Stop smoking…

I, like many people in my generation, grew up with the fug of adults smoking. I don’t remember hating it at the time but I certainly don’t remember loving it either. I remember brown teeth and stale breath, the grainy dankness of the rooms the following day. Anyone who has gone into a pub in the first light of day will completely relate.

Yes I hear people say ‘well, my Uncle Cyril lived till he was a thousand and he smoked sixty a day…’. Yes, but it’s not as easy to cling to false hope when you hear the stories from the sadly more than equal amount of people who have a completely different experience of their loved ones.

When I am taking people through my nutrition programme it is the first thing that I ask about. Smoking simply doesn’t give you a fighting chance to be healthy or fight the ageing process. Fact. So, although I completely subscribe to the right of people to live their lives as they see fit I have to always recommend the stopping of smoking.

Health reasons are the top of most people’s list of why they quit. It should be. Smoking harms nearly every organ of the body. Half of all smokers who keep smoking will end up dying from a smoking-related illness. Lung cancer is the most known but mouth, nose, throat, kidney, stomach etc have all been connected to smoking too, along with leukaemia, emphysema and chronic bronchitis. These latter two making your breathing difficult and increasing over time until they are fatal. But the list certainly doesn’t end there. There is the very real likelihood of heart attack. Smokers are twice as likely to die of a heart attack than non-smokers and smoking weakens and narrows the blood vessels to the brain and limbs adding stroke to the increased potential risks.

Enough to convince you? No? Well, there’s the increased risk of macular degeneration and cataracts and do you really want to live with the gum disease and tooth loss or the bad breath and stinky hair and clothes, premature wrinkles, or the yellow teeth and fingernails?!?

Okay, you may dismiss the latter as vanity but primarily smoking will  kill you. It strikes me that the current way of things in the world is putting the body under attack from so many sides and as no one truly knows how the complexities of the foods and nutrients we eat react with the complexities of the body, why interrupt and damage that fragile system any more than necessary? Processed foods, sugar, additives and lab created chemicals replacing organic processes are elements already triggering dangerous reactions in our bodies and so it’s mad to add smoking to the mix, especially as smoking is a known killer.

Plus, did I mention  it ages you?!?  So if you want to look like yoda when you are a hundredth of his age…

Women have some extra risks linked to smoking. Women over 35 who smoke and use birth control pills have a higher risk of heart attack, stroke, and blood clots in the legs. Women who smoke are more likely to miscarry or have a lower birth-weight baby. Low birth-weight babies are more likely to die or have learning and physical problems. It’s a serious business…

I can also understand that you might be thinking why stop now? Often there is an inertia to quitting that comes from a denial and a belief that the damage is done, perhaps, or that you’ve come this far…but no matter how old you are you will benefit from stopping smoking with a greater quality of health and life. Weight gain that is feared after quitting is of much less risk than smoking that’s for certain fact.

So the big question is: How to stop?

There doesn’t seem to be a definitive one right way to stop, but there are four stages of the process to consider :

  1. Making the decision to stop
  2. Choose a date to stop and a plan of action
  3. Coping with the withdrawal
  4. Remaining a non-smoker

Making the decision to stop has to come from you. Sounds obvious but a directive led by a friend who wants to stop and is getting you to ‘have a go’ too will lack commitment or focus from you. You yourself must be ready to stop and ready to make a serious commitment.

Selecting a date to stop is a time honoured way to begin, choosing a date not too far in the future so you don’t have time to talk yourself out of it and stand by the commitment. If you are using a prescription drug to assist you then this needs to be factored in so take advice from the health care professional you are consulting.

Another preferred action is to stop cold turkey and with no assistance from nicotine replacement products. Not necessarily recommended by experts as it is a tough road to take but for some it is the only way to tackle it psychologically as the idea of slowly reducing the cigarettes smoked to reduce withdrawal symptoms etc can be equally hard to stick to and much easier to dismiss along the way. But sadly the cold hard truth is there is no miracle way to achieve the breaking of the addiction. It’s like weight loss in that it requires a lifestyle and mental attitude change and a life long commitment to be successful. Just in the way a bolted on diet will NEVER work, attempting some half thought through, half hearted stopping smoking plan will NEVER work either.

Plan the event of stopping properly. If you’re going to use replacement to roducts, prescription drugs or join support groups, get all that arranged before hand. Ask for support from friends and family that are still smoking to not do so around you and to keep temptation from your sight! Chuck out all the cigarettes, ashtrays etc from all areas of your life – home and work.

So, the day of reckoning arrives and you are stopping. First of all, well done by the way! You should always praise yourself for every tiny step of the way. This initial period is the toughest and you should be proud of your achievements accordingly. On the day you stop smoking, literally stop. Completely. Not even a whiff of smoke and certainly not the odd puff! Avoid people who are smoking and situations where you would ordinarily have smoked. This may well mean changing your routine and avoiding things like coffee and alcohol that you associate with a cigarette. Exercise and drink lots of water to help your body cope with the withdrawal.

If you feel an urge to light up, wait. Tell yourself to wait ten or fifteen minutes for the urge to pass. Baby steps…

Nicotine replacement products will help you with the physical withdrawal but those symptoms pass soon enough. Other oral fixations are needed to replace the smoking one – that sounds ruder than I intended but I think you know what I mean! Try to avoid too many sweets or gum as these have the equally poisonous sugar in them but that’s a different soapbox elsewhere on this site! Chew on vegetables, seeds and fruit instead or get up and go for a walk, breathe deeply and fight the drug withdrawal with everything you’ve got.

The mental withdrawal is tougher for many as smoking is linked to so many aspects of daily life. You may find that even when using nicotine replacement products you still have the urge to smoke. This psychological impulse is hard to fight. Recognise it for what it is and attempt to disassociate yourself from it – realise it is a ‘rationalisation’. These thoughts are sneaky ways the old smoking you tries to fool you into doing something that will undo your hard work and make you smoke again. Thoughts like:

  • you have to die of something and how bad is smoking really?
  • I’ll just have the one to get me through this rough spot
  • I like it and it is my only vice!
  • The air pollution is probably worse actually…
  • I won’t stop today actually because it’s so and so’s party on Friday…so next week is better…
And so on…
Be ready to recognise them and block them from doing any damage with some kind of distraction or change of thought direction. Remind yourself why you are doing this in the first place and the huge, huge benefits.

Remaining a non-smoker is the challenge. Remembering why you stopped and focussing on the benefits you feel will help and when the urge comes just sit it out for a while first and use the techniques you used then you were stopping in the first place. Those sneaky rationalisations can strike at any time and can be many months after you’ve stopped. Be aware!

Many worry about weight gain but eating a varied, balanced diet and doing a modicum of exercise will take care of that…which goes for everyone in truth.

If you do slip and smoke a cigarette then rather than allow it to be an excuse to start smoking again see it as a one time mistake and look at why it happened and renew your commitment to stopping and remaining smoke free. Either way don’t be too hard on yourself as many people cannot quit first time, but it is imperative the reasons for relapsing are studied and used to create a stronger future attempt.

This is by no means a definitive or exhaustive look into the why’s, how’s and what’s of stopping smoking and there are loads of great sites, groups and books to help.
sSpport, kits, websites and apps:

Create a quit-plan, get support and information on Champix, NRT, patches, lozenges, nasal sprays, gum, Microtab, inhalator and Zyban.

NHS Quit Smoking app (for the iPhone or iPod) and NHS Quit Smoking Widget:

Receive daily support on your computer to help you successfully stop smoking. It offers motivational support, instant tips, benefits and facts with links to relevant features and videos, tracks the days you are smoke-free and the money you are saving and links to Stop Smoking Services.

Some people find success through hypnotherapy. To find a hypnotherapist to help you quit: