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    How to quit smoking, with help from science

    en-usJanuary 16, 2020

    Podcast Summary

    • Quitting smoking is a journey, not a one-time eventPrepare for quitting smoking journey, use proven methods, never give up, and overcome challenges to increase chances of success

      Quitting smoking is a journey, not a one-time event. Using the analogy of a road trip, if you encounter a setback, it's important not to give up and go back to the starting point, but rather find a way to overcome the challenge and continue moving forward. The process of quitting smoking involves preparation and the use of proven methods and strategies. Scientists have conducted extensive research on quitting smoking, and their findings are clear: one of the most effective ways to increase the likelihood of success is to never give up trying. The episode provides listeners with practical tips and advice to help them prepare for their quit attempt and increase their chances of success. Additionally, the sponsors, Whole Foods Market and Apple Card, offer resources to help make the journey to quitting smoking and hosting a celebratory brunch more affordable and rewarding.

    • Reframe your mindset to quit smokingInstead of focusing on negatives, recognize illusions and develop a personalized plan for quitting smoking to find freedom

      Quitting smoking is a personal and challenging journey, but having a clear reason why you want to quit and reframing your mindset can make a significant difference. Allan Carr's approach, as mentioned in the Easy Way to Stop Smoking book and interviews, suggests that instead of focusing on the negative aspects of smoking, such as health risks and costs, one should recognize and eliminate the illusions that make smoking seem necessary, such as stress relief or a coping mechanism. By understanding that nicotine dependence is the root cause of the anxious feeling that leads to smoking, quitting becomes an opportunity for freedom rather than a battle against forbidden fruits. Developing a personalized plan, which could involve seeking support from family, preparing gradually, or experiencing a health scare, can also increase the chances of success.

    • Combining medication and counseling for best resultsQuitting smoking successfully involves managing physical, behavioral, psychological, and social aspects with medication and counseling.

      Quitting smoking is a complex process that requires a multi-faceted approach. According to research, the most effective way to increase the chances of success is by combining both medication and psychosocial or behavioral treatments. These methods address the physical, behavioral, psychological, and social aspects of smoking addiction. Medications help manage nicotine cravings and withdrawal symptoms, while counseling provides support, guidance, and a personalized plan to tackle the emotional and social challenges of quitting. It's essential to prepare for the "four-headed dragon" of quitting: physical dependence, behavioral dependence, psychological challenges, and social pressures. By seeking help from counseling services like state quit lines, you can receive tailored advice, support, and even free medication samples. Remember, quitting smoking is a journey, and it's crucial to give yourself the best chance possible to succeed.

    • Nicotine addiction and withdrawal symptomsThe FDA approves seven medications to ease nicotine addiction symptoms, five are NRTs delivering nicotine in various forms, and one is varenicline that blocks nicotine effects without delivering it.

      Nicotine in cigarettes targets receptors in the brain, releasing feel-good chemicals and leading to addiction. When people try to quit, they may experience withdrawal symptoms like increased urges to smoke, irritation, and anger. The US Food and Drug Administration has approved seven medications to help ease these symptoms, five of which are nicotine replacement therapies (NRTs). NRTs deliver nicotine in forms like gum, lozenges, patches, inhalers, and sprays, providing a steady dose or combating specific cravings. The probability of becoming addicted to these products is less than smoking cigarettes, and nicotine itself does not cause cancer. Another medication, varenicline (marketed as Chantix), interacts with the brain's nicotine receptors to block the drug's effects without delivering nicotine. These medications can help smokers focus on the other challenges of quitting, like developing new routines. Remember, it's essential to consult a doctor before deciding which medication is best for you.

    • Exploring methods to quit smokingNicotine replacement therapies like Chantix and Zyban reduce withdrawal symptoms and cravings, but come with side effects. Vaping is a popular alternative, but long-term consequences are unknown. Cravings last only a few minutes and can be managed through distraction.

      There are various methods and medications available to help individuals quit smoking, with nicotine replacement therapies like Chantix and Zyban being effective in reducing withdrawal symptoms and cravings. However, these medications come with their own side effects, and the FDA has removed certain warnings regarding mental health side effects. Another controversial yet popular alternative is vaping, which some people find helpful in quitting smoking due to fewer toxic chemicals compared to cigarettes, but long-term consequences are unknown, especially after recent lung injury outbreaks. Medications aren't the only solution, as individuals can also plan for substitutes or alternative behaviors during cravings, which tend to last only a few minutes. Cravings follow a pattern and can be managed by distracting oneself with fun activities or physical exercise. Remember, the craving will pass, and with proper planning and distraction, individuals can successfully navigate the challenging journey of quitting smoking.

    • Quitting smoking: A worthwhile journeyReplace smoking with healthier alternatives, prepare for triggers, seek support, remember progress, and embrace the new identity of a nonsmoker.

      Quitting smoking is not an easy task, but it's a worthwhile one. Replacing the habit of smoking with healthier alternatives, such as push-ups or engaging in new and exciting activities, can help make the process easier. Preparing yourself for potential triggers and seeking support from loved ones can also make a significant difference. Remember, every time you resist the urge to smoke, you're celebrating your freedom from addiction. It's important to remember that quitting smoking is a shift in identity, and it may take time to fully embrace the new self-image of a nonsmoker. So, be patient with yourself and keep pushing forward. Additionally, understanding that smoking is a finite addiction and that cravings are a sign of progress can help keep you motivated during the challenging moments.

    • New experiences trigger the reward system in the brain, helping former smokers quitFormer smokers have more self-expanding events, activating the reward system and aiding quitting. It's a good time to consider quitting when there are other sources of reward and motivation in life.

      Self-expanding events, which can be anything from getting a promotion to making a new friend, play a crucial role in helping people quit smoking. According to research, former smokers had about double the number of these new and novel experiences compared to current smokers in the lead-up to quitting. These experiences activate the reward system in the brain, which is also implicated in addiction. Therefore, having other sources of reward and motivation in one's life may make it a good time to consider quitting smoking. It's important to note that there isn't a bad time to think about quitting, and even small steps like smoking one less cigarette than the day before can help increase the odds of a future quit attempt. While it's not necessary to pick up a new hobby or fall in love to quit, these experiences may provide insight into when someone might be ready to make a quit attempt.

    • Quitting smoking brings numerous health benefits at any ageQuitting smoking improves health, saves money, and provides newfound strength and motivation to tackle other challenges

      Quitting smoking, no matter the age or stage of life, brings numerous health benefits. Renat Greenberg, a former smoker, shared her pride and newfound strength after quitting, inspiring her to tackle other challenges. Jodi Wilke from Georgia expressed her happiness with improved skin, eyesight, and lung health, as well as the financial savings. Hatsukami emphasized the importance of starting the quitting process as soon as possible for maximum health benefits. The process of quitting involves making a plan, seeking help through medication and counseling, and finding strategies to combat smoking's social and self-image aspects. Embracing other things in life can also aid in the quitting journey. Remember, every small step away from smoking is a win, and it's never too late to start reaping the rewards.

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