US /aʊt əv ˈkɪltɚ/
・UK /aut əv ˈkiltə/
Her heart rate variability, her resting heart rate, her temperature, they were all out of kilter.
Her heart rate variability, her resting heart rate, her temperature, they were all out of kilter.
and probably many cultures have been very material for many years, so we're not that out of kilter with our ancestors.