed opioid in the USA. It is normally for short-term pain as well as is often utilized as an antitussive (cough suppressant). When over used, it can also be crushed and also grunted. It takes about 10 to half an hour for you to really feel the results ofNorcowhen taken and impacts can last approximately 4 to six hrs. Other brand name that contain both hydrocodone and also acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and Vicoprofen.


For How Long Does Norco Withdrawal Last?

The beginning ofwithdrawal symptomsroughly begins concerning six to twelve hours after last use. Symptoms generally come to a head around day 3 and are usually significantly decreased by 7 to ten days. Sometimes it is possible to last longer than ten days depending upon the intensity of the addiction and also it varies on a situation by case basis.


The Household MD Focuses On Norco Addiction as well as Withdrawal Treatment

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to aid individuals overcomeNorcoaddiction andwithdrawal. Get going today by scheduling a digital browse through with one of our board- licensed doctors. Whether youre in your home, at the office, or on lunch break, weve obtained you covered as well as are below to make recuperation simple. Click here to arrange now.





How it works
It is essential to very first quit all Norco usage. You have to wait up until you have mild to moderate withdrawal symptoms (normally 12- 72 hrs) before taking your very first dose of Suboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both very unpleasant and may be dangerous. Proceed as directed by your doctor and thats it. Normally 95% of our people do not have any type of withdrawal symptoms after the very first 3-5 days of startingSuboxone. You might also request added medicine to assist alleviate withdrawal signs to make sure that you can continue with your everyday tasks (work, college, and so on) without skipping a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Topeka Kansas


What is Oxycodone?

Oxycodone is a prescription opioid medicine that was initially made in 1916 from thebaine, a component of poppy plant. It is used for therapy of moderate to serious pain and is recognized for being extremely habit forming. It generally begins to manage discomfort within fifteen minutes as well as can for approximately 6 hrs with the prompt release solution. It is likewise marketed under the brand Roxicodone and OxyContin (which is the extensive launch kind), among others. The extended launch kind is slowly released right into the body and also gives around the clock pain control. Because of the slower start, it has much less potential for misuse contrasted tooxycodonewhich has a quicker start of activity.



The Length Of Time Does Oxycodone Withdrawal Last?

The onset ofwithdrawal symptomsroughly starts concerning 8 to twelve hrs after last usage. Signs generally peak around day 3 and also rarely last longer than 5 to seven days. As always, there can be a long term withdrawal phase depending on the seriousness of addiction as well as depending on individual elements.

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

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to assist patients overcomeoxycodone addictionandwithdrawal. Get going today by scheduling a virtual go to with among our board- certified medical professionals. Whether youre in your home, at work, or on lunch break, weve got you covered as well as are right here to make recuperation simple. Click here to set up currently.

 

 

How it functions
It is important to initial stop all oxycodone usage. You have to wait until you have moderate to moderatewithdrawal symptoms( normally 12- 72 hrs) 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 uncomfortable and may threaten. Proceed as routed by your medical professional and thats it. Normally 95% of our people do not have any kind of withdrawal symptoms after the initial 3-5 days of starting Suboxone. You may additionally request extra drug to help relieve withdrawal signs so that you can continue with your everyday activities (work, school, and so on) without missing a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Topeka Kansas


What is Fentanyl?

Fentanyl is an artificial opioid, which indicates that it is created by pharmaceutical firms in the laboratory. It is a very effective opioid as well as has to do with 50- 100 times much more stronger than morphine. Because of its potency, it is mainly being used for pain monitoring therapy of cancer cells patients. Of note, several users are uninformed they are purchasingfentanyllaced items when they acquire opioids. Distributors do this due to the fact that it makes medicines less costly, increases strength, raises habit forming residential or commercial properties, and also consequently, makes thesefentanyllaced medications extremely unsafe even in small dosages. Start to activity is three to five minutes if made use of intravenously. Various other typical forms that it is made in is as a transdermal spot (Duragesic), as a lozenge called lollipops (Aqtic), and in an injectable type (Sublimaze).



How Much Time Does Fentanyl Withdrawal Last?

The beginning ofwithdrawal symptomsroughly begins about 6 to twelve hours after last use. Signs and symptoms typically come to a head around day three and seldom last longer than 5 to 7 days. Nonetheless, it may happen relying on the extent of addiction or situation by case basis.

The Household MD Focuses On Fentanyl Addiction and Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patients overcomefentanyladdiction andwithdrawal. Get started today by arranging an online visit with one of our board- accredited doctors. Whether youre in the house, at the workplace, or on lunch break, weve obtained you covered as well as are right here to make recuperation very easy. Click here to schedule currently.





How it functions
It is important to first quit all Fentanyl use. You should wait up until you have moderate to moderate withdrawal signs and symptoms (generally 12- 72 hrs) before taking your very first dosage ofSuboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both really unpleasant as well as might be dangerous. Continue as routed by your doctor and thats it. Normally 95% of our patients do not have any kind of withdrawal symptoms after the very first 3-5 days of beginning Suboxone. You might additionally ask for added drug to help alleviate withdrawal symptoms to make sure that you can proceed with your day to day tasks (work, school, etc) without missing a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Topeka Kansas

 

What is Oxymorphone?

Oxymorphoneis an extremely potentopioidindicated for the treatment of extreme pain. It is much more commonly understood asOpanaor Numorphan. It is considerably more powerful than morphine as well as is used to deal with pain that is unresponsive to other opioid drugs. In 2017, the FDA asked the manufacturer of oxymorphone to remove its item from the United States market and since has actually been inaccessible in the United States. Nevertheless, expanded launch oxymorphone solutions are still readily available in the US because of its a little reduced misuse possibility. The immediate release controls discomfort 5-10 minutes if taking IV, and also after thirty minutes if taken orally, and then last 3-4 hrs. If taking the extensive launch, discomfort 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 essential to very first quit all oxymorphone use. You should wait till you have mild to moderate withdrawal signs and symptoms (normally 12- 72 hours) before taking your initial dose of Suboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both extremely unpleasant and also may be dangerous. Proceed as routed by your physician which it. Typically 95% of our individuals do not have anywithdrawalsymptoms after the first 5-7 days of startingSuboxone. You might likewise ask for extra medication to assist alleviate withdrawal symptoms so that you can continue with your everyday activities (job, college, and so on) without missing a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Topeka Kansas

 

What is Tramadol?

When it was initially accepted in 1995, tramadol was ruled out an opiate although its device of activity was similar. Nonetheless, due to all the situations of misuse and also addiction, the FDA ultimately marked tramadol as an abused substance in 2014. Compared with various other illegal drugs nonetheless, tramadol has less possibility for abuse. As a result of this, tramadol is just one of the numerous typical treatments for osteo arthritis as well as other uncomfortable problems.


How Much Time Does Tramadol Withdrawal Last?

The beginning of withdrawal symptoms about starts concerning thirty- 6 to seventy- 2 hours after last usage. Symptoms normally last five to 8 days. As constantly, there can be a prolonged withdrawal stage relying on the intensity of addiction as well as relying on individual variables.


The Family MD Focuses On Tramadol Addiction as well as Withdrawal Treatment

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to aid individuals get over tramadol addiction and withdrawal. Begin today by scheduling an online see with one of our board- certified 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 recuperation simple. Go here to arrange now.

 

 

How it works

It is important to initial stop all tramadol use. You have to wait until you have light to modest withdrawal symptoms (typically 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 uneasy as well as might be dangerous. Proceed as directed by your physician which it. Generally 95% of our individuals do not have any kind of withdrawal symptoms after the initial 3-5 days of starting Suboxone. You might additionally request additional medication to help reduce withdrawal signs and symptoms to ensure that you can proceed with your everyday tasks (work, college, etc) without skipping a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Topeka Kansas

 

 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 Topeka Kansas

 

 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 Topeka Kansas

 
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 Topeka Kansas

What is Meperidine?

The brand variation of Meperidine is called Demerol. It has an abuse prospective comparable to that of morphine, however it needs to not be used for therapy of chronic pain. Meperidine must only be made use of in the therapy of acute episodes of extreme discomfort because of the threat of seizures from the accumulation of meperidine metabolites, specifically normeperidine, if it is made use of long term. In addition to seizures, it can also create serotonin disorder if made use of in combination with particular medications. It is available in intramuscular, subcutaneous, intravenous, syrup, and tablet types.



For How Long Does Meperidine Withdrawal Last?

The beginning of withdrawal symptoms approximately begins regarding three- twenty four hours after last use. Symptoms usually peak around 3 days as well as begin to decrease in strength after the initial week. Some symptoms may be presented for a long term time period depending on the severity of the dependency.

The Household MD Concentrates On Meperidine Dependency and Withdrawal Treatment

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to aid people get rid of Meperidine addiction and also withdrawal. Get going today by arranging an online browse through with one of our board- accredited medical professionals. Whether youre at home, at the workplace, or on lunch break, weve obtained you covered and are here to make recovery very easy. Click here to set up currently.







Exactly how it works

It is important to initial stop all Meperidine usage. You must wait till you have light to moderate withdrawal signs (generally 12- 72 hrs) before taking your very first dose of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both extremely unpleasant and also might threaten. Continue as directed by your doctor and thats it. Usually 95% of our clients do not have any withdrawal symptoms after the initial 5-7 days of beginning Suboxone. You may likewise ask for additional drug to help alleviate withdrawal signs so that you can proceed with your everyday activities (work, school, etc) without avoiding a beat.