Be prepared to hear some confusing information

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!

Richard
21 months of freedom
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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!

Joel
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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.
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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!

Joel
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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: http://home.um.edu.mt/med-surg/mmj/15_01_7.pdf

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.

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

Joel
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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 Quit.com 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 Quit.com 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.
XXX

No Copyright - This Article is Public Domain

Last updated July 10, 2006
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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)
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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 - http://www.fda.gov/medwatch/
U.K. Medicines and Healthcare Products Regulatory Agency
Australian Therapeutic Goods Administration
Canadian Adverse Drug Reaction Monitoring Program
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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.

Joel
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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

Suzie
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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.
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Joined: 18 Dec 2008, 23:57

10 Nov 2007, 02:51 #53

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


FOR IMMEDIATE RELEASE
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 WhyQuit.com, 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.
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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:

http://www.whyquit.com/joel/#video

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

Learn More About Quitting Cold Turkey
  • WhyQuit.com - 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.

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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.
Joel
Last edited by Joel on 12 Apr 2009, 07:40, edited 1 time in total.
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31 May 2008, 21:45 #56

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.

Joel
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Joined: 06 Dec 2008, 16:58

16 Nov 2009, 19:47 #57


Great American Smokeout Thursday:
Help Your Smoker Quit

Thursday is the 34th Great American Smokeout. It's a golden opportunity to gift wrap and hand smoking friends and loved ones the one quitting method they've likely never tried: a detailed understanding of their chemical dependency and the insights needed to arrest it.

Two free quit smoking books are available for download, printing and gift wrapping at WhyQuit, the nation's #1 "nicotine cessation" forum among 1.4 million Google search results.

"Never Take Another Puff" was written by Joel Spitzer, who has counseled smokers full-time since 1972 and is America's most quoted cessation educator. His free book has recorded more than 2 million downloads.

"Freedom from Nicotine - The Journey Home" was written by John R. Polito, the 1999 founder of WhyQuit and a former 30-year heavy smoker. It was released in January.

Ask yourself, what learning takes place by swallowing a pill, slapping on a patch, chewing gum, sucking a lozenge, being hypnotized, stuck with needles or pierced by lasers?

Investing the time needed to print and gift wrap the only quit smoking book your smoking friend or loved one has likely ever received, pretty much assures that your gift will be read.

Why expect our friends and loved ones to quit in ignorance and darkness? Why not hand them the insights that turn on the lights? Knowledge isn't just power. It's a quitting method.

No Copyright - Public Domain - For Immediate Release
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Joined: 10 Nov 2009, 04:06

16 Nov 2009, 23:12 #58

Has anyone considered that the American Lung Association knows exactly what they are doing? What I mean by that is, maybe they know exactly how addicting Nicotine is, and that's why they push NRT's for people to quit on. The American Lung Association has figured out that most people have such a hard time quitting due to their addiction, that all they really need to do is get people off the smoke and not worry about the nicotine? After all it's the Lungs they are primarily worried about in smokers, and non-smokers in smoking environments breathing in the secondary smoke. Maybe once they get everyone off cigarettes then it will become the " Great NicotineGum and Patch Dump?"

I don't agree with it , I'm a real quitter having gone Cold Turkey. But you know what?.....whatever it takes and however long it takes doesn't matter, as long as everyone eventually does quit!
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17 Nov 2009, 15:29 #59

The Lung Association is just following the state of art advice of almost every other public health agency of the world. There are those in the organization who are working with the hypothesis that using NRT over the long-term is just simply safer than smoking and since so many if not most people cannot really quit or stay quit, these products are a valuable resource for them. The experts who are following this logic are the harm reductionist advocates. Then there are those experts who feel that these products enhance success, again, their logic often being that cold turkey is just too hard of a method for the average quitter to pull off. If either of their premises are right then their logic for promoting NRT is quite sound.

Bottom line though, is that people who have decided to join up at this site, and we suspect that a high percentage of readers who chose to utilize this site have come to their own realization that the premise of the harm reductionists and the experts who feel that average people cannot quit cold turkey are just simply wrong. Many have come to this conclusion by seeing how people quit in their own real world exposure to ex-smokers and many have come to realize that quitting is fully within the capability of average people because they have quit and realize that they really are average normal people.

As we see it, the problem with these products and the way they are promoted by the public health community as that they have not really worked in real world settings to help people to quit and in fact, have probably hurt the momentum of people quitting smoking that was created when the public health agencies spent their time informing the public of the dangers of smoking and the benefits of quitting. Following are a few articles that illustrate this point:


Joel's Reinforcement Library



40 Years of Progress?


I am attaching an article below from the January 19, 2004 issue of TIME magazine. It talks about the decline in smoking rates in America since the original release of the U.S. Surgeon General's report in January of 1964. The author was apparently led to believe that a whole lot more quitters would be successful if they would just stop trying to go cold turkey and use the many quitting aids available that can "double a person's chance of success."

One thing I want to comment on is how the article points out that smoking declined from 42% to 23% in the past 40 years, but how the drop-off stalled in 1990. The dates are interesting.

The article is saying is that there are a whole lot more effective ways to quit than by going cold turkey. It is basically talking about NRT products and Zyban. What is interesting is that almost all of these products came into widespread use in the 1990's--the years where the rapid decline in smoking cessation actually stopped.

Nicotine gum was first approved for use in America in 1984, by prescription only. In 1991 and 1992, four patches were approved for prescription use. In 1996 all controls broke loose--the gum and two of the four patches went over the counter and Zyban was just coming into the fray.

So now we have all of these miracle products available, many without prescription. If these products were so good at increasing success, and if they are being used by so many people you would think that smoking rates would be plummeting now when compared to when people just had to rely on their own resolve to quit.

Again, read the following line from the article below:

"The drop-off in smoking stalled in 1990 and has hardly budged since then."

Lets hope not too many miracle products for smoking cessation get introduced in the future as it may result in skyrocketing smoking rates.


The real way to once again increase the long-term success rate of people trying to quit is to help them to understand that they are fighting an addiction to nicotine and that to win that fight and to stay free forever is as simple as making and sticking to a commitment to Never Take Another Puff!


Joel
© Joel Spitzer 2004
Page last updated by Joel Spitzer on October 15, 2004

Y O U R T I M E / H E A L T H
Stub Out That Butt!
But don't try to go it alone. Here are some tricks that make it easier to quit
By CHRISTINE GORMAN

Monday, Jan. 19, 2004


More than 42% of adult Americans smoked when the first Surgeon General's Report on Smoking and Health was published. Today, 40 years later, fewer than 23% do. That's good news, but it could be better; a lot better. The drop-off in smoking stalled in 1990 and has hardly budged since then. Surveys show that 70% of tobacco users want to quit, but kicking the nicotine habit isn't easy.

What a lot of smokers don't realize is that the most popular method of quitting; just stopping, a.k.a. going cold turkey; is the least effective. Studies show that getting intensive short-term counseling, taking drugs like Zyban (an antidepressant) or using one of the many nicotine aids (gum, patch, inhaler, nasal spray, lozenge) all double the chance of success. Preliminary results suggest that combining these methods will increase success rates even more.

The trick is to find out what works best for you. For counseling, you don't have to go into full-fledged psychoanalysis; you can pick up practical strategies from various quit-smoking telephone hotlines (for a list of numbers as well as tips, visit smokefree.gov). As for nicotine products, make sure you're using them the right way. You need to chew the gum slowly, for example, not swallowing the saliva until the nicotine can be absorbed through the cheek, says Dr. Elliot Wineburg, who has used everything from drugs to hypnosis at Mount Sinai Medical Center in New York City to help hard-core smokers quit. Many people try to make do with as little nicotine as possible, which is a mistake. "You don't want the brain to go into withdrawal," Wineburg says.

It's never too late to quit. As the years go by, an ex-smoker's risk of heart disease and stroke diminishes until it's essentially the same as that of a person who has never smoked, says Dr. Corinne Husten of the Centers for Disease Control's Office on Smoking and Health. Alas, the risk of lung cancer never quite gets down to what it would have been without smoking. "Even with cancer, people respond better to chemotherapy if they quit," Husten says. Best of all, of course, would be not to take up the habit in the first place.


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17 Nov 2009, 15:30 #60

Quitting Methods - Who to Believe?



Who should you believe on what is the most successful technique for quitting smoking - the government and most smoking cessation experts in the world and the professional health organizations of the world and the pharmacological industry and almost anyone whose career seems to be based in smoking cessation or me?
I guess using this standard it would be best not to believe me. But before jumping ship there is one other important group of people that you may find that will back me up and who are already quite credible to you. It's the people in your family and your friends in your real world who have successfully quit smoking and been off all nicotine products for at least one year or longer.

Find out how the people you know who are long-term ex-smokers actually stopped smoking. By long-term I mean people who are currently off all nicotine for at least a year or longer. You'll likely find that few if any of them have ever heard of me. You will see that many of them had previous quits and relapsed, using all sorts of methods that are endorsed by professionals and maybe even a few of them had professional help with previous attempts. You will find that almost all of them did not follow what is considered the standard recommended advice on how to quit yet they did quit and are still going strong. You'll find that they most likely quit by simply stopping smoking one day for one reason or another and then have been able to stay off by sticking to a commitment that they made to themselves to not take a puff.

Talk to every long-term ex-smoker you know. Do your own surveys. While you are at it, talk to the current smokers you know too. See how many of them have used products and followed the advice of the professionals. Keep in mind, most professional literature will advise people to use pharmacologic aids like nicotine replacement products. Try to see how many long-term successful quitters in your real world encounters actually followed this advice.

Another piece of advice written in most literature produced by smoking cessation experts is something to the effect that temporary slips are common and that you should not let a slip put you back to smoking. People who write advice like this do not understand addiction. A person needs to understand that taking a puff is likely going to kill a quit.

Try to find one smoker who once had quit but are now smokers again who didn't one day take a puff. Finding one such person who fits this criteria is going to take you forever. On the other hand finding current smokers you know who had once had quits that actually lasted for months, years or decades who lost their quits by taking that first puff are quite easy to find. Understand, some of these people had heard comments like, "don't let a slip make you go back to smoking," but sadly, found out from experience that they had little control of the matter once they took that puff.

Our advice if to successfully quit smoking is to simply stop smoking. Our advice for staying off cigarettes is simply to stick to a commitment to never take another puff. So talk to long-term ex-smokers and find out how they quit and hear how they have managed to stay off. Pretty soon you will see it is not a matter of pitting all of the world professionals against me. It becomes a matter of pitting every long-term ex-smoker you know who has successfully quit against the world's professionals. Do the surveys and then I will just become another voice in the crowd of real people who have proven to you that they way to quit smoking and to stay smoke free is to never take another puff!

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17 Nov 2009, 15:31 #61

So how did most successful ex-smokers actually quit?

If you look around the Internet or even request information from professional health organizations on how to quit smoking you are likely to find that the standard advice given is to use a pharmacological approach, i.e., nicotine replacement products and or Zyban. Each time you see this advice you will also be told that these approaches double your chances of quitting. Some sites and groups come out and almost say, point-blank, do not go cold turkey--basically leaving the reader with the impression that nobody could possibly quit this way.
The American Cancer Society's Cancer Facts & Figures 2003 report contains the chart to the right which shows the percentage of current smokers who have tried different routes at quitting smoking and also indicates the percentage of current ex-smokers who quit by different techniques.
The numbers that are highly telling are the percentages that indicate how former smokers had actually quit. Keep in mind that this chart is limited. It does not tell us how long they had quit or other key pieces of information, such as, did the people who used quitting aids such as NRT ever actually get off the NRT. But I am not concerned about that at this moment.
According to the American Cancer Society report, how did former smokers actually quit? Those using drug therapies and counseling had a 6.8% quitting rate while those using other methods 2.1%. The remainder quit cold-turkey or cut down. In that it is generally accepted that cutting down techniques do not work, we can safely assume that they had an extremely limited impact upon the overall number. So, approximately 90% of the people who are successfully classified as former smokers quit cold turkey. On the same page as Table 3 is located you will find the following recommendation:
"All patients attempting to quit should be encouraged to use effective pharmacotherapies except in the presence of specific contraindications."
You have to ask yourself how many of the successful ex-smokers in the world today would have actually succeeded if they sought out and listened to "professional" advice such as this.
If you are trying to determine what is the best way to quit, you have a choice. You can go with the "experts" or you can go with what 90% of successful quitters have done.
Take Your Own Survey
So how do most people really quit smoking? Don't take our word for it, or the American Cancer Society's, but instead talk to every long-term ex-smoker you personally know. See how many of them fall into one of the following three categories:
[center]
1. People who woke up one day and were suddenly sick and tired of smoking. They tossed them that day and never looked back;
[center] [center]
2. People who get sick. Not smoking sick, meaning some kind of catastrophic smoking induced illness. Just people who get a cold or a flu and feel miserable. The feel too sick to smoke, they may feel too sick to eat. They are down with the infection for two or three days, start to get better and then realize that they have a few days down without smoking and decide to try to keep it going. Again, they never look back and stuck with their new commitment; or
[center] [center]
3. People who leave a doctors office given an ultimatum. Quit smoking or drop dead--it's your choice. These are people who some sort of problem has been identified by their doctors who lays out in no uncertain terms that the person's life is at risk now if they do not quit smoking.
[/center] [/center] [/center] [/center] [/center] [/center] [/center] [/center] [/center]
All of these stories share one thing in common--the technique that people use to quit. They simply quit smoking one day. The reasons they quit varied but the technique used was basically the same. For the most part they are clear examples of spur of the moment decisions elicited by some external, and sometimes unknown circumstance.
[center] [center]
I really do encourage all people to take their own 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!
[/center] [/center] [/quote] [/center]
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17 Nov 2009, 15:32 #62

Whatever you do don't quit cold turkey!

Most medical professionals believe that the way to quit smoking is to use pharmacological aids. They think that pharmacological aids are an effective tool for smoking cessation. Why do they believe this? They believe it because almost all of the smoking professionals of the world tell them that they work. Even the Surgeon General of the United States says that they work. If almost all world experts believe that they work, and the Surgeon General says that they work, well then they must really work. Right?
Well, I look at it like this. Lets say I see a published story come out that says a specific pill prevents colds in 100% of the cases in human trials. Then another study verifies it. In fact, every expert in the world comes out and says colds no longer exist -- the pill has eradicated them.

But most people I knew who took this miracle pill still got colds. Worse than that, I took the pill myself and all of my friends who were on the pill kept giving the cold to me. Pretty soon I would dismiss those studies and no matter how many times I see it I would not believe it. Sooner or later I would have to believe my own eyes and ears, basically my own instincts, more than expert opinion.

I have seen people use the argument of who should they believe, the Surgeon General of the United States or me. I somehow get the idea that people think that the Surgeon General is a person who has spent years and decades working with nicotine addicts. That somehow being an expert in smoking cessation is a prerequisite for being the Surgeon General.

I have been running stop smoking clinics since 1976. Back in 1976 I told my second group that they were nicotine addicts. If the people in my 1976 clinics were skeptical and wrote the Surgeon General and asked him if it were true that nicotine was a drug addiction he would have answered no it was not.

It was clearly spelled out in the 1964 Surgeon General's Report that cigarette smoking was not an addiction. In the report of the Surgeon General back in 1979 the Surgeon General was starting to say that maybe it was an addiction, but still had put the emphasis on the habit of smoking being the primary problem. In 1988 the Surgeon General finally issued a report stating once and for all that nicotine was an addictive substance.

In all of the programs I did from 1976 through 1987 I was constantly criticized and attacked for saying that cigarette smokers were drug addicts but I had too much first hand contact with smokers trying to quit that was making it abundantly clear that the Surgeon General was wrong. So I accepted the fact that the Surgeon General and most of the experts of the world were not going to agree with me. For eleven years I was wrong that smoking was an addiciton because the Surgeon General said I was wrong yet today I am no longer wrong on this fact.

The same thing is happening now when it comes to issues like the effectiveness of all of the quitting aids available today. The Surgeon General and most of the world experts say that these products increase success and that people should not quit cold turkey. Again, I have still have too much first hand contact with people who are trying to quit using these products as well as too much contact with people who are actually quitting and succeeding without their use. It is still all too obvious that in real world settings these products do not increase success and that people have a much greater chance of success by disregarding the experts advice.
So I think I am going to just take a wait and see attitude on what the Surgeon General will say ten years or twenty years from now on what is the most effective way to quit smoking. Maybe he or she will have come around by then, maybe not. But I know one thing for sure. That all of the people who decided to follow my advice on how to quit, and then stay committed in the interim to the advice that I gave them on how to remain smoke free, that all of these people will still be successful ex-smokers.

My advice to them, that is so controversial today, is simply that to quit smoking and to stay smoke free is no more complicated than just knowing to Never Take Another Puff!
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17 Nov 2009, 15:32 #63

Related Videos:
Video Title
Dial-Up
HS/BB
Audio
MP3
Length
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Addiction - the Surgeon General says ... 4.42mb 13.2mb 1.77mb 5.49mb 12:00 10/09/06
How did the people you know quit smoking? 1.90mb 18.8mb 0.77mb 2.34mb 05:10 09/27/06
My first encounter with NRT 3.99mb 16.1mb 2.13mb 6.66mb 14:37 11/16/06
WhyQuit's candid views about Chantix (and Champix) 17.8mb 53.3mb 7.11mb 22.0mb 48:16 10/19/07
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17 Nov 2009, 15:33 #64

Is cold turkey the only way to quit?




I have seen it written that we have said that the ONLY way to quit smoking is to quit cold turkey. This is not a totally accurate statement. It is not that cold turkey is the only way to quit,; it is just that cold turkey is the method which gives people the best chance of success. It is the method that all but a small percentage of long-term ex-smokers in the world used to successfully quit smoking.

There are people who have quit using alternative approaches. There are some who cut down gradually and actually succeeded at quitting. For every person who did it like this and succeeded, there are many many many many others who tried it and failed. The individual who used the method will think it is great because it worked for him or her, but since it works for so few people it will generally be recognized as a pretty ineffective technique by most people who do "real world" research into how to quit.

By "real world" research I mean by going to long-term ex-nicotine users who you know personally and finding out how they all got off nicotine. Again, you will very rarely find any who did it by gradual withdrawal. If you find a person like this who is now off years, you should never minimize the person's success. He or she quit smoking, likely doing it in a way that made it much more difficult than it needed to be, but still he or she did pull off the quit. The only advice that I would encourage that you share with the person is that now to stay off he or she must understand the bottom line method of sustaining his or her quit. That message is staying cognizant of the addiction and that the only true guaranteed method to stay off now is knowing never to administer nicotine again.

The same principle here applies to people who use NRT products. There are people who have quit this way. Again, it is a small percentage of the long-term ex-users out there, but they do exist. An individual who pulled it off this way will also feel that it is a great method for quitting. But again, this method works for a small percentage of people who try it and if you look into real world long-term quits you will have a very hard time finding many people who actually successfully got off nicotine this way.

I feel it necessary to use that phrase, "got off nicotine," as opposed to saying, "got off smoking." There are some major experts coming out and advocating that people should be given nicotine supplements forever to stay off of smoking. Can this work? Of course it can. If you can give people enough nicotine via supplements it will satisfy their need for nicotine. After all, this is the primary reason they were smoking at the end--to feed a nicotine addiction. If the smoker can just get nicotine for the rest of his or her life via another route, he or she will avoid going through the three days of nicotine withdrawal.

The question needs to be, why should anyone have to pay what is likely to be tens of thousands of dollars to avoid a few days of withdrawal.? On top of this, these people will never be totally free of the moderate withdrawals that such usage is likely to keep going. These people will in fact tout the use of the product as a great aid, but when compared to what people who are totally nicotine free are experiencing, this victory over cigarettes is just a bit hollow.

There are a few people though whom you may encounter over your lifetime that did quit using NRT's as intended, weaning down for week after week and eventually quitting. If the person is now off for years, he or she is pretty much in the same state as a person who had quit cold turkey. He or she is nicotine free, and he or she should be thrilled by that fact. In some ways I look at people like this with a bit of awe, for they in all likelihood stuck with a process that was pretty much a gradual and prolonged withdrawal and yet they succeeded.

Again, debating the merits of their method with them is pretty much a moot point. It worked for them and you are going to have a pretty hard time convincing them that it is an ineffective method. But you do have a message that you can share with them that they do need to know. That message is that even though they are off nicotine for years, they still need to recognize that they are not cured of nicotine addiction and never will be. No matter how they had stopped, they must still understand the bottom line message, that the only way to stay free now is staying totally committed to never administer nicotine again via any nicotine replacement source and to never administer nicotine again from the original source that likely started the whole process by knowing to never take another puff!
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17 Nov 2009, 15:33 #65

Great American Smokeout Thursday:
Help Your Smoker Quit

Thursday is the 34th Great American Smokeout. It's a golden opportunity to gift wrap and hand smoking friends and loved ones the one quitting method they've likely never tried: a detailed understanding of their chemical dependency and the insights needed to arrest it.

Two free quit smoking books are available for download, printing and gift wrapping at WhyQuit, the nation's #1 "nicotine cessation" forum among 1.4 million Google search results.

"Never Take Another Puff" was written by Joel Spitzer, who has counseled smokers full-time since 1972 and is America's most quoted cessation educator. His free book has recorded more than 2 million downloads.

"Freedom from Nicotine - The Journey Home" was written by John R. Polito, the 1999 founder of WhyQuit and a former 30-year heavy smoker. It was released in January.

Ask yourself, what learning takes place by swallowing a pill, slapping on a patch, chewing gum, sucking a lozenge, being hypnotized, stuck with needles or pierced by lasers?

Investing the time needed to print and gift wrap the only quit smoking book your smoking friend or loved one has likely ever received, pretty much assures that your gift will be read.

Why expect our friends and loved ones to quit in ignorance and darkness? Why not hand them the insights that turn on the lights? Knowledge isn't just power. It's a quitting method.

No Copyright - Public Domain - For Immediate Release
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