I've taken two of the toughest things we like to do at Train Out Pain Chiropractic for metabolic conditioning and combined them.  The result was awesome.  Firehose conditioning then 1/2 way up the stairs.  The rest interval was the walk down.  Repeat for 5-8x depending on how your feeling.  This was the last set of 6.  It took about 8 or 9 minutes, but you could feel your metabolism on fire for hours after.  
 
 
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