Kick the Filthy Smoking Habit

Donald Duck
Donald Duck | Source
Source
Benzo[a]pyrene
Benzo[a]pyrene | Source

1. Some smokers' experiences

No, I'm not a smoker. I tried smoking, and it did not agree with me.

I'm also not a physician. My academic background is in analytical chemistry. Suffice it to say that I'm not an expert on smoking cessation. Hence the picture. You can mentally substitute Larry the Quack for Donald Duck if you like.

I've known many smokers, some of whom have managed to quit. The overwhelming majority of successful quitters used the unassisted Cold Turkey method.

When my late father was in his fifties, his physician scared the bejesus out of him: Stop smoking immediately, or you'll die before your time. His father had already died from lung cancer. My father was emotionally ready to hear that message.

First, he switched from cigarettes to cigars. His rational: Since cigar smoke is stronger, I'm less likely to inhale, and less likely to get lung cancer. However a few months down the road, he became aware that he was inhaling the cigar smoke!

Then he went Cold Turkey. And while conquering the Tobacco Jones, he chewed a lot of gum!

My father's story is fairly typical of successful long-term quitters. They usually fail on the first attempt. Then they take stock, and try to understand what went wrong. The self-knowledge gained from that experience puts them in a stronger position to be successful on a later attempt.

One of my hiking companions used the Gradual Withdrawal method until she got down to five cigarettes per day, and then stopped abruptly at that point.

An online Scandinavian acquaintance successfully switched from smoking to Swedish Snus. The Swedish government takes a pragmatic approach to nicotine addiction: Harm reduction is better than smoking. As compared with the government regulations on tobacco products in the USA, the Swedish government has stricter safety standards for Snus manufactured in that country.

Swedish Snus does contain nicotine, but it does not contain benzo[a]pyrene and other polycyclic aromatic hydrocarbons (PAHs)--aka tars--found in tobacco smoke. Although nicotine has been demonized in the popular press, PAHs contribute more to lung cancer risk.

"Mike," another acquaintance, tried the nicotine patch, and it had no effect on his smoking addiction. His comment: The nicotine patch helps me to enjoy my cigarettes more!

This is really puzzling. If nicotine is the only addictive ingredient in cigarette smoke, why is oral or transdermal nicotine ineffective for some cigarette addicts? I call this Mike's Paradox. We'll return to it in the fifth section.

WebMD has a politically incorrect article about one beneficial effect of nicotine: Nicotine Slows Parkinson's Disease.


2. More political incorrectness

Sometimes it's difficult to distinguish between a brilliant idea and good scientific humor. Of course, these two things are not mutually exclusive.

Many years ago, I subscribed to a health newsletter, published by Durk Pearson and Sandy Shaw. They had a great suggestion for decreasing the harm of cigarette smoking. Do your homework, and find the published tar and nicotine levels for various brands of cigarettes. (I'm assuming that these measurements are reasonably accurate.) Then choose the cigarette brand with the highest nicotine:tar ratio. Why?

You want to satisfy your nicotine craving, while consuming the least amount of carcinogenic tars. I'd like to add one more thing.

Put out the cigarette as soon as the craving is satisfied. Then use a small scissors to cut off the burnt end, and put the remainder of the cigarette into small metal box, for later use. Cigarettes are expensive!


3. The medical approach

A long time ago, I saw my very first TV advert for a medication. It was for Zyban. (I found out later that it's supposed to help smokers quit). I was surprised for a couple of reasons. For many years, the FDA had been exercising a blanket prohibition on this type of advertising. Why did they inch back from their previous position?

Second, the advert said absolutely nothing about smoking! Zyban is here! Ask your doctor about Zyban! Blah, blah, blah.

I remember thinking at the time: What the dickens is Zyban? What's up with that?

It finally dawned on me that this was a trial balloon, designed to gauge the effectiveness of a new venue for medical advertising. If the dry run was successful, under-informed people would pester their doctors for Zyban prescriptions to address a whole host of medical issues. Then a survey of physicians could determine the extent to which this was actually happening.

Yes, we do have laws that require safety testing. And because of the Keefauver Amendment, efficacy testing is also required.

However I've never met anyone who was helped by Zyban, by Cytisine, or by Varenicline. The medical approach to assisted smoking cessation appears to be a case where helping people is secondary to the profit motive. Nevertheless it does some good. And it's reasonably cost-effective, because a few people do benefit from the meds, and from the hand-holding; and because smoking is so harmful.

What I'm saying is this: Be realistic. At the moment, there is no medical silver bullet for nicotine addiction. Your physician is not going to solve your smoking problem for you. At best, he can stack the deck in your favor. To a large extent, you're on your own. You'll need to discover what works for you, and then to apply your discoveries--even if they're politically incorrect.


St Johns Wort
St Johns Wort | Source

4. A natural remedy?

The Wikipedia article mentioned the herb, St Johns Wort. There's probably something to this idea, and it may apply more to women than to men. One caveat: This herb affects the activity of an important liver enzyme, CYP3A4. This could be a concern if you're taking certain medications.

If you choose to experiment with St Johns Wort, you may want to schedule a Brown Bag Review with your pharmacist, outside of his normal working hours. Take all of your medications and supplements with you. And of course, pay him for his valuable time.


Acetaldehyde
Acetaldehyde | Source

5. The acetaldehyde connection

Here's an answer to Mike's Paradox, which I mentioned earlier. A study at the University of California at Irvine found a cross-addiction between nicotine and acetaldehyde. (Acetaldehyde is a by-product in the combustion of dried leaves from most plants, including tobacco.)

Acetaldehyde is a nicotine synergist. The craving for acetaldehyde is a component of cigarette addiction. Moreover acetaldehyde decreases the nicotine dose that's needed to satisfy the cigarette Jones.

The UCI study explains why nicotine patches and nicotine gum fail to satisfy the cravings that some cigarette addicts experience.

It's also been found that smoking dried leaves from a nontoxic plant is more satisfying for some cigarette addicts than oral or transdermal nicotine! Now we know why.


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Sherry wine and olives
Sherry wine and olives | Source
Total Gym 14000, an upscale version of the entry level TG that I have.
Total Gym 14000, an upscale version of the entry level TG that I have. | Source

6. My recommendations

If you're not ready for Cold Turkey yet, here's a harm-reduction option. When you're at work, use Swedish Snus. After you get home, and have done all of your driving for the day, have a teaspoon of Sherry wine with each dose of Swedish Snus. (Note that the quantity of wine that I'm recommending is quite small.) Why?

The ethanol in the wine is metabolized into acetaldehyde. Sherry already has a little acetaldehyde (which contributes to the flavor), and should be slightly faster acting than other types of wine. Again, the acetaldehyde will give you more bang for your nicotine buck.

But if you're a recovering alcoholic, the Sherry would be a bad idea.

When you're ready to go Cold Turkey on the nicotine, it would also be a good idea to avoid alcohol at first.

Acetaldehyde (an ethanol metabolite) and nicotine have some overlapping effects. Having a drink could ignite your cigarette craving a few hours later. Moreover alcohol tends to decrease inhibitions. That could be a problem when you're struggling with nicotine cravings.

After you've successfully avoided cigarettes for a year, you may want to try a glass of wine or beer, to see if it causes nicotine cravings.

Do this experiment on a weekend when you're hanging out with emotionally supportive, non-smoking friends.

Avoid coffee. For many smokers, coffee increases the craving for cigarettes. If you enjoy a caffeine jolt in the morning, drink a cup of tea instead. I've tried some fantastic tasting Oolong tea from Taiwan.

Nicotine is a testosterone mimic. That's why the voices of heavy smokers--both men and women--tend to deepen after several years. And it partially explains why successful quitters tend to gain weight after kicking the filthy habit.

Middle-aged men who wish to give up smoking may fill the hormone void with a strength-training exercise that increases testosterone. One-leg Total Gym squats at home (or leg presses at your local gym) should be helpful in that respect.
Link to scientific journal article

Choose a resistance level where you can do a maximum of 8 repetitions. If you get winded from that, do 2 sets of 4, and take a minute to catch your breath between the two sets. Do the 8 max one-leg squats every other day. Of course, you'll need to gradually increase the resistance, because you'll get stronger over time.

I do one-leg squats for general health, and as cross-training for uphill hiking.

Copyright 2012 and 2013 by Larry Fields

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Comments 10 comments

WillStarr profile image

WillStarr 4 years ago from Phoenix, Arizona

In my own experience in quitting smoking (after nearly forty years), I discovered that the nicotine addiction was secondary to my psychological addiction.

Just as we train our subconscious mind to handle everyday tasks like walking and playing a musical instrument, we also train our subconscious mind to smoke. That’s why we can get out a cigarette, light it, smoke it, and put it out without conscious thought at all (and all smokers have done it many times!) It’s our own subconscious mind, therefore, that nags us to light up, despite the fact that we are getting our nicotine fix from a patch.

Once I realized that I also needed to retrain my subconscious mind not to smoke, and that the nagging would decrease every day that I did not light up, I was finally able to quit smoking permanently. So yes, nicotine is addictive, but the real culprit is our own, highly trained, subconscious mind nagging us to light up!

Smokers who have quit for years sometimes find themselves reaching for a non-existent cigarette if they, for instance, sit down with a cup of coffee and the morning paper, a situation where they aways used to light up. That’s not nicotine. That’s our subconscious mind, yielding to an old habit!

Excellent and informative Hub, Larry!


Larry Fields profile image

Larry Fields 4 years ago from Northern California Author

Hi Will. Thanks for your comment. As you point out, there's a big psychological component to the smoking habit, and probably to other addictions as well.

Smokers who aspire to quit could profit from your story, and from the stories of other successful 'quitters'. One of these days, when you have the time, perhaps you could write a hub on the subject?


Paul Kuehn profile image

Paul Kuehn 4 years ago from Udorn City, Thailand

Larry,

This is an excellent useful hub for smokers who are thinking of quitting. Like, your father I was scared into quitting 17 years ago for fear of getting lung cancer and dieing if I ever lit up again. Although the nicotine is addiciting, the unconscious psychological habit is the most important thing to break. Just like an alchoholic, I will always avoid smokers and smoke filled places and surround myself with supporting people. Voted up and sharing.


Larry Fields profile image

Larry Fields 4 years ago from Northern California Author

Hi Paul. Thanks for your comment.


Nell Rose profile image

Nell Rose 4 years ago from England

Hi, I gave up years ago for about five years, then loads of stress made me go back, I now use the old chewing gum routine to keep me from smoking! drives everyone mad with my chewing but as long as it keeps the cigs away that's great, it is as someone mentioned, the psychological effect too, or should I say the habit of taking the cig out and lighting it, still want one occasionally though! lol!


Larry Fields profile image

Larry Fields 4 years ago from Northern California Author

Hi Nell. Thanks for stopping by.

Smoking is said to be one of the biggest addictions out there, in terms of the percentage of casual users who become hooked.

My big craving is food, and lots of it. Almost every day, I need to make a concerted effort to get enough, without pigging out.

As compared with overeating, one advantage of smoking is that Cold Turkey is an option.


Nell Rose profile image

Nell Rose 4 years ago from England

Thanks Larry, and for the share, much appreciated, cheers nell


Larry Fields profile image

Larry Fields 4 years ago from Northern California Author

Here's a response from Edward, who posted this response at a small social networking site, free-associationdotnet:

"Have a family member who quit while at a family reunion at the beach, some 16yrs ago. Last time at the beach, watching a smashing red head walking along in a meager swim suit, his daughter called him out for staring. 'I'm not staring at her; I'm watching her cigarette.'"


tjlajoie profile image

tjlajoie 16 months ago from Lewiston, Maine

I quit smoking 20 years ago...cold turkey. But I didn't just get up one day and decide to do it. I planned it out, set a date, and mentally prepared myself for that. I set the date 1/1/95. Around October 31 I started telling myself several times a day...one X amount of weeks, you're quitting on 1/1. I smoked as usual up until the last week. Then I smoked as much as I could stand. I smoked when I normally would and I smoked when I didn't normally smoke. The last day 12/31 I literally smoked myself sick...I think I smoked 3 packs (I usually was a 1 pack a day guy). I lit my last smoke at 11:50, in preparation for midnight. You would think, being my last cigarette, that I would have smoked it right down to the butt but I didn't...I couldn't even finish. I was just sick of smoking. My first day as a quitter 1/1/95 I woke up with such a nicotine hangover that the thought of having a cigarette made me physically sick...and I felt that way for a week. I read somewhere that nicotine metabolizes out of your system in 3 days. After I started feeling better the physical cravings were gone, I was just dealing then with the "habit" of smoking. I started filling that "smoking" time with other stuff, i.e. read a book, do a crossword, drink a coffee, take a walk. I haven't had a smoke since.


Larry Fields profile image

Larry Fields 16 months ago from Northern California Author

Hi Tim. Thanks for your inspirational story.

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