The Process

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

Transition From Methadone Help - California

Never Give Up Quitting
Our physicians get on a mission to offer, support, as well as boost the lives of individuals we serve through Medication- Assisted Therapy (FLOOR COVERING). Floor covering is thought about the most reliable treatment for opioid use problem by the CDC, SAMHSA, FDA and other federal companies. We more than happy to report 95% of our patients state they have no withdrawal signs and symptoms at 5 days.


OPIOID WITHDRAWAL California
What is Opioid withdrawal?To understandopioid withdrawal, it is very important to first understand what taking opioids over an extended period of time does to ones body. Taking an opioid daily for 3 weeks or longer results in a change in brain chemistry which can be specified as drug resistance. This suggests that gradually, more of the drug is required to accomplish the very same result (euphoria, pain control, or control or anxiety/depression). Dependancy does not always indicate addiction however, which is defined by regularly yearning and continuously preoccupying oneself with the requirement to acquire more of the drug. If somebody that is dependent on opioids stops all of a sudden, they will likely have both physical as well as psychological signs of withdrawal as the body is no longer receiving a medicine that it hinges on. The most common withdrawal signs are flu- like in nature as well as include:
1. Drippy nose

2. Muscle pains

3. Indigestion, nausea or vomiting, vomiting, diarrhea

4. Chills/sweats.

5. Fast heartbeat.

6. Goosebumps on the skin.

7. Stress and anxiety.

8. Lack of ability to sleep.

9. Fatigue.


There are 2 main ways of entering into withdrawal:.

1) Suddenly stopping all opioid use without tapering down initially (spontaneous withdrawal).

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





The Length Of Time Does Opioid Withdrawal Last?
If you ask any individual that has actually experienced opioid withdrawal, the response is that it is quite awkward and also in some scenarios, life- harmful. Withdrawals can begin as early as a few hours and generally last 3-5 days. However, relying on the seriousness of addiction as well as the sort of substance abuse, symptoms may last as much as 3-6 weeks (methadone). A rough rule of thumb is an onset of signs and symptoms take place after 2 to 3 times the half-life of the taken out opioid.
Exists Anything to Make Withdrawals Easier?
While the pillar oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), concentrates on pleasing your bodys physical dependence to opioids and minimizing desires, we likewise have extra treatment to aid relieve the various other undesirable signs and symptoms of withdrawal. Below is a checklist of symptoms with corresponding therapy medications:.
1) Muscle mass pains, headache- acetaminophen, ibuprofen, as well as naproxen.

2) Muscular tissue spasm- cyclobenzaprine, baclofen, as well as methocarbamol.

3) Queasiness, vomiting- tigan, and also ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Abdominal cramping- dicyclomine.

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

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


The Household MD Concentrates On Opioid Dependency and Withdrawal Treatment.
We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patientsovercome opioid addictionand withdrawal. Start today by scheduling an online check out with among our board- licensed medical professionals. Whether youre in the house, at work, or on lunch break, weve obtained you covered as well as are right here to make healing easy. Go here to set up now!


MEDICATION- ASSISTED TREATMENT California

 
At the Family MD, we believe there are several roads that lead from dependency to healing
What is Drug Assisted Therapy (MAT)?

Before we start speaking about treatment for opioid addiction, it is necessary to understand what is specified as opioid dependency. Opioid addiction is identified by a strong, uncontrollable impulse to eat opioid medicines, even when they are no longer clinically needed. Opioid addiction remains at epidemic levels in the U.S and the numbers are only anticipated to increase. Below are some quick facts:

-More than 263,000 people died 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 individuals misused prescription opioids this previous year.
-Overdose deaths including opioid have boosted at the very least 6 times considering that 1999.

Its clear that opioids have a high possibility for triggering dependency in individuals, also when they are taken as recommended. Although there are multiple roads torecovery, only one is called one of the most effective by the CDC and also approved by several federal firms (FDA, SAMHSA, as well as various other agencies), which is Medication- assisted treatment.Medication- helped treatment( FLOOR COVERING) entails making use of drug, together with cognitive or behavior modification, to supply an all natural approach to treatingopioid addiction.

Right here at The Family members MD, we integrate cutting edge innovation with MAT treatment inHollywoodCalifornia.
Although MAT has conserved numerous clients from opioid related problems as well as fatality, less than 20% of those dealing with opioid dependency have access to it.In addition to geographical restraints, there is a lack of physicians that are learnt its application. According to SAMHSA, much less than 7 percent of physicians are efficiently waivered to deal with opioid addiction. Tele- floor covering solutions, like we offer atThe Family MD, is one method to enhance access to care for those who might not otherwise have the ability to do so as a result of set you back, absence of access to or lack of availability of suggesting doctors.

The M inMATstands for specific FDA accepted medication that is used to lower yearnings as well as physiologic dependancy on opioids. While there are multiple solutions and also manufacturers, every one of them can be summed up in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The initial two, buprenorphine as well as methadone, are both partial and complete opioid agonists respectively, whereas naltrexone is an opioid antagonist. While all three are accepted for therapy of opioid addiction, possibly the very best one for many people is buprenorphine/naloxone (Suboxone) because of its positive account. Because it is just a partial agonist, it prevents the sensations of euphoria when taken, lowers cravings at the very same time, and also discourages IV shot. Because of this, buprenorphine/naloxone (Suboxone) is the only FDA accepted therapy that is recommended at The Household MD. With more than 95% of clients withdrawal free at 5 days, our outcomes are a testament to our proficiency when managing opioid addiction. Arrange an appointment currently to review additional exactly how we can best help you attain enduring soberness.


SHIFT FROM METHADONE California.


What is Methadone?

Methadone is just one of three drugs that is FDA accepted for the therapy of opioid use.
disorder, as aMedication- assisted therapy( FLOOR COVERING). It is the very first of the floor covering medicines (accepted in the 1960s) and also is the most greatly researched.Unlike the other two medicines that are made use of in MAT, methadoneis a full opioid agonist, which suggests it lugs all the risks that any various other opioid off the street would certainly have.These include bliss, danger of respiratory system depression, opportunity of overdose, and also hallucinations among other things. As a result of this, various other floor covering medications such asSuboxonehave currently end up being a lot more chosen because of its minimal negative effects profile. Hollywood California.



The Length Of Time Does Methadone Withdrawal Last?

If switching over fromMethadoneto another MAT medicine, such asSuboxone, it is initially essential to.
reduce the amount of methadone one is on to 30 mg daily for at least one week. As soon as steady on this dosage, methadone is terminated totally and also suboxone began once mild- moderate withdrawal signs and symptoms begin to embed in, which is usually after 36 hours yet may differ depending upon addiction extent. After 3 to five days, withdrawal is usually complete and also person is currently efficiently on Suboxone.

The Family MD Focuses On Methadone Dependency and also Withdrawal Therapy.

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to assist patients.
conquered methadone addictionand withdrawal.Get began today by arranging a virtual see with among our board- accredited doctors.Whether youre in the house, at the office, or on lunch break, weve got you covered as well as are right here to make healing easy.Click below to schedule now.

 

  

How it works
It is necessary to very first quit all methadone usage. You should wait until you have light to moderate withdrawal signs and symptoms (usually 12- 72 hrs) prior to taking your very first dosage of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both really unpleasant and also might threaten. Proceed as guided by your physician and thats it. Generally 95% of our patients do not have any type of withdrawal symptoms after the very first 5-7 days of starting Suboxone. You might likewise ask for extra medication to aid ease withdrawal symptoms to ensure that you can proceed with your day to day activities (work, school, etc) without avoiding a beat.


 

TREATMENT FOR NORCO WITHDRAWAL Hollywood California 

 What is Norco?

Norco is a combination discomfort drug, containing both acetaminophen and hydrocodone. It is made use of to deal with modest to severe pain. Hydrocodone, which is the addictiveopioidcontained withinNorco, is stemmed from either codeine or thebaine and it is the most frequently prescribed opioid in the United States. It is normally for short-term pain as well as is regularly made use of as an antitussive (coughing suppressant). When abused, it can additionally be crushed and grunted. It takes about ten to half an hour for you to really feel the effects ofNorcowhen taken as well as results can last as much as four to 6 hrs. Other brand name that contain both hydrocodone and acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and Vicoprofen.


For How Long Does Norco Withdrawal Last?

The onset ofwithdrawal symptomsroughly begins regarding six to twelve hrs after last usage. Signs normally come to a head around day 3 as well as are normally considerably reduced by seven to 10 days. Often it is feasible to last longer than 10 days relying on the severity of the dependency as well as it varies on a case by situation basis.


The Household MD Concentrates On Norco Addiction as well as Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to assist patients overcomeNorcoaddiction andwithdrawal. Get going today by setting up an online go to with one of our board- certified doctors. Whether youre in the house, at the office, or on lunch break, weve obtained you covered and are right here to make healing easy. Visit this site to schedule now.





Exactly how it works
It is important to first stop all Norco usage. You need to wait up until you have mild to moderate withdrawal signs (usually 12- 72 hrs) prior to taking your initial dose of Suboxone. If it is taken prematurely, it can require you into precipitated withdrawal, which is both really awkward and also may threaten. Continue as guided by your physician and thats it. Usually 95% of our patients do not have any kind of withdrawal signs and symptoms after the very first 3-5 days of startingSuboxone. You may additionally ask for extra medication to help ease withdrawal symptoms to make sure that you can proceed with your everyday activities (work, college, and so on) without avoiding a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Hollywood California


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 used for treatment of moderate to serious discomfort and also is known for being very addicting. It normally starts to regulate pain within fifteen minutes and also can for as much as six hours with the immediate launch formulation. It is also offered under the brand names Roxicodone as well as OxyContin (which is the extensive release form), to name a few. The extensive release kind is gradually released into the body and supplies around the clock discomfort control. As a result of the slower beginning, it has less potential for abuse compared tooxycodonewhich has a quicker onset of activity.



For How Long Does Oxycodone Withdrawal Last?

The onset ofwithdrawal symptomsroughly begins regarding eight to twelve hours after last usage. Symptoms typically come to a head around day 3 and also rarely last longer than five to 7 days. As always, there can be a prolonged withdrawal phase depending on the seriousness of dependency and depending upon individual variables.

The Family Members MD Specializes in Oxycodone Addiction and also Withdrawal Therapy

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to help people overcomeoxycodone addictionandwithdrawal. Get started today by scheduling a virtual check out with one of our board- certified physicians. Whether youre in the house, at the office, or on lunch break, weve got you covered as well as are right here to make recovery easy. Click on this link to arrange now.

 

 

Exactly how it functions
It is necessary to first quit all oxycodone use. You need to wait until you have moderate to moderatewithdrawal symptoms( typically 12- 72 hours) before taking your first dosage of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both really uncomfortable and also might be dangerous. Proceed as guided by your medical professional and thats it. Typically 95% of our clients do not have any withdrawal symptoms after the first 3-5 days of beginning Suboxone. You might additionally request extra medicine to help relieve withdrawal signs and symptoms to ensure that you can proceed with your everyday activities (job, school, etc) without avoiding a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Hollywood California


What is Fentanyl?

Fentanyl is a synthetic opioid, which suggests that it is developed by pharmaceutical business in the laboratory. It is an extremely powerful opioid and also is about 50- 100 times more stronger than morphine. Because of its effectiveness, it is mostly being used for discomfort administration therapy of cancer cells people. Of note, many customers are not aware they are purchasingfentanyllaced items when they purchase opioids. Distributors do this due to the fact that it makes medicines more affordable, enhances effectiveness, raises addicting properties, and because of this, makes thesefentanyllaced medicines exceptionally dangerous also in tiny dosages. Beginning to activity is three to 5 mins if made use of intravenously. Various other typical kinds that it is produced 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 start ofwithdrawal symptomsroughly starts concerning six to twelve hrs after last use. Signs and symptoms typically come to a head around day three as well as seldom last longer than 5 to 7 days. However, it may take place relying on the extent of dependency or case by situation basis.

The Family MD Focuses On Fentanyl Addiction as well as Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to assist patients overcomefentanyladdiction andwithdrawal. Start today by scheduling an online go to with among our board- certified medical professionals. Whether youre in the house, at the workplace, or on lunch break, weve got you covered and are below to make recovery very easy. Visit this site to set up currently.





How it functions
It is necessary to very first quit all Fentanyl usage. You have to wait up until you have mild to modest withdrawal signs (generally 12- 72 hrs) prior to taking your initial dosage ofSuboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both really uncomfortable and also may be dangerous. Continue as guided by your doctor and thats it. Normally 95% of our clients do not have any kind of withdrawal signs after the very first 3-5 days of starting Suboxone. You might additionally request added medication to help alleviate withdrawal signs to ensure that you can continue with your day to day tasks (work, institution, and so on) without avoiding a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Hollywood California

 

What is Oxymorphone?

Oxymorphoneis a very potentopioidindicated for the treatment of extreme discomfort. It is a lot more frequently understood asOpanaor Numorphan. It is significantly more powerful than morphine and also is used to treat discomfort that is less competent to other opioid medications. In 2017, the FDA asked the maker of oxymorphone to remove its item from the US market as well as considering that has actually been inaccessible in the US. Nonetheless, prolonged release oxymorphone solutions are still available in the US due to its slightly reduced abuse possibility. The instant launch controls discomfort 5-10 mins if taking IV, and also after thirty minutes if taken by mouth, and afterwards last 3-4 hrs. If taking the extensive release, 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 essential to very first stop all oxymorphone usage. You need to wait until you have mild to modest withdrawal signs and symptoms (normally 12- 72 hours) before taking your first dosage of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both extremely uncomfortable as well as may be dangerous. Proceed as routed by your physician which it. Typically 95% of our patients do not have anywithdrawalsymptoms after the initial 5-7 days of startingSuboxone. You may likewise request added drug to assist reduce withdrawal signs to ensure that you can proceed with your daily tasks (work, school, and so on) without missing a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Hollywood California

 

What is Tramadol?

When it was initially approved in 1995, tramadol was not considered an opiate even though its device of action was comparable. Nonetheless, due to all the instances of abuse as well as addiction, the FDA eventually assigned tramadol as a dangerous drug in 2014. Compared to other controlled substances nevertheless, tramadol has less potential for abuse. Because of this, tramadol is among the many usual therapies for osteo arthritis and also other painful problems.


The Length Of Time Does Tramadol Withdrawal Last?

The onset of withdrawal symptoms roughly begins concerning thirty- 6 to seventy- two hours after last use. Signs normally last five to eight days. As constantly, there can be a long term withdrawal stage relying on the severity of dependency as well as relying on specific aspects.


The Family Members MD Focuses On Tramadol Dependency as well as Withdrawal Treatment

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to assist individuals conquer tramadol addiction and withdrawal. Get started today by arranging a virtual check out with one of our board- licensed doctors. Whether youre at home, at the workplace, or on lunch break, weve got you covered and are below to make recovery simple. Go here to schedule currently.

 

 

How it works

It is important to first stop all tramadol usage. You need to wait up until you have light to moderate withdrawal signs (usually 12- 72 hrs) prior to taking your initial dosage of Suboxone. If it is taken too early, it can require you right into precipitated withdrawal, which is both very uneasy and also might threaten. Proceed as guided by your doctor which it. Typically 95% of our individuals do not have any kind of withdrawal signs after the initial 3-5 days of beginning Suboxone. You might also ask for extra medication to help relieve withdrawal signs to make sure that you can continue with your day to day activities (work, institution, etc) without missing a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Hollywood 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 Hollywood 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 Hollywood 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 Hollywood California

What is Meperidine?

The brand name version of Meperidine is called Demerol. It has a misuse prospective similar to that of morphine, but it needs to not be used for therapy of chronic discomfort. Meperidine ought to just be utilized in the treatment of severe episodes of extreme pain because of the danger of seizures from the accumulation of meperidine metabolites, particularly normeperidine, if it is made use of long term. Along with seizures, it can likewise trigger serotonin syndrome if utilized in mix with specific medicines. It is available in intramuscular, subcutaneous, intravenous, syrup, and tablet types.



For How Long Does Meperidine Withdrawal Last?

The beginning of withdrawal symptoms roughly starts about three- twenty four hrs after last usage. Signs and symptoms normally peak around 3 days as well as begin to lower in strength after the first week. Some signs and symptoms might be presented for a prolonged time period relying on the intensity of the dependency.

The Family Members MD Focuses On Meperidine Addiction as well as Withdrawal Treatment

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to assist individuals get over Meperidine dependency and withdrawal. Begin today by setting up an online visit with one of our board- certified medical professionals. Whether youre at home, at work, or on lunch break, weve got you covered and also are below to make recuperation simple. Click here to set up currently.







How it functions

It is very important to initial quit all Meperidine use. You should wait up until you have light to moderate withdrawal signs (typically 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 extremely uneasy and also might threaten. Continue as routed by your medical professional which it. Usually 95% of our patients do not have any type of withdrawal signs and symptoms after the first 5-7 days of starting Suboxone. You might likewise request additional drug to assist ease withdrawal signs and symptoms so that you can continue with your daily activities (work, institution, and so on) without skipping a beat.