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Quitting guide
Making the Decision

This section provides information about smoking and helps you understand your own smoking habit. Even if you’re not thinking about quitting right now, it can be helpful to understand the reasons that you smoke and the effects that smoking has on you and your family.  There are state-of-the-art self-assessment questionnaires on QuitNet that you can use to better understand your own personal smoking experience.

Health Risks of Smoking
Cigarettes are one of the few consumer products that aren't regulated.[1] So, in order to determine the chemical makeup of cigarettes, we rely on the Federal Trade Commission’s studies of tobacco smoke.[2]  More than 40 of the chemicals the FTC found in cigarette smoke cause cancer in humans. The most dangerous components of tobacco are described below.

Nicotine:
Nicotine is a drug produced naturally in tobacco leaves.  It’s nicotine that hooks you to cigarettes.[3] Studies have shown that nicotine can have as much power over your brain as heroin and cocaine. Nicotine gives your brain a quick sensation of pleasure and when it starts to wear off (usually within minutes after finishing a smoke) your brain starts wanting or craving more. Nicotine increases heart rate and blood pressure, and decreases circulation by constricting blood vessels- this makes nicotine a major risk factor for heart disease and stroke. Nicotine promotes peptic ulcers; releases hormones that affect the central nervous system; interferes with nerve-muscle communication; and is directly responsible for a host of other health risks related to sexual functioning, fertility, fetal development, miscarriages and neonatal deaths, and brain functioning. That’s why some Quitsters call it the Nicodemon. 

Carbon Monoxide
Cigarettes produce carbon monoxide, the same deadly odorless, colorless gas that comes out the tailpipe of your car or a faulty gas heater.  In high enough concentrations it is deadly; in lower doses it causes shortness of breath and increased heart rate.  Fortunately, the body is able to eliminate most of the carbon monoxide fairly quickly once you quit smoking.  Most people who quit feel more energetic and less short of breath within just a few days of quitting.

Cyanide, Arsenic, and Other Nasty Stuff:
…like Formaldehyde, Benzene, Radon, and the radioisotope Polonium 210. The Environmental Protection Agency could arrest you for putting these poisons into the ground, yet tobacco advertising urges you to breathe them!  When you smoke, small amounts of these awful chemicals are spread around and stored in every tissue and cell in your body where they can speed up the growth of cancer cells and  degenerative diseases.

Tar
Tar comes from the burning of cigarettes and is one of the main components of cigarette smoke. In a solid form, tar is a sticky brown substance that causes yellow-brown stains on fingers, teeth, clothes, and furniture.  If you smoke in your car, try cleaning the inside windshield sometime.  Imagine what all that tar must look like in your lungs.

Risks for smokeless tobacco users:
Chewing smokeless tobacco puts many of the same chemicals and poisons into your body. That’s why people who chew tobacco for many years are 50 times more likely to get oral cancer, gum disease and lose their teeth than people who do not chew. The risk of other cancers, heart disease, and ulcerative colitis is 50-70% higher among chewers.

About Secondhand Smoke:
Cigarette smoke hurts many more people than just the smoker. Children under the age of one whose parents smoke are more than 2 times as likely than children of nonsmokers to suffer asthma, bronchitis, pneumonia, and other respiratory tract illnesses.[4] A child’s lung tissue is especially vulnerable to damage, even when the concentration of secondhand smoke is relatively low.[5] This means that smoking in a car, even with the windows open, is still dangerous to a child.  The younger the child, the more vulnerable the lung tissue.[6]

Fertility and Sexual Potency:
Cigarette ads try to make smoking sexy, but the opposite is true. The fertility rates of smoking women are at least 30% lower than those of non-smokers, and these women are up to 3 times as likely to miscarry when they do become pregnant. The children of smoking mothers are at significantly higher risk of premature birth, stillbirth, low birth weight, birth defects, and the development of childhood allergies and learning disabilities. The risk of impotence among smoking men is at least twice that of nonsmokers.[7] Smoking also reduces sperm density and motility, which can increase the risk of infertility.

Wrinkles, discolored skin:
The models in the ads probably don’t smoke because many smokers in their 40s have facial wrinkles similar to those of nonsmokers in their 60s.[8],[9],[10] Smokers are almost 5 times more likely to develop more, and deeper, wrinkles than are nonsmokers.

The Big Three Health Benefits Of Quitting

Greatly reduced risk of premature death:
Quitting lowers your risk of dying early by 50% within 5 years of quitting.  After 15 years the risk is the same as if you had never smoked.[3]

Reduced risk of lung cancer, emphysema, and bronchitis:
Your risk of lung cancer drops by 30%-50% after 10 years of being smoke-free.  The longer you stay quit, the lower the risk.  If you’ve begun to develop emphysema and or chronic bronchitis, quitting will essentially stop the progression of the disease and allow your respiratory system to compensate for damaged tissue.[3]

Reduced risk of coronary heart disease:
The potential for smoking-related heart disease is cut in half one year after quitting.  Within 15 years the risk is the same as that of someone who never smoked.[11]

Reasons For Quitting
Almost every smoker both likes and dislikes certain aspects of smoking. Once you begin to identify the things you dislike about smoking, and the reasons you want to quit, it gets easier to set a quit date and develop a plan you can stick to.  Listed below are a few of the most common reasons why QuitNet users have decided to quit.  Take some time to really think about why you want to quit.  Make your own list. Let us know if there are reasons we should add to our list.

Reasons for Quitting

      • Freedom from nicotine urges and cravings
      • Reduced risk of lung cancer, heart disease, emphysema, stroke, and lots of other
      • diseases
      • Fewer colds and missed days of school for my kids
      • Fewer stomach problems
      • Being a good role model for my children
      • Fewer sore throats
      • No more thick phlegm
      • Improved sense of taste and smell
      • Sleeping better
      • Not needing as much sleep
      • Saving money
      • No more “smokers’ headaches”
      • No more smokers cough
      • Having more energy
      • Not having to worry about offending or bothering others with smoke
      • No more stains on my fingers
      • Being able to walk farther and breathe more easily
      • No more complaining from my friends and family about my smoking
      • Being able to exercise harder and longer
      • Being able to breathe more easily
      • Longer and healthier life
      • Feeling proud
      • Feeling good about myself!
      • FILL IN YOUR REASONS FOR QUITTING…

Stress, Weight Gain and Alcohol
Quitting is hard enough by itself.  But when you add things like stress, depression, weight gain, and alcohol to the equation, it makes quitting even tougher.  The good news is that there are things you can do to overcome each of these barriers and quit successfully!

Stress and depression:
When you’re stressed out, what’s the first thing you do?  If you reach for a cigarette, you’re not alone. Most smokers say that cigarettes help them cope with stress, and that having too much stress makes it hard to quit. Lots of people said they started smoking more after September 11. Learning other ways of coping with stress and tension may make quitting easier… or at least make your life seem a little more manageable.

There is also a strong link between depression and smoking.  People who suffer from depression are more than 3 times as likely to be dependent on nicotine as people who are not depressed.  Smokers who are more depressed have a harder time quitting too.[12],[13]  Researchers are not exactly sure why there is such a strong connection between the two… except that some of the same brain chemicals are probably involved.

If you have ever been diagnosed with depression, even if you are not currently depressed, you should consider taking Zyban™ when you decide to quit.  Zyban is a medicine that helps with symptoms of depression and decreases the urge to smoke for many people.


Concern about weight gain:
Many smokers are concerned about gaining weight.  This concern is a common reason why many smokers don’t even want to think about quitting.  Actual weight gain is also a main reason why many people go back to smoking after they have quit.[14] There is a special forum on QuitNet where many members help each other with this issue.  The reality is that some weight gain while quitting is normal, usually about 5 to 8 pounds.  However… you would have to gain at least 75 pounds to in order for it to be as dangerous as smoking. The keys to controlling your weight as an ex-smoker are no different than everyone else’s: exercise and healthy, low fat meals which include fruits and vegetables.

Alcohol use
As many smokers know, the connection between cigarettes and alcohol can be quite strong.  In fact, many research studies have shown that cigarettes and alcohol stimulate the same areas of the brain.  Maybe that’s why taverns and nightclubs fight smoking bans so much. Did you know that…

  • per person, smokers drink about twice as much alcohol as non-smokers?
  • people who drink heavily are more likely to smoke heavily too?
  • reducing drinking helps people quit smoking?
  • quitting smoking helps with sobriety among alcoholics?
  • relapse to drinking may cause smoking relapse?[15]

You may find that being around other people who are drinking and smoking makes you want to drink and smoke more. If you decide to quit, you might find it helpful to cut back on drinking while you are trying to quit smoking, or at least avoid drinking in smoky environments. Many QuitNet members attend the online discussions in the QuitNet forums to support each other.

Women’s Issues

Gender differences in smoking
Not surprisingly, research shows that the smoking patterns and quitting experiences of men and women are often quite different.  Women smoke fewer cigarettes per day, usually smoke lower nicotine cigarettes, and do not inhale as deeply as men.[16]  Men are more likely to attempt a cold-turkey quit. Nicotine replacement products like the patch or gum do not appear to reduce craving as effectively for women as for men, and withdrawal may be more intense for women.[17]  Weight gain is also more of an issue for women.  Some interesting studies have shown that husbands may provide less effective support to women who are trying to quit than wives give to husbands.[26]

Pregnancy and Smoking
Quitting smoking is the single most important thing a pregnant woman can do to ensure a healthy baby.  Women who smoke are 3x more likely to have difficulty getting pregnant[18], and are more likely to lose their baby to spontaneous abortion and stillbirth[19].  Smoking has been estimated to cause as many as 140,000 miscarriages each year[20].  Smoking during pregnancy also causes premature labor and delivery, cleft palate and cleft lip, low birth weight, and numerous childhood cancers.  Smoke inhaled by young children of mothers who smoke is associated with an increased risk of sudden infant death syndrome (SIDS), asthma, pneumonia and other respiratory illnesses, and ear infections.[21]
Quitting early in the pregnancy provides the greatest benefit to the fetus. This is the time when the most important developments are taking place – the heart and lungs are forming and the brain is beginning to develop.  However, a woman and her baby will still benefit greatly even if she quits late in pregnancy.

Table of Contents
Making the Decision | Getting Ready
Hell Week & Beyond |Staying Quit
Footnotes

Content author: Alan S. Peters, CTTS-M
Reviewed by: Dexter Shurney MD, MBA, MPH, February 2008



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Factoid
Smoking causes premature wrinkling of the skin, bad breath, clothes and hair to smell bad, and nails to turn yellow.
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Kubby says:

photoMy KTQ motto is: I own my own quit. One smoke will kill it. This quit is something I now own. I possess it as the nicodemon once possessed me.
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