Be prepared to hear some confusing information

Joined: 18 Dec 2008, 23:57

31 May 2004, 19:21 #31

Everyone here has to know that they are drug addicts and to stay free is contingent on never administering nicotine again-not from cigarettes, cigars or pipes, not from chewing tobacco or snuff, not from nicotine laced products like inhalers, patches, gums, lozenges, or drops.

We are not just talking about not taking these products on special days like the day of a Smokeout, or New Years, or Christmas, or Thanksgiving, or Halloween, or Memorial Day, or Independence Day, any other holiday or special occasion that marks a new day or special day. Holidays and special days are no different than any other of the 365 days that occur in any year when it comes to drug addiction. They must all be treated the same-to overcome the passing of every 24 hour period for successfully smoke free entails always understanding that you must never take another puff!


Joined: 18 Dec 2008, 23:57

22 Oct 2004, 07:55 #32

I see we had a post up questioning the logic of the use of NRT. This string has quite a bit of good information in it. The 36th post in this string had what I thought were some important insights on a newer tactic of encouraging ex-smokers to keep a supply of NRT around, "just in case" they get an urge. Here is the comment I wrote covering this concept:

I feel that I am would be being negligent now though if I did not point out a tactic that I have not seen so blatantly used before by the pharmaceutical industry. The idea that you should keep any source of nicotine on hand just in case is absolutely ludicrous. It gives the impression that people have to have some nicotine around in case they have an urge. The fact is ex-smokers don't have physical urges they have psychological . Taking a dose of nicotine to deal with a psychological trigger will basically start the physical process of withdrawal again. If a person does it he or she had better be prepared for three more days of withdrawal. He or she had better have a good supply of his or her quitting aid on hand again to get through the following days for he or she has started up an active need again.

I think the other way that this comment needs to be looked at is the idea that an ex-smoker has to have something on hand "just in case" the ex-smoker finds himself or herself wanting a cigarette. What might happen if a person gets a thought and has no aid? Will he or she stop breathing? Will his or her heart stop? Will he or she burst a blood vessel unless he or she takes nicotine product? None of these things will happen. For the record, most ex-smokers are going to get an occasional thought and if they have a nicotine product in hand and have a feeling that it is better than smoking, or that it is an either they are either going to take this NRT product or they are going to smoke, they are going to take the product. The bottom line is there was and always will be a third option, which is not to take the product and not smoke. The person will get through the event with their quit totally intact.

We are seeing a new level of nonsense now. Every one of our members are living proof that all you need to have with you to keep your quit strong and secure in times of major crisis, minor emergencies, or just plain random thoughts is a personal commitment to never take another puff!


Joined: 18 Dec 2008, 23:57

06 Mar 2005, 19:31 #33

I see we have a new event happening happening later this week in what I think is a UK event called "No Smoking Day." I thought it might be a good idea to bring materials up to address much of the marketing that is going to be aimed at smokers wanting to quit over the next week. The increases in advertising and media kind of coverage that occurs over the next week may in fact result in more people starting to think about smoking cessation. Unfortunately, many are going to get side tracked into the marketing blitz of products to buy to quit as opposed to getting any real education or help in understanding how to quit and how to stay off. Being that we have the potential of having more people finding their way to Freedom this week I will be keeping many of our educational materials and information supporting cold turkey quitting near the top. For the record, quitting smoking and staying smoke free is as simple as just stopping smoking and then making and sticking to a personal commitment to never take another puff! Joel

Joined: 18 Dec 2008, 23:57

31 May 2005, 17:56 #34

Today is World No Tobacco Day. Depending on where you may live you need to be prepared for an onslaught of misinformation in order to sell products and services to help you to quit smoking. The only thing people need to "buy" in order to quit is to buy into the idea that they smoke because they are nicotine addicts and to successfully break free and stay free from the nicotine addiction now is as simple and inexpensive as just knowing to never take another puff.


Joined: 18 Dec 2008, 23:57

09 Aug 2005, 23:22 #35

With so much media coverage happening in America and Canada at the moment because of Peter Jennings' death, I though I had better prepare our readers to be informed about conventional wisdom advice that may be given in the mainstream media.

Joined: 18 Dec 2008, 23:57

15 Oct 2005, 08:56 #36

We have another month before we need to be worrying about this string in regards to the Great American Smoke Out. I am bringing it up here because it looks as if ABC News is going to be doing a story on quitting smoking. In case any of the producers actually stumble across our site, I thought it might be good to give them some insights to how we feel quitting stories often miss the mark when it comes to covering cold turkey quitting. Here is a link to the press release explaining that they are looking for people planning on quitting: ABC News Looking to Talk Hear From Smokers Wanting to Quit.

Joined: 18 Dec 2008, 23:57

04 Nov 2005, 18:30 #37

Well it is quite obvious that the ABC producers didn't stumble across our site or chose to ignored us if they did. The series recommendations are following the standard line of how almost everyone would benefit if they just used NRT or other pharmaceutical interventions. Our hope still is though that while most viewers may not get the real story, the interest being sparked in a series about quitting smoking may bring more people to the Internet and more people to and to Freedom.

While this string has mostly been used for short term events like the Great American Smoke Out and World No Smoking Day, I feel that it is going to get more of a workout this year while the ABC series continues to run.

I am attaching the following comment to a number of strings that address the advantages of cold turkey quitting, as well as spell out the disadvantages of pharmaceutical interventions.

I am starting to see where cold turkey quitting is starting to get bashed pretty heavily in the media. One of the techniques that is being used is having smoking experts come out and say that while everyone seems to know one person who has quit cold turkey, that most people just cannot quit this way. They are trying now to undercut the real world examples that people are inevitably exposed to since since this is the way that most people have successfully quit smoking. I would agree that if a person just seemed to know only one person who had successfully quit smoking by a certain technique, it would be a clear sign that maybe the technique was not very successful. The issue is that if people go through the trouble of finding out what technique was used by ALL of the people they know who had quit smoking, they would most likely find that most if not all of them were in fact cold turkey quitters.

Here is the standard commentary I use when addressing the issue of talking to ex-smokers: I really do encourage all people to take this survey, talking to long-term ex-smokers in their real world. People who you knew when they were smokers, who you knew when they were quitting and who you still know as being successful long-term ex-smokers. The more people you talk to the more obvious it will become how people quit smoking and how people stay off of smoking. Again, people quit smoking by simply quitting smoking and people stay off of smoking by simply knowing that to stay smoke free that they must never take another puff!

Again, go talk to as many long-term successful ex-smokers (people off all forms of nicotine for at least a year or longer) in your real world that you can find and find out how they quit. I don't believe that there is a single professional smoking cessation NRT advocate who will suggest to their patients that they take a similar survey. For if they did their credibility would be called into question almost immediately when the patient starting seeing the results of their real life survey.

Joined: 18 Dec 2008, 23:57

10 Nov 2005, 11:13 #38

Great American Smokeout Thursday
Here in the U.S. Thursday Nov. 17th's dawn will herald the 29th Great American Smokeout and yet another opportunity to quit smoking. But there's been a slight change since the American Cancer Society's first Smokeout in 1976. Over the past two decades the pharmaceutical industry was allowed to redefined the word "quitting."

Instead of the Smokeout being a day to discover that life without nicotine might actually be do-able -- and the days that follow as well -- over the next week millions in marketing will be spent encouraging smokers to spend the day toying with pharmaceutical grade nicotine, otherwise known as nicotine replacement therapy or NRT- the nicotine patch, gum, lozenge and inhaler.

The sales pitch is usually two-fold. First, it will be suggested that in the real-world use the patch, gum or lozenge will double a quitter's chances of quitting for good. Next it will likely suggest that quitting cold turkey is extremely difficult or that few cold turkey quitters succeed. Both assertions are false.

As for it being almost impossible to quit smoking cold turkey, nothing could be further from the truth. The American Cancer Society's Cancer Facts and Figures 2003 report indicates that over 90% of all long-term successful quitters quit smoking cold turkey. With 46 million ex-smokers, it means that more than 40 million Americans quit have successfully quit smoking cold turkey.

Contrary to it being almost impossible to quit cold turkey, a far more accurate and honest representation would be that it is the cessation method used by almost all successful quitters.

As for being twice as effective, only in formal clinical studies - not here in the real world. California, Minnesota, London, Quebec, Maryland, never once in any quitter survey have NRT users generated a higher six month quitting rate than those quitting entirely on their own. Never! But how can that be?

The pharmaceutical industry has known all along that nicotine is a psychoactive chemical which produces alert dopamine/adrenaline intoxication. It provides an extremely alert unearned "aaahhh" reward sensation. It makes the heart pounds faster, the fingers to grow cold and the senses perk.

In clinical studies quitters were told that they had a 50/50 chance of receiving weeks or months of free NRT products, or being assigned to a placebo group where the patch, gum or lozenge was normally nicotine free.

A June 2004 study published in Addictive Behaviors looked at blinding in clinical NRT studies and found that they were not blind as claimed, as 71% assessing blindness failed their own assessment as "subjects accurately judged treatment assignment at a rate significantly above chance."

Let's put it this way. If you were a smoker hoping to get weeks or months of free nicotine gum would you have stuck around and allowed yourself to be toyed with if your expectations were frustrated? The opposite is also true. If your expectations were fulfilled, would you have stayed around and attended the study's counseling sessions, accepted ongoing instruction and support (which each have their own independent quitting effectiveness), and have generally cooperated with those you knew were your ongoing source of free pharmaceutical grade nicotine?

What's it all mean? It means that NRT's clinical victories were not earned but by default. Contrary to marketing innuendo, never once in any clinical study did NRT quitters compete with quitters wanting to quit cold turkey - quitters with every expectation of abruptly ending all nicotine use.

There is no money to be made in on-your-own quitting and cold turkey quitting has few champions. But that isn't entirely accurate. It depends on your definition of champion, as here in the U.S. we're over 40 million strong.

John (Gold x6)

Last edited by John (Gold) on 12 Apr 2009, 07:29, edited 1 time in total.

Joined: 18 Dec 2008, 23:57

10 Nov 2005, 21:27 #39

I saw a new tactic performed last week on a news show that has been doing a month long series on smoking and quitting. The expert they brought in made a statement that smoking is a disease like diabetes or high blood pressure. Being a disease like these other two obviously meant that it needed to be treated like the other two, by using medications to treat the disease. I found it to be an interesting new tactic in the new spread of misinformation and misconceptions.

Smoking is not a disease like diabetes or hypertension. People with diabetes cannot wake up one day and just decide that they are not going to have diabetes or primary hypertension anymore. Many people do in fact need medications to treat those kind of illnesses or the secondary problems spawned by the conditions.

Smokers on the other hand do have the potential of one day just stopping and for all practical purposes eliminate the risk of all future damage caused by smoking. In America today we have more former smokers than current smokers, and over 90% of those people who have quit did so without the use of any medication. This statement cannot be made about diabetics or people with hypertension--where the majority of people who successfully overcame the disease did so without any medication or professional intervention whatsoever.

Smoking is not a disease like diabetes of hypertension. Smoking is a disease like alcoholism or narcotic addiction is a disease. You just don't see all of the experts in the world who deal with the diseases of addiction coming out and saying that the answer is all of the users of the world need to be put on medications to quit drinking or to get off drugs. Most people know that the way people successfully break free from addiction is to stop delivering the addictive substance. It seems that the professionals in the field of smoking cessation just cannot recognize what people have known for decades now on how to really gain control over diseases of addiction.

While smoking is not a disease like diabetes or hypertension, it does in fact result in many of the same complications as both of these diseases and others. In fact, people who do have these diseases and also smoke are magnifying the risks of a host of complications from their other preexisting condition. Again, while they may not be able to eliminate the risks and complications caused by their other diseases without medication, they can reduce the risks of problems caused from their past smoking and put an end to any future damage that smoking would cause by simply making and sticking to a personal commitment to never take another puff. Joel

Joined: 18 Dec 2008, 23:57

10 Nov 2005, 23:01 #40

Nicotine REPLACEMENT Therapy?
Stated Purpose - Aid in Smoking Cessation.
What does the therapy aim to replace?
Naturally occuring NICOTINE found in tobacco.
What does the 'therapy' replace Nicotine with?
Active Ingredient (in each Patch): Nicotine (21 mg). Inactive Ingredients: Ethylene Vinyl Acetate-Copolymer, Polyisobutylene and High Density Polyethylene Between Pigmented and Clear Polyester Backings.

Huh? Replace nicotine with nicotine?

The premise is flawed.

Doesn't sound like any kind of replacement is going to happen to me.

SMOKING = Inhaling the gaseous by-product of a controlled burning of tobacco funnelled through a paper tube.

Purpose of Smoking = Obtain NICOTINE through fast absorption into the bloodstream through the lung tissue.

SMOKING is not the issue.

NICOTINE ADDICTION is the issue. Nicotine in the bloodstream and in a persons brain falsely reacting with aceteylcholine receptors thereby releasing dopamine inappropritaely is the issue.

Therefore it is tantamount to fraud, in my personal opinion, to purport replacing nicotine inhaled with nicotine absorbed through the skin (or through the mouth or digestion system) is a therapy that will help anyone stop smoking or chewing or swallowing or sniffing tobacco. Confusing information indeed.

I smoked for about forty years, since I was a child. I know alot about smoking. Since I learned about how nicotine addiction works & chose to permanantly remove it from my blood serum chemistry I've learned alot about nicotine addiction. Since getting rid of nicotine I have not even considered for a second lighting a piece of paper afire, blowing out the flame and inhaling the gaseous smoke. I have not been compelled to put my face near any type of combustion or flame so that I could inhale choking smoke.


It's the NICOTINE. Replace the word "cigarette" with "nicotine".

Break the Cycle. Get rid of the nicotine & begin your journey back to the natural you. Celebrate an amazing period of rapid healing during a brief period of adjustment and live free of nicotine's grip forever, as long as you never allow nicotine back into your blood serum chemistry by ANY means.

The only 'Therapy' that works permanently for Smoking Cessation is Nicotine REMOVAL Therapy!
JoeJ Free 10 Months = 304 Days living smoke-free as Just Me

- No Nicotine Required thank you very much!
Last edited by JoeJFree Gold on 12 Apr 2009, 07:30, edited 1 time in total.

Joined: 19 Dec 2008, 00:03

11 Nov 2005, 06:24 #41

I see by JoeJ's post above that one of the ingredients of the nicotine patch is High Density Polyethylene.
I wonder how many people realize that High Density Polyethylene is the same material that some sewage pipes are made of?

No one needs to stick any nicotine-laced sewage pipe material on your body to quit smoking! Cold Turkey works... Millions of people have done it... I've done it... you can do it!

21 months of freedom

Joined: 18 Dec 2008, 23:57

15 Nov 2005, 23:49 #42

With the Great American Smoke Out rapidly approaching I thought it might be a good idea to bring materials up to address much of the marketing that is going to be aimed at smokers wanting to quit over the next week. The increases in advertising and media kind of coverage that occurs over the next week may in fact result in more people starting to think about smoking cessation.

Unfortunately, many are going to get side tracked into the marketing blitz of products to buy to quit as opposed to getting any real education or help in understanding how to quit and how to stay off.

Being that we have the potential of having more people finding their way to Freedom this week I will be keeping many of our educational materials and information supporting cold turkey quitting near the top.

For the record, quitting smoking and staying smoke free is as simple as just stopping smoking and then making and sticking to a personal commitment to never take another puff!


Joined: 18 Dec 2008, 23:57

26 Dec 2005, 11:22 #43

In the world of nicotine marketing, January 1, 2006 will likely mark extremes in two regards. It will in all probability be the day of the year when the fewest cigarettes are smoked and also the day when the most replacement nicotine is used.

If you successfully dodge the flood of NRT commercials this last week of the year you likely don't spend much time watching television. At least in that regard, not watching TV might be the healthiest thing a smoker contemplating a New Year's quit or an ex-smoker can do.

With more than 50% of all smokers having now tried replacement nicotine at least once, and over 95% having relapsed within a year, you'll likely notice a different tone to the commercials. They'll be bashing cold turkey quitting harder than ever but that's nothing new. What's new is that for the first time pharmaceutical companies are beginning to attack smoking.

Think about it. When have you ever heard an NRT commercial tell you that smoking was bad for you. Probably never. The tobacco industry and pharmaceutical industry have long had an agreement not to attack one and other. In fact, until last year the Philip Morris website was openly asserting that the key to successful quitting was to buy medicine (pharmaceutical grade nicotine) and use it.

But recently I've noticed that Philip Morris has demoted NRT a notch or two and GlaxoSmithKline actually issued a press release on December 5th that, aside from blasting cold turkey (my rebuttal - GlaxoSmithKline Attacks Cold Turkey Quitting ), for the first time actually attacked smoking as unhealthy (see GSK's press release ).

When Joel titled this thread I doubt he foresaw just how messy these nicotine sales messages could get, but then again, knowing Joel, maybe not. I think we're about to hear some rather wild assertions. Keep your ears open and if you are quick enough to jot down the commercials assertions we'd fit well in this thread.

What we might want to keep in mind is that all nicotine comes from the exact same plant and that it probably isn't unusual for both the pharmaceutical and tobacco industry to be buying from the same farmers.

For visitors looking in, there have only been two published nicotine patch studies looking at success rates for second time patch users and in the first (Tonnesen 1993) 100% relapsed to smoking within 6 months and in the second (Gourlay 1995) 98.4% of study participants relapsed within 6 months.

Still just one rule guarantees success to all ... no nicotine just one day at a time, Never Take Another Puff, Chew, Patch, Pinch or Lozenge.

John (Gold x6)

Last edited by John (Gold) on 12 Apr 2009, 07:31, edited 1 time in total.

Joined: 18 Dec 2008, 23:57

04 Mar 2006, 06:02 #44

Next week the UK will once again be holding it's official "No Smoking Day." I thought it might be a good idea to bring materials up to address much of the marketing that is going to be aimed at smokers wanting to quit over the next week. I am starting to see an increase already in press releases trying to encourage potential quitters to stock up on their pharmaceutical supplies to quit smoking.

Unfortunately, many people who might actually be considering making a serious attempt to rid themselves of nicotine are going to get side tracked into the marketing blitz of products to buy to quit as opposed to getting any real education or help in understanding how to quit and how to stay off.

Being that we have the potential of having more people finding their way to Freedom I will be keeping many of our educational materials and information supporting cold turkey quitting near the top. For the record, quitting smoking and staying smoke free is as simple as just stopping smoking and then making and sticking to a personal commitment to never take another puff!


Joined: 18 Dec 2008, 23:57

05 Mar 2006, 19:59 #45

A few years back John came across a study done in Malta where they were evaluating the success of their smoking cessation programs done throughout the country so as to plan out the strategy for their future clinics. Here is the link John put up to that study:

There are many that would be shocked by the conclusions drawn from the study. For what the study showed was that the six month cessation rate for the groups being examined was just about 10%. Of those who quit, eight of the ten went cold turkey. I don't know what the usage status was of the two using NRT, meaning, were they still using NRT at the six month mark or not? Giving them the benefit of the doubt that they had gotten off the NRT, it would still mean that 80% of the success stories were cold turkey quitters.

So what was the conclusions of the study investigators on how to improve their programs?

Well they thought that one of the problems with the approach being used was that participants were given a choice of going cold turkey or of using pharmacotherapies such as NRT. They concluded that the way to improve the program was to make NRT the cornerstone of future programs. As soon as I read that conclusion it made me think of this article:

"I Liked My Other Smoking Clinic More!"[/size]

Almost 20 years ago when I was conducting one of my first Stop Smoking Clinics, one of the successful participants, a lady named Barbara, told me that she had once attended another clinic and liked it more than ours. I asked her how long she had quit for in that program and she said, "Oh, I didn't quit at all." I then asked her how many of the other people quit. She replied, "I don't know if anybody quit." I then asked, if nobody quit, why did she like the program more? She answered, "When I completed the program, I didn't feel bad about smoking!"[/size]

The task of any smoking clinic should be to help the participant break free from the powerful grip of the nicotine addiction. To do this, each participant needs to have a thorough understanding of both why he or she smokes and the consequences associated with maintaining use of cigarettes. Cigarettes are addictive, expensive, socially unacceptable, and deadly. How in the world can any individual or clinic realize these effects and minimize the significance to the point where a smoker doesn't feel bad smoking?[/size]

The natural impulse of most smokers is to deny the health and social implications of smoking. When he picks up a newspaper and sees a headline with "Surgeon General", he will read no further. When he hears a broadcast on radio or television about the dangers, he either totally disregards the message or maintains the false belief that the problem doesn't apply to him. But eventually, even his own body complains. He may experience physical symptoms such as coughing, wheezing, pains in chest, numbness in extremities, headaches, stomach aches, hoarseness, and a variety of other complaints. He will generally pass the blame to the weather, his diet, to his stress, to a cold or flu, to allergies or any other excuse he can muster up to protect his cigarettes.[/size]

Our clinic was designed to permanently destroy all rationalizations of smoking by the smoker. He may make up lots of excuses for smoking, but he knows that they all are lies. Our clinic will accomplish one of two goals. Either the smoker will quit smoking, or the clinic will **** up his smoking for the rest of his life. No longer will he be able to sit back at the end of a day and think to himself in ignorant bliss how much he enjoyed his cigarettes. To the contrary, if any thought of smoking is allowed to creep into consciousness, it will be anger over how stupid it was to inhale 20, 40, 60 or even more cigarettes that day, and how sad it is that he is probably going to do the same again tomorrow.[/size]

Why do we want to make the smoker miserable about smoking? Because maybe if he gets mad enough about smoking he will stop it. Sooner or later logic may motivate him to stop. Maybe he will do it on his own, or maybe he will come back to us for help. How he does it is not important; what is important is that he does quit. For, while the concepts we instill in him may make him miserable, not understanding them can cause more significant long term suffering.[/size]

If our clinic did what Barbara's first clinic accomplished--alleviating negative feelings toward smoking--it could result in the ammunition necessary to maintain smoking. Since cigarettes are responsible for over 400,000 premature deaths per year and the crippling of literally millions of others, alleviating the anxiety of smoking is not in the best interest of the smoker. Consider the physical, psychological, social, economical and any other personal consequences of smoking. Consider them all and NEVER TAKE ANOTHER PUFF![/size]

The original subject of this letter, Barbara was in a clinic I ran back in 1977. Again, she was in a group of people most of whom had successfully quit smoking. She did not. She was in another group at one time where she also had not quit smoking--but then again, neither did any of the people in her group. So where would she turn if she ever somehow decided that maybe she should quit again? I suspect she would have gone back to her other program.

Its amazing what kind of conclusions people can draw from different situations. Everyone here should know that there are other schools of thoughts and options out there for how to attempt to quit smoking. But always try to use the simplest level of logic when analyzing the problem at hand here. The problem is everyone here is addicted to a drug--nicotine. The way most people here got addicted to nicotine is by inhaling burning tobacco, usually via cigarettes. Inhaling burning tobacco is dangerous and basically downright deadly. The only way to eradicate the risks of inhaling burning tobacco is to not inhale burning tobacco. Once a person becomes nicotine free the physical need to inhale burning tobacco or to take in nicotine via any route of administration to stave off nicotine withdrawal will be permanently over. Your body will never need nicotine again as long as you never take nicotine from any NRT source and as long as you always remember when it comes to burning tobacco products that to stay smoke free you must never take another puff.

The closing paragraph there further illustrates just what kind of conclusions are drawn by the experts and reported to the general public.

Joined: 18 Dec 2008, 23:57

31 May 2006, 06:53 #46

For some of our members it is already World No Tobacco Day. Depending on where you may live you need to be prepared for an onslaught of misinformation in order to sell products and services to help you to quit smoking. The only thing people need to "buy" in order to quit is to buy into the idea that they smoke because they are nicotine addicts and to successfully break free and stay free from the nicotine addiction now is as simple and inexpensive as just knowing to never take another puff.


Joined: 18 Dec 2008, 23:57

12 Jul 2006, 18:52 #47

With the World Conference on Smoking starting today, we probably should be prepared for plenty of misinformation being released in order to boost the sales of NRT and other cessation drugs.
From: John (Gold) Sent: 7/10/2006 6:23 PM
13th World Conference on Tobacco
or Health Drenched in Nicotine
WhyQuit - Monday, July 10, 2006[/size]

Keenly aware of smoking's massive annual slaughter and in search of help, government health officials from around the globe will descend upon Washington DC from July 12-15 for the 13th World Conference on Tobacco or Health. What they'll find instead is that the conference's two corporate sponsors -- GlaxoSmithKline and Pfizer - have produced a well orchestrated commercial designed to convince them that government subsidized nicotine is the answer, replacement nicotine or NRT. What they won't hear is the truth, that replacement nicotine has never proven effective in any real-world setting and likely never will.

The California tobacco survey, the Minnesota insurance survey, Quebec Quit and Win, the Tobacco in London survey, Western Maryland, UK NHS Smoking Cessation Services, Australia family practice survey, two decades after its 1984 introduction NRT does not have a single real-world performance victory, none. But that isn't stopping the pharmaceutical industry from encouraging health officials to waste precious resources purchasing a worthless remedy.

NRT Clinical Studies Were Not Blind and Are Not Trustworthy

The reason NRT will never be effective in head-to-head real-world competition is that the expectations of cold turkey quitters to abruptly end all nicotine use are beyond the ability of the pharmaceutical industry to exclude, redefine, tease, torment, play upon, frustrate, defeat or destroy.

The clinical lesson kept quiet by the pharmaceutical industry and its army of loyal research consultants is that clinical efficacy studies were an expectations nightmare. Study participants joined in hopes of receiving weeks or months of free replacement nicotine. Instead of NRT clinical odds ratio victories evidencing NRT efficacy they reflect the defeat and fulfillment of the nicotine addict's nicotine expectations.

Nicotine is a psychoactive chemical and a substantial percentage of participants knew what it felt like when their dopamine/adrenaline high was or was not replaced. This isn't news to a replacement nicotine industry that appears to be operating from the tobacco industry's nicotine play-book. Researchers found themselves resorting to the extreme of toying with small amounts of nicotine as a placebo device masking agent as early as a 1982 nicotine gum study. The practice is also noted in a number of nicotine patch studies.

Clinical efficacy and community effectiveness are two entirely different standards. According to an August 2004 article by Dr. Lois Biener, PhD, Senior Research Fellow, University of Massachusetts, "the effectiveness of NRT in the general population has not been established. In spite of the fact that NRT and other drugs are included in the Public Health Service guidelines, their efficacy has only been demonstrated in carefully controlled clinical trials. Evidence of their effectiveness in general population has been difficult to find."

Dr. Biener is one of two Conference presenters who have demonstrated the courage to speak truth to pharmaceutical industry muscle, money and influence. The other is Dr. John Pierce, PhD, Professor of Family and Preventive Medicine, University of California, San Diego.

Dr. Pierce analyzed seven years of data from the California Smoker's Survey, one of the world's largest. His study, published in the September 11, 2002 issue of the Journal of the American Medical Association, concluded that "NRT appears no longer effective in increasing long-term successful cessation in California smokers."

There is growing awareness that highly manipulated clinical studies cannot and should not be taken at face value. Equally important are performance evaluations, a step that both GlaxoSmithKline and Pfizer know they must avoid and belittle as unscientific if their golden nicotine goose is to continue laying golden eggs.

More than two years have passed since Mooney reviewed the blinding procedures associated with 73 "allegedly" double-blind NRT studies. Published in the June 2004 issue of Addictive Behaviors, he found that clinical NRT studies were not generally blind as claimed in that "subjects accurately judged treatment assignment at a rate significantly above chance."

Most placebo group members dropped out in the first few weeks of clinical studies. The NRT pharmaceutical industry has had two full years to conduct rather simple NRT blinding evaluations to prove that clinical NRT study results do not reflect the worst junk science and greatest smoker hoax the world has ever seen. The industry has had nearly four years since Dr. Pierce's ineffectiveness survey finding to produce its own survey showing effectiveness but it hasn't and won't. Why? Because it can't.

Instead, the 13th World Conference on Tobacco or Health will be used to introduce new excuses for NRT's dismal performance and to make implied promises of future performance that cannot and will not be kept. What health policymakers should be asking is how many priceless periods of cessation confidence have already been squandered? How many lives have needlessly been lost?

False Advertising

GlaxoSmithKline's site asserts, "In general, NRTs have been shown to double a smoker's chances of quitting versus 'cold turkey.'" Pfizer's Nicotrol website asserts, "Studies have shown that nicotine replacement therapy can double a smoker's chances of quitting versus cold turkey."

GlaxoSmithKline and Pfizer should be compelled to identify any study which invited cold turkey quitters to compete against those wanting and seeking replacement nicotine, in which the NRT rates doubled the rates of cold turkey quitters. Given that NRT has never once prevailed over "cold turkey" quitters in any head-to-head real-world survey and that those wanting to quit "cold turkey" were never invited to challenge NRT in any clinical trial, aren't both GlaxoSmithKline and Pfizer, the pharmaceutical industry sponsors of the World Conference, engaged in intentional smoker deception?

Nicotine Being Painted as Helpful, Enjoyable and Safe

Look what curious youth and smokers are reading about smoking nicotine at GlaxoSmithKline's Nicorette website. "Smoking stimulates chemicals in your brain that appear to enhance awareness and concentration. It increases dopamine levels, which improves your mood. It even increases the levels of some hormones, including adrenaline. This is why cold-turkey attempts seldom work. But Nicorette helps you control cravings, while gradually weaning your body from nicotine."

Momentarily overlook the fact that today almost all successful quitters around the globe are quitting cold turkey (80 to 90%). Instead, focus on the nicotine benefits suggested. What visitors are not told is that GlaxoSmithKline has determined that at least 36.6% of all current nicotine gum users are chronic long-term users of greater than 6 months ( Tobacco Control, Nov. 2003).

What is not shared are recent studies evidencing that nicotine is a major player in the harms caused by smoking. It has now been linked to chronic depression, hardening of the arteries, accelerated tumor grow rates, to rendering chemotherapy substantially less effective, memory impairment and early dementia.

United Kingdom NRT industry consultants are expected to boast to the World Conference that their nation has approved NRT for both child smokers above age 12 and pregnant smokers. According to Professor Theodore Slotkin with the Department of Pharmacology and Cancer Biology at Duke University Medical Center it's a recipe for disaster.

"There is abundant evidence that the major problem for fetal development is exposure to nicotine rather than other components of cigarette smoke." "NRT, especially by transdermal patch, delivers more nicotine to the fetus than smoking does."

A March 2003 study published in Reproductive Toxicology found that the nicotine concentration in the brains of fetal mice were 2.5 times greater than the nicotine concentration found in the mother's bloodstream when nicotine was continuously administrated, as would be the case with the nicotine patch. A pregnant smoker need only imagine what it would be like if her mind were trapped and forced to constantly endure 2.5% more nicotine than normal.

"The patch is the 'easiest' NRT approach, and it turns out that this is the absolute worst form of nicotine administration for the fetus. Essentially, achieving a continuous steady-state plasma level of nicotine in the mother removes the protective effect of the placenta (delay of entry to fetus, partial catabolism of nicotine) because all water spaces become saturated with nicotine," explains Slotkin.

Tobacco Industry/Pharmaceutical Industry Agreements

Imagine spending billions on advertising which boasts that your product can double a smoker's chances of quitting yet never once mentioning the horrors that await smokers if they fail to purchase it. Is it coincidence that those selling replacement nicotine continue to fail to mention smoking related diseases or is there an oral or written non-compete agreement between the tobacco and pharmaceutical industries?

Is it coincidence that Philip Morris' website has touted replacement nicotine as a key to successful quitting? Is it coincidence that the per use cost of over-the-counter replacement nicotine remains at or near the cost of cigarettes when NRT products are not subject to tobacco excise taxes? What are NRT production costs?

Failure to Disclose NRT's Actual Quitting Rates

Youth and young adults listening to NRT marketing are being led to believe that quitting with NRT is relatively easy and the NRT products are generating high success rates. This marketing message plays directly into the tobacco industry's hand in actually inviting experimentation, knowing that quitting is easy. Worse yet the message is false.

Professors Saul Shiffman and John Hughes are both admitted GlaxoSmithKline consultants. In March 2003 they combined and averaged seven over-the-counter (OTC) nicotine patch and gum studies - that manner in which almost all U.S. NRT is sold and used today - and found that 93% of study participants had relapsed to smoking within six months. Those attending should ask the Conference's sponsors why they have kept OTC NRT's dismal 7% six-month quitting rate a secret these past three years.

Imagine GlaxoSmithKline's consultants establishing that only 7% of OTC patch and gum quitters were still not smoking at six months, while a page at its Nicorette website carries a title which reads, "According to one study, 90 percent of 'cold turkey' quitters start smoking again within six months." Is that not admitting defeat?

Failure to Disclose Second-Time NRT Use Rates

Unlike abrupt nicotine cessation, where the odds of success actually increase with each subsequent attempt (as quitters eventually discover the amazing power of one puff of nicotine to shatter and destroy a quitting attempt) NRT's already dismal odds of success dramatically decline with repeat NRT use.

All Internet websites advocating the use of NRT keep quiet about the only two nicotine patch studies that have ever examined success rates for second-time patch users. Not knowing the results carry potential of being a life or death issue for true believers of NRT marketing hype as one study found a 100% six-month failure rate (Tonnesen 1993) and in the other 98.4% relapsed (Gourlay 1995).

A February 2004 study by Shiffman in Addiction boldly concludes "Smokers with a history of past failure of pharmacological treatment have lower success rates without pharmacological treatment, but equally good outcomes with active lozenge treatment."

What the 2004 study abstract fails to reveal is that unlike the 1993 and 1995 studies examining second-time nicotine patch use, Shiffman declared repeat NRT use "effective" after only 6 weeks instead of 6 months. Even worse, nicotine lozenge users in Shiffman's study were given up to 20 free lozenges per day for a period of six full months. Imagine giving alcoholics alcohol via IV bags for 6 months while declaring those still wearing the bags successful quitters at 6 weeks.

But that has not stopped GlaxoSmithKline from using what is primarily abrupt nicotine cessation historical quitting data in an attempt to sell replacement nicotine to those who have already repeatedly tried it and failed. For example, GlaxoSmithKline's website asserts, "It is quite common for smokers to make anywhere from three to six quit attempts before achieving success."

With each passing year of NRT use, NRT use recycling becomes more critical as in some nations almost 50% of all smokers have already tried quitting with NRT at least once and failed. Instead of doubling national cessation rates as promised, here in the U.S. cessation has almost ground to a halt.

Not only are health policymakers allowing a completely ineffective line of quitting products to remain on center-stage, they have remained silent for more than two decades as the NRT industry has bashed, trashed and attempted to claim a larger share of the market by all but destroying confidence in the planet's most productive quitting method - abrupt nicotine cessation.

A May 2006 study in Addictive Behaviors analyzed 2002 and 2003 patient quitting method data collected by 1,000 Australian family practice physicians. Our most recent quitting method performance evidence, it found that cold turkey success rates were twice as high as among those relying upon the nicotine patch, gum, inhaler or bupropion (Zyban and Wellbutrin). Not only was cold turkey quitting the most effective method, it was by far the most productive method accounting for 1,942 of 2,207 former smokers, a whopping 88% of all success stories.

Time to Abandon NRT Group Think

If GlaxoSmithKline's 10% at six-month cold turkey figure is correct, even the most ridiculous quitting product imaginable should generate testimonials from 10% of users at six months, so long as it does not somehow undermine the quitter's own natural recovery odds - as does NRT at 7%. It's why no area is more ripe for consumer fraud than smoking cessation.

If current NRT clinical efficacy and real-world effectiveness standards are the benchmark for evaluating a new wave of now arriving pharmaceutical cessation products then the best hope for earth's one billion nicotine dependent humans may well be prayer, and lots of it. We should not trust forward movement while traveling a road built on known and intentionally ignored blinding failures.

Actual drug performance must be elevated above clinical findings, especially when the clinical studies themselves attract a self-seeking population in search of weeks or months of free replacement nicotine, not a population wanting to abruptly end all nicotine use.

Clinical studies have no trouble randomizing quitters with similar expectations. What they cannot do is hide the presence or absence of the dopamine/adrenaline high produced by a powerful psychoactive chemical such as nicotine. What they cannot do is hide the fact that those wanting to abruptly end all nicotine use did not participate in any NRT studies. What they cannot hide is that it is impossible to randomize opposing expectations regarding receipt of a psychoactive substance.

No Copyright - This Article is Public Domain

Last updated July 10, 2006

Joined: 18 Dec 2008, 23:57

01 Jan 2007, 14:11 #48

90% of Ex-smokers Quit Smoking Cold Turkey
WhyQuit - Sunday, December 31, 2006[/size]

In that New Year's is by far the biggest quitting time of the year, smokers are being bombarded with ads attempting to convince them to betray their natural instincts. What pharmaceutical companies dare not reveal is that during 2006 almost all long-term successful quitters again succeeded by ending all nicotine use, not by replacing it by use of the nicotine gum, nicotine patch or new "cherry flavored" nicotine lozenge (NRT or Nicotine Replacement Therapy), or by using designer drugs that attempt to imitate it (Chantix or Zyban).

In 1992 the Centers for Disease Control (CDC) claimed that "approximately 90% of successful quitters have used a self-help quitting strategy, most by quitting abruptly." In 2000 the Surgeon General stated "historically, the great majority of smokers (more than 90 percent) who successfully quit smoking did so 'on their own.'" In 2006 an Australian study following smoking patients of family practice physicians found that cold turkey quitters accounted for 1,942 of 2,207 former smokers, a whopping 88% of all success stories.

Even more disturbing, the Australian study, published in the May 2006 edition of Addictive Behaviors, found that the success rate for cold turkey quitters was twice as high as the rates for those using the nicotine patch, nicotine gum, nicotine inhaler or Zyban (bupropion).
After more than two decades of wide-spread NRT use the pharmaceutical industry cannot point to a single real-world performance evaluation in which those quitting with NRT performed better than those quitting without it.

A September 2002 Journal of the American Medical Association study concluded that "NRT appears no longer effective in increasing long-term successful cessation in California smokers." The California finding is backed by quitting surveys from Minnesota, Quebec, London and Western Maryland.

It is also backed by a study published in the April 2005 edition of Addiction that surveyed quitting rates from England's National Health Service quit smoking program. There, 25.5% of cold turkey quitters were still not smoking at one year, compared to only 15.2% of NRT quitters, 14.4% of Zyban users, and 7.4% of those using both NRT and Zyban at the same time.

How can this possibly be correct? In both Australia and England the cost of NRT and Zyban is government subsidized making them available to all? For years we've heard pharmaceutical company marketing claim that these products double your chances. Who is telling the truth? What's going on?

The answer rests in the difference between "efficacy" and "effectiveness." When pressed, most marketing NRT, Zyban and Chantix will openly admit that their marketing assertions are based upon clinical efficacy findings not effectiveness.

"Efficacy" findings are a product of highly manipulated randomized double-blind clinical trials conducted under what researchers hope are ideal conditions. They are big on internal controls but at the expense of being unable to generalize findings as applying to quitting populations not studied or quitters quitting under different conditions.

"Effectiveness" evaluations, on the other hand, evaluate how quitting methods perform in real-world populations under real-world conditions. While high in external validity they lack controls. Effectiveness evaluations can be quick, simple and inexpensive. When you ask 1,000 former smokers if they tried quitting last year, and if so what method they used and whether or not they succeeded, it's a little hard to make a mistake or manipulate outcome. What you see is what you get.

Although clinical trial researchers and pharmaceutical influence have condemned quitting method surveys as "unscientific" the scientific integrity of their own work has now been completely undermined. A June 2004 study found that NRT clinical trials were generally not blind as claimed in that "subjects accurately judged treatment assignment at a rate significantly above chance."

If clinical trial participants could tell whether or not their nicotine gum or lozenge was delivering nicotine or was instead an empty placebo it would explain why NRT efficacy is so high in clinical trials yet falls flat on its face the moment it exits the trial clinic's doors.

Are NRT, Zyban and Chantix clinical study results grounded in science or do they instead reflect fulfilled or frustrated expectations associated with a quitter either sensing or not sensing some degree of reduction in their own personal withdrawal syndrome, a syndrome that those with any prior quitting history might find difficult to forget?

Imagine the cornerstone of an entire nation's quitting policy resting upon studies that were not blind, upon efficacy conclusions reflecting junk or pseudo science. Is it possible that scores of cessation pharmacology "experts" have built research careers and academic reputations upon the biggest sham ever perpetrated upon smokers?

If cessation pharmacology eventually proves to have been a complete sham upon smokers it does not follow that all involved were charlatans, or necessarily motivated by financial conflicts of interest, or knew it was a sham. I'm convinced that most are good, decent and well intentioned folks who were caught up in "group think." Their greatest fault was in accepting rather than challenging what to them seemed like well-established foundations.

What it would mean is that researchers were horribly wrong in convincing millions upon millions to believe their conclusions about over-the-counter NRT products, products we now know produce a 93% failure rate among first time users and nearly a 100% failure rate among those making a second try.

It would be refreshing if during 2007 health agencies and researchers at last started being open and honest with smokers about how almost all long-term successful quitters quit during 2006. Smokers are entitled to the truth. They can handle it. It would also be great to hear them admit that, out here in the real-world, cold turkey has yet to be defeated in any head-to-head competition to date.

In October the CDC reported that for the first time since 1997 the U.S. smoking rate failed to decline. In June 2000, U.S. cessation policy not only turned its back on cold turkey quitters, quitting lessons shared by the CDC and all other government agencies started interfering with natural school of hard-quitting-knocks lessons. Through repeated attempts most smokers were eventually able to discover that putting any nicotine back into their bloodstream, even one puff, meant that they had to go back to square one and start all over again.

Instead of teaching the "Law of Addiction" and the need to end all nicotine use the CDC muddies the mind and confuses all prior relapse lessons by teaching every smoker and quitter visiting its website that nicotine is "medicine" and "key to quitting" is to "get medication and use it correctly."

If granted one wish during 2007 it would be for U.S. government to immediately repeal U.S. Cessation Guideline Recommendation 7 which currently reads, "Numerous effective pharmacotherapies for smoking cessation now exist. Except in the presence of contraindications, these should be used with all patients attempting tobacco cessation." Not with "some" patients but "all."

Repeal would be based upon one simple premise. After 22 years, cessation pharmacology cannot produce a single shred of real-world proof of effectiveness in going head-to-head with those quitting without it. To continue to teach smokers that nicotine cessation is wrong, that instead they need to replace it, is an insane policy that's costing lives.

Breathe deep, hug hard, live long,

John (Gold x7)

Joined: 18 Dec 2008, 23:57

30 May 2007, 18:34 #49

Chantix and Champix
This year varenicline (Chantix and Champix) is the new kid on the block. Pfizer boasts that it aided 1 in 5 clinical trial users in quitting for a year. But aside from Chantix/Champix use, a number of study design factors may have heavily influenced outcome. More alarming, there's mounting user concerns that Pfizer has failed to adequately warn smokers about adverse events, including "frequent" risk of significant muscle and joint pain (what Pfizer lists as "arthralgia, back pain, muscle cramp, musculoskeletal pain, myalgia" - see page 14), without telling users how frequently, or that symptoms may persist long after varenicline use has ended.
Link to Pfizer's complete list of
Chantix / Champix Adverse Events
But if the Chantix / Champix user makes it past the side-effects, they truly will experience up to 60% of the dopamine output that nicotine would have generated if sitting on the exact same acetylcholine receptors. The trick with Chantix / Champix isn't in feeling comfortble while using it but adjusting to living without it, as more than half of clinical trial users who quit smoking for 3 months while using varenicline relapsed within a year.
If you have a friend or loved one using Chantix or Champix there's absolutely no reason, whether they continue using it or not, that they cannot go the distance and succeed, so long as zero nicotine finds its way back into their bloodstream. Key is relapse prevention. You may want to send them the link to downloading Joel's free PDF book "Never Take Another Puff" which can be downloaded at:
Reporting Adverse
Chantix / Champix Events
If you know someone using Chantix or Champix who experiences significant side effects encourage them to ...
immediately call their physician
Also, encourage them to report the adverse reaction to their national health officials. Here's a few links:
U.S. Food & Drug Administration -
U.K. Medicines and Healthcare Products Regulatory Agency
Australian Therapeutic Goods Administration
Canadian Adverse Drug Reaction Monitoring Program

Joined: 18 Dec 2008, 23:57

31 May 2007, 21:04 #50

Today is World No Tobacco Day. Depending on where you may live you need to be prepared for an onslaught of misinformation in order to sell products and services to help you to quit smoking. The only thing people need to "buy" in order to quit is to buy into the idea that they smoke because they are nicotine addicts and to successfully break free and stay free from the nicotine addiction now is as simple and inexpensive as just knowing to never take another puff.


Joined: 09 Oct 2006, 07:00

02 Jul 2007, 09:37 #51

2 states in Australia (New South Wales and Victoria ) also went almost smokeless 1st & 2nd July 2007


Joined: 18 Dec 2008, 23:57

10 Nov 2007, 02:49 #52

I see John has started a thread preparing our members and readers for next week's Great American Smoke Out. This string is one I like to bring up during this particular time period.

I am going to copy and paste John's press release from last year about the videos into this string. I am however going to update the video list to where it is at today--with 65 videos with 11 hours and 16 minutes of video lessons. I tried to put it in with this post but because of the number of videos and the size of the embedded links, I can't get them to show up here in one post--they exceed the maximum limit of characters in a single post.

Last year our videos were just coming out around the time of the Smoke Out. Since then there have been over 500,000 videos viewed.

Joined: 18 Dec 2008, 23:57

10 Nov 2007, 02:51 #53

John's press release from last year, with updated video numbers:

Saturday, November 11, 2006
Charleston, South Carolina

Watch video quit smoking lessons during Smokeout

Imagine spending Thursday's Great American Smokeout with one of the world's leading quit smoking counselors. Imagine inviting him into your home.

Joel Spitzer of Chicago, author of "Never Take Another Puff," has recorded 65 video quitting lessons since September 27 that are available for download at, a popular free quitting forum.

Who is Joel Spitzer and why would smokers be well advised to spend time exploring his work? Few smokers have ever met a full-time smoking cessation counselor. Fewer yet have encountered one with 30 years of clinic experience. Spitzer presented his first two-week, twelve-hour, quit smoking clinic as an American Cancer Society volunteer in 1976, and has conducted 351 clinics since.

Today Spitzer presents stop smoking clinics and seminars for the Evanston and Skokie Illinois Departments of Health. Online he serves as education director at WhyQuit, where more than 550,000 copies of his free PDF quitting book have been downloaded since August 2005. His more than 100 quitting articles are widely shared at all major online quitting forums.

Spitzer's 65 free video lessons range from how to avoid blood sugar swing symptoms such as an inability to concentrate, to understanding the emotional loss associated with quitting smoking, to preparing for one of the most vivid dreams imaginable - the smoking dream.

Will this year's Great American Smokeout be the year that you at last put your greatest weapon of all to work, your intelligence? Knowledge truly is power. Yes you can!
Last edited by Joel on 15 Nov 2009, 13:29, edited 2 times in total.

Joined: 18 Dec 2008, 23:57

10 Nov 2007, 02:57 #54

Well, for some reason I cannot get the video list in here even when breaking it up. Here is a link to the video information:

Also, these resources were attached to last year's press release:
Related Great American Smokeout Reading

Learn More About Quitting Cold Turkey
  • - the Internet's oldest forum devoted to the art, science and psychology of cold turkey quitting, the quitting method used by almost all successful long-term quitters.
  • "Never Take Another Puff" - a free 149 page quit smoking book in PDF format by Joel Spitzer of Chicago, the Internet's leading authority on cold turkey quitting and nicotine dependency recovery. Joel's free book is an insightful collection of almost 100 short quitting articles on almost every cessation topic imaginable.
  • Joel's Library - an HTML version of Joel Spitzer's 149 page free quitting book
  • Nicotine Addiction 101 - WhyQuit's guide to nicotine dependency.
  • Freedom from Tobacco - the Internet's only 100% nicotine-free quit smoking forum. Here, visitors will find 275,000 archived member posts indexed on 22 subject matter message boards.
  • Nicotine Cessation Topic Index - an alphabetical subject matter index to hundreds of nicotine cessation support group discussions at Freedom from Tobacco.


Joined: 18 Dec 2008, 23:57

01 Jan 2008, 04:04 #55

With New Years Eve being here, our readers should be prepared for the onslaught of marketing for NRT and other pharmaceuticals products that is likely occuring in your area this week. Actually, I have not seen many NRT commercials on television this week but Chantix ads are running a lot in my local area.
The only thing a person needs to buy to successfully quit is to buy into the belief that to stay free is as simple and as inexpensive as just making and sticking to a personal commitment to never take another puff.
Last edited by Joel on 12 Apr 2009, 07:40, edited 1 time in total.