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	<title>Comments on: Quit Smoking And ADHD</title>
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	<link>http://www.addadhdblog.com/quit-smoking-and-adhd/</link>
	<description>A blog about Attention Deficit Disorder, and Attention Deficit Hyperactivity Disorder</description>
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		<title>By: Dr. Rob Berube</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-721966</link>
		<dc:creator>Dr. Rob Berube</dc:creator>
		<pubDate>Mon, 14 Nov 2011 16:41:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-721966</guid>
		<description>There has been some interesting work in addictionology and the &quot;Brain Reward Cascade&quot;. Seems that those with ADHD have the same genetic issue with dopamine receptors as those that suffer from addiction...however, we know that nicotine itself is a &quot;designer drug&quot; and has the potential to cause addiction in just about anyone regardless of genetic issues. This makes quitting difficult for anyone, but the traits that exist for ADHD can make it more difficult.

The truth is that each person possesses the power to make changes and an individual can overcome anything. Some people have it harder than others.

If you are interested in more natural treatment for addictions and ADHD, look up an Auriculotherapy practitioner (taught through the American College of Addictionology and Compulsive Disorders) combined with Torque Release chiropractic care. This therapy had shown some interesting results working with the brain reward centers.

Reference

Holder, Jay; Duncan, Robert; Gissen, Matthew; Miller,
Michael; Blum, Ken; &quot;Increasing retention rates
among the chemically dependent in resident treatment:
subluxation based chiropractic care.” Molecular
Psychiatry, vol 6 supplement Feb 2001, Nature
Publishing Groups, England.</description>
		<content:encoded><![CDATA[<p>There has been some interesting work in addictionology and the &#8220;Brain Reward Cascade&#8221;. Seems that those with ADHD have the same genetic issue with dopamine receptors as those that suffer from addiction&#8230;however, we know that nicotine itself is a &#8220;designer drug&#8221; and has the potential to cause addiction in just about anyone regardless of genetic issues. This makes quitting difficult for anyone, but the traits that exist for ADHD can make it more difficult.</p>
<p>The truth is that each person possesses the power to make changes and an individual can overcome anything. Some people have it harder than others.</p>
<p>If you are interested in more natural treatment for addictions and ADHD, look up an Auriculotherapy practitioner (taught through the American College of Addictionology and Compulsive Disorders) combined with Torque Release chiropractic care. This therapy had shown some interesting results working with the brain reward centers.</p>
<p>Reference</p>
<p>Holder, Jay; Duncan, Robert; Gissen, Matthew; Miller,<br />
Michael; Blum, Ken; &#8220;Increasing retention rates<br />
among the chemically dependent in resident treatment:<br />
subluxation based chiropractic care.” Molecular<br />
Psychiatry, vol 6 supplement Feb 2001, Nature<br />
Publishing Groups, England.</p>
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		<title>By: Kim</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-454214</link>
		<dc:creator>Kim</dc:creator>
		<pubDate>Sat, 18 Jun 2011 22:37:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-454214</guid>
		<description>Okay, I am on day 4, this is the second time I have quit, first time I was 35 and stayed a non-smoker for 3 years, but went back using alcohol as an excuse.  I just turned 50, my husband who is also 50 had a minor heart attack last week, hence the force quitting smoking.  I am also adhd and am on adderall.  The last time I quit I got heavily into exercise, trained for a marathon.  Exercise has always made me feel better.  I have started using the patch for the nicotine, but already feel better.  I know not to substitute cigarettes for food, because I know if I gain weight I will go back.  So everytime I get the urge to smoke or frustrated or figidity I go for a long walk, it makes me feel better.  I am one of those people who think better when I walk.  The only thing that bothers me is the constant nightmares I am having, very negative dreams and abusive dreams.  I don&#039;t remember dreaming that much prior to this and now I remember all my dreams.  I keep on thinking this is my addiction fighting me and I just need to keep on telling myself no.  I really never ever figured heart attacks, I always feared cancer but the heart attack thing really took me for a loop.  I know what makes me happy so I keep lots of music around and walk alot.  I am beginning to feel stronger and better and know this is a good thing.  That is the only thing you have to remember, to believe in yourself.  Being ADHD is not a bad thing, it is actually good, I might be different, but in a lot of respects I am stronger and smarter because of it.</description>
		<content:encoded><![CDATA[<p>Okay, I am on day 4, this is the second time I have quit, first time I was 35 and stayed a non-smoker for 3 years, but went back using alcohol as an excuse.  I just turned 50, my husband who is also 50 had a minor heart attack last week, hence the force quitting smoking.  I am also adhd and am on adderall.  The last time I quit I got heavily into exercise, trained for a marathon.  Exercise has always made me feel better.  I have started using the patch for the nicotine, but already feel better.  I know not to substitute cigarettes for food, because I know if I gain weight I will go back.  So everytime I get the urge to smoke or frustrated or figidity I go for a long walk, it makes me feel better.  I am one of those people who think better when I walk.  The only thing that bothers me is the constant nightmares I am having, very negative dreams and abusive dreams.  I don&#8217;t remember dreaming that much prior to this and now I remember all my dreams.  I keep on thinking this is my addiction fighting me and I just need to keep on telling myself no.  I really never ever figured heart attacks, I always feared cancer but the heart attack thing really took me for a loop.  I know what makes me happy so I keep lots of music around and walk alot.  I am beginning to feel stronger and better and know this is a good thing.  That is the only thing you have to remember, to believe in yourself.  Being ADHD is not a bad thing, it is actually good, I might be different, but in a lot of respects I am stronger and smarter because of it.</p>
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		<title>By: Steve</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-339277</link>
		<dc:creator>Steve</dc:creator>
		<pubDate>Tue, 01 Feb 2011 21:49:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-339277</guid>
		<description>Here’s the truth about quitting.  I don’t want to discourage you, but the fact is that 90% of those that try to quit don’t make it.  

Nicotine is more addictive than cocaine or heroine.  But, nicotine isn’t the “bad buy” in a cigarette.  It’s the 4,000 chemicals and 63 carcinogens that are killing people.  

What I found that worked like a miracle was the electronic cigarette.  It gives you nicotine using a water vapor atomizer.  So, it looks, feels, and tastes like a cigarette, but it isn’t.  I thought it was too good to be true.  But, after using it for a couple weeks, I was blown away!

You can use it anywhere, it has no smell, and costs about $3 a pack, using the cartridges.  If you want to know more, go to www.smokefreeroom.com.  After 47 years of trying to quit, this is the best thing to ever happen to me.</description>
		<content:encoded><![CDATA[<p>Here’s the truth about quitting.  I don’t want to discourage you, but the fact is that 90% of those that try to quit don’t make it.  </p>
<p>Nicotine is more addictive than cocaine or heroine.  But, nicotine isn’t the “bad buy” in a cigarette.  It’s the 4,000 chemicals and 63 carcinogens that are killing people.  </p>
<p>What I found that worked like a miracle was the electronic cigarette.  It gives you nicotine using a water vapor atomizer.  So, it looks, feels, and tastes like a cigarette, but it isn’t.  I thought it was too good to be true.  But, after using it for a couple weeks, I was blown away!</p>
<p>You can use it anywhere, it has no smell, and costs about $3 a pack, using the cartridges.  If you want to know more, go to <a href="http://www.smokefreeroom.com" rel="nofollow">http://www.smokefreeroom.com</a>.  After 47 years of trying to quit, this is the best thing to ever happen to me.</p>
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		<title>By: Michael Johnson</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-333090</link>
		<dc:creator>Michael Johnson</dc:creator>
		<pubDate>Mon, 24 Jan 2011 00:01:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-333090</guid>
		<description>Im not sure If that was the case for me. I sometimes wonder if I do have ADD/ADHD of some sort. However, I think I kept smoking because I had not made the decision to commit to it until now. Even though I am young I feel some what old school when it comes to excuses. Dont make them because no one will care. At the end of the day the choice was simple for me. Do Not pick up another darn cigarette again...Though which is more harmful ADD/ADHD Med or tobacco? Now there is a debate...</description>
		<content:encoded><![CDATA[<p>Im not sure If that was the case for me. I sometimes wonder if I do have ADD/ADHD of some sort. However, I think I kept smoking because I had not made the decision to commit to it until now. Even though I am young I feel some what old school when it comes to excuses. Dont make them because no one will care. At the end of the day the choice was simple for me. Do Not pick up another darn cigarette again&#8230;Though which is more harmful ADD/ADHD Med or tobacco? Now there is a debate&#8230;</p>
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		<title>By: Chell</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-269674</link>
		<dc:creator>Chell</dc:creator>
		<pubDate>Wed, 27 Oct 2010 21:46:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-269674</guid>
		<description>One more quick thing to address how evil smoking is if you google the brain chemistry under a brain scan they can see that when you take quicker puffs it triggers your brain to wake up and be alert and when you take deeper longer puffs it triggers the relaxing censation.  OMG so evil, there is nothing like it in the world!  Good luck and do what ever it takes to quit!  Cause even ciggs will damage your hart I know cause I lost my dad at 48 and because of smoking (hart attack)!  I was 12 and its sucked we lost everything when he died most importantly him I would give anything to have him here even 25 years after!</description>
		<content:encoded><![CDATA[<p>One more quick thing to address how evil smoking is if you google the brain chemistry under a brain scan they can see that when you take quicker puffs it triggers your brain to wake up and be alert and when you take deeper longer puffs it triggers the relaxing censation.  OMG so evil, there is nothing like it in the world!  Good luck and do what ever it takes to quit!  Cause even ciggs will damage your hart I know cause I lost my dad at 48 and because of smoking (hart attack)!  I was 12 and its sucked we lost everything when he died most importantly him I would give anything to have him here even 25 years after!</p>
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		<title>By: Chell</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-269670</link>
		<dc:creator>Chell</dc:creator>
		<pubDate>Wed, 27 Oct 2010 21:38:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-269670</guid>
		<description>Long story short I would of never dreamed I had ADHD and god bless my mom she didnt know better when I was young.  But I went to see a Phyc Dr when my son was struggeling in school and with sleep..  He is in his teens and has struggeled with the same things I did at the exact same age.  So when I took him in I also took the quize cause if he has something so did I.

So I told the Dr I smoke and I have battled with it for years and I drink allot of coffee.  He said Im right on the boarder for ADHD and I wouldnt say Im hyper at all but he thinks I am.  So I tried the generic Ritalin and the first day I didnt want a cig I tried to smoke cause its a habbit and I would find myself wanting to take a break and have one puff but after two puffs it tasted like it should (like dirt).  Im down to a half cup of coffee and really its more of a ritual cause I dont even finish it.  I dont interupt people or am inpatient like I was.  I just figured that I have a company and kids and properties etc, etc I dont have time for allot of bull if you know what I mean.  So who new!  My son I feel is too young I dont want to interfear with the growing process.  Also there is allot of cognitive things that he needs to learn how to do to over come like I did.  If his symptoms are still showing in college then Im all for trying if he wants it.  Cause you can pump all the chemicals you want into a kid but if they do not want to or just do not care about school no medicine is going to fix it!

But going back to Ritalin and I use the brand name I tried the generic and I had crazy symptoms when I wore off.  I highly recomend the brand it feels much cleaner and I can barly tell when its wearing off.  So this worked for me and I wish I would of known about this when I was in college maybe I would of finished and not have damaged lungs after 16 years of smoking on and off!

Also I tried Welbutrin when it first came out in the &#039;90&#039;s it did nothing for me but make me a zombie just nothing goin on upstairs.  So to each their own!  So again if everything has been tried and exhausted then who is anyone to judge.  Life expectancy is much longer with out ciggs and just be safe with this stuff get your blood work done and get your hart checked regularly!  Good luck and God bless!</description>
		<content:encoded><![CDATA[<p>Long story short I would of never dreamed I had ADHD and god bless my mom she didnt know better when I was young.  But I went to see a Phyc Dr when my son was struggeling in school and with sleep..  He is in his teens and has struggeled with the same things I did at the exact same age.  So when I took him in I also took the quize cause if he has something so did I.</p>
<p>So I told the Dr I smoke and I have battled with it for years and I drink allot of coffee.  He said Im right on the boarder for ADHD and I wouldnt say Im hyper at all but he thinks I am.  So I tried the generic Ritalin and the first day I didnt want a cig I tried to smoke cause its a habbit and I would find myself wanting to take a break and have one puff but after two puffs it tasted like it should (like dirt).  Im down to a half cup of coffee and really its more of a ritual cause I dont even finish it.  I dont interupt people or am inpatient like I was.  I just figured that I have a company and kids and properties etc, etc I dont have time for allot of bull if you know what I mean.  So who new!  My son I feel is too young I dont want to interfear with the growing process.  Also there is allot of cognitive things that he needs to learn how to do to over come like I did.  If his symptoms are still showing in college then Im all for trying if he wants it.  Cause you can pump all the chemicals you want into a kid but if they do not want to or just do not care about school no medicine is going to fix it!</p>
<p>But going back to Ritalin and I use the brand name I tried the generic and I had crazy symptoms when I wore off.  I highly recomend the brand it feels much cleaner and I can barly tell when its wearing off.  So this worked for me and I wish I would of known about this when I was in college maybe I would of finished and not have damaged lungs after 16 years of smoking on and off!</p>
<p>Also I tried Welbutrin when it first came out in the &#8217;90&#8242;s it did nothing for me but make me a zombie just nothing goin on upstairs.  So to each their own!  So again if everything has been tried and exhausted then who is anyone to judge.  Life expectancy is much longer with out ciggs and just be safe with this stuff get your blood work done and get your hart checked regularly!  Good luck and God bless!</p>
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		<title>By: Dr. Kenny Handelman</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-246295</link>
		<dc:creator>Dr. Kenny Handelman</dc:creator>
		<pubDate>Mon, 20 Sep 2010 14:39:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-246295</guid>
		<description>Rachel - it&#039;s important to get your diagnosis and get help. 
I don&#039;t know if the doctor will dismiss your symptoms or not. (there&#039;s only 1 way to find out). It is still very important to get diagnosed and to get help now. 
Concerta is expensive - though when it comes to the generic concerta - it is terrible. You can get a &#039;smart card&#039; (in Canada) to cover the difference in cost between the generic and the name brand medicine. See the article here: http://www.addadhdblog.com/generic-concerta-in-canada/
Ritalin 3 x per day is cheaper, but it has its own problems. 
The best thing to do is to get started, and see if you can get help. 
Your college may have a medicine plan for students which could help with the pills.
All the best, 
Dr. Kenny</description>
		<content:encoded><![CDATA[<p>Rachel &#8211; it&#8217;s important to get your diagnosis and get help.<br />
I don&#8217;t know if the doctor will dismiss your symptoms or not. (there&#8217;s only 1 way to find out). It is still very important to get diagnosed and to get help now.<br />
Concerta is expensive &#8211; though when it comes to the generic concerta &#8211; it is terrible. You can get a &#8216;smart card&#8217; (in Canada) to cover the difference in cost between the generic and the name brand medicine. See the article here: <a href="http://www.addadhdblog.com/generic-concerta-in-canada/" rel="nofollow">http://www.addadhdblog.com/generic-concerta-in-canada/</a><br />
Ritalin 3 x per day is cheaper, but it has its own problems.<br />
The best thing to do is to get started, and see if you can get help.<br />
Your college may have a medicine plan for students which could help with the pills.<br />
All the best,<br />
Dr. Kenny</p>
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		<title>By: Rachel</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-243266</link>
		<dc:creator>Rachel</dc:creator>
		<pubDate>Mon, 13 Sep 2010 04:41:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-243266</guid>
		<description>Hey Dr. H,

I&#039;m starting my second year of college, and my goals are to quit smoking and finally get help for my undiagnosed ADD.

Over my entire school career I have wondered what my problem was: despite scoring in the 99th percentile on standardized tests throughout grade school, the most I&#039;ve managed is a GPA of 2.9 at community college (I was supposed to get a full scholarship somewhere - never happened). Teachers have consistently told me that my failure to complete homework, manage time, and/or organize has been my downfall. 

I found out a few years ago from my mother that, at age seven, my school wanted to test me for ADD/ADHD, but she refused under the impression that a child considered &quot;gifted&quot; couldn&#039;t possibly have any disorder. Many people associate ADHD with learning disabilities, and since I don&#039;t have any, people that I&#039;m close to pass off the idea and accuse me of just being lazy and forgetful; my entire family thinks that ADD itself is a joke, or &quot;not real.&quot; Likewise, my friends think I&#039;m just trying to score some Adderall (which I want to avoid at all costs because I don&#039;t want people hounding me to sell it off; I&#039;m leaning toward Concerta). 

Recently, I got a job as a waitress, and I am becoming increasingly stressed and frustrated (and smoking more). My co-workers initially thought I was a complete idiot because I couldn&#039;t multi-task, listen, remember, etc. My manager&#039;s exact phrase was, &quot;You need to focus.&quot; I catch myself walking aimlessly, talking too much, saying things on an impulse...it has become glaringly obvious to me.

So, I have three major concerns/questions that I was hoping you could help me with:

1. I&#039;m worried that if I go to the doctor, (s)he&#039;ll either dismiss my symptoms (as my family has) or throw me a dose too low to be effective. School has already started and I can&#039;t afford to wait weeks experimenting in small increases with my GPA on the line; I want to finally reach my potential. 

2. Dosing: Upon getting an effective dose, will I have to continue raising it as time passes? Do people build up a tolerance to Concerta? What about abuse potential, do people get addicted to it?

3. Is it true that most insurance companies will not cover any costs for ADD medication? My insurance covers very little, and I&#039;m worried that even if everything else works out, I won&#039;t be able to afford it. I read on an ADHD blog that Concerta is quite expensive, but the 3x a day Ritalin is cheaper. Do you know how much generic Concerta might cost?

Thank you for your time! I hope to hear from you.

About me:
Age: 19
5&#039;4&quot; tall
125 lbs
BP: 95/65 (on average) 

P.S. I just realized it took me over an hour to finish this...kept getting distracted!</description>
		<content:encoded><![CDATA[<p>Hey Dr. H,</p>
<p>I&#8217;m starting my second year of college, and my goals are to quit smoking and finally get help for my undiagnosed ADD.</p>
<p>Over my entire school career I have wondered what my problem was: despite scoring in the 99th percentile on standardized tests throughout grade school, the most I&#8217;ve managed is a GPA of 2.9 at community college (I was supposed to get a full scholarship somewhere &#8211; never happened). Teachers have consistently told me that my failure to complete homework, manage time, and/or organize has been my downfall. </p>
<p>I found out a few years ago from my mother that, at age seven, my school wanted to test me for ADD/ADHD, but she refused under the impression that a child considered &#8220;gifted&#8221; couldn&#8217;t possibly have any disorder. Many people associate ADHD with learning disabilities, and since I don&#8217;t have any, people that I&#8217;m close to pass off the idea and accuse me of just being lazy and forgetful; my entire family thinks that ADD itself is a joke, or &#8220;not real.&#8221; Likewise, my friends think I&#8217;m just trying to score some Adderall (which I want to avoid at all costs because I don&#8217;t want people hounding me to sell it off; I&#8217;m leaning toward Concerta). </p>
<p>Recently, I got a job as a waitress, and I am becoming increasingly stressed and frustrated (and smoking more). My co-workers initially thought I was a complete idiot because I couldn&#8217;t multi-task, listen, remember, etc. My manager&#8217;s exact phrase was, &#8220;You need to focus.&#8221; I catch myself walking aimlessly, talking too much, saying things on an impulse&#8230;it has become glaringly obvious to me.</p>
<p>So, I have three major concerns/questions that I was hoping you could help me with:</p>
<p>1. I&#8217;m worried that if I go to the doctor, (s)he&#8217;ll either dismiss my symptoms (as my family has) or throw me a dose too low to be effective. School has already started and I can&#8217;t afford to wait weeks experimenting in small increases with my GPA on the line; I want to finally reach my potential. </p>
<p>2. Dosing: Upon getting an effective dose, will I have to continue raising it as time passes? Do people build up a tolerance to Concerta? What about abuse potential, do people get addicted to it?</p>
<p>3. Is it true that most insurance companies will not cover any costs for ADD medication? My insurance covers very little, and I&#8217;m worried that even if everything else works out, I won&#8217;t be able to afford it. I read on an ADHD blog that Concerta is quite expensive, but the 3x a day Ritalin is cheaper. Do you know how much generic Concerta might cost?</p>
<p>Thank you for your time! I hope to hear from you.</p>
<p>About me:<br />
Age: 19<br />
5&#8217;4&#8243; tall<br />
125 lbs<br />
BP: 95/65 (on average) </p>
<p>P.S. I just realized it took me over an hour to finish this&#8230;kept getting distracted!</p>
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		<title>By: Quit smoking easy</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-242594</link>
		<dc:creator>Quit smoking easy</dc:creator>
		<pubDate>Sat, 11 Sep 2010 15:56:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-242594</guid>
		<description>Some people may also be in a pattern that boils down to their daily routine, like smoking after meals, during stressful or emotional times, in the morning when they wake up, or while they&#039;re out socializing. Generally, it&#039;s about rewarding themselves, motivation, or to calm themselves down or to make themselves happy. These are psychological, physical and patterned behaviors.</description>
		<content:encoded><![CDATA[<p>Some people may also be in a pattern that boils down to their daily routine, like smoking after meals, during stressful or emotional times, in the morning when they wake up, or while they&#8217;re out socializing. Generally, it&#8217;s about rewarding themselves, motivation, or to calm themselves down or to make themselves happy. These are psychological, physical and patterned behaviors.</p>
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		<title>By: Quit smoking hypnotism</title>
		<link>http://www.addadhdblog.com/quit-smoking-and-adhd/comment-page-1/#comment-242592</link>
		<dc:creator>Quit smoking hypnotism</dc:creator>
		<pubDate>Sat, 11 Sep 2010 15:55:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.addadhdblog.com/?p=368#comment-242592</guid>
		<description>I quit cold turkey over 20 years ago. I did gain some weight initially but with careful eating and exercise it came off easily. There is a temptation to smoke when you are stressed. What helped me is to just take a couple of deep breaths instead of giving into the temptation.</description>
		<content:encoded><![CDATA[<p>I quit cold turkey over 20 years ago. I did gain some weight initially but with careful eating and exercise it came off easily. There is a temptation to smoke when you are stressed. What helped me is to just take a couple of deep breaths instead of giving into the temptation.</p>
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