Can H-Town Kick Its Habit?

1. Prepare for quit day

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If done successfully, people continue participating automatically as a habit — they have new identities as members of this movement, and they now define themselves as part of this movement. More than 80 percent of students at three Hagerstown public schools receive free or reduced-priced lunches. As can be seen below, after only a 15 sec exposure of DNA in a standard agarose gel, cloning efficiency starts to drop. Opioids may be the deadliest catastrophe to hit Hagerstown, but the current crisis follows a long string of blows to a city that never made the transition from a mechanical to a hi-tech economy. The more STR regions that are tested in an individual the more discriminating the test becomes. They believed Thomas had not consciously committed a crime, and thus was not responsible for it. Each marker is assigned with a Paternity Index PI , which is a statistical measure of how powerfully a match at a particular marker indicates paternity.

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Tobacco use and exposure to second-hand smoke are responsible for more than , deaths each year in the United States, according to the American Lung Association. Most people are aware of the numerous health risks that arise from cigarette smoking and yet, "tobacco use continues to be the leading cause of preventable death and disease" in the U. Quitting smoking is not a single event that happens on one day; it is a journey. By quitting, you will improve your health and the quality and duration of your life, as well as the lives of those around you.

To quit smoking, you not only need to alter your behavior and cope with the withdrawal symptoms experienced from cutting out nicotine, but you also need to find other ways to manage your moods. With the right game plan, you can break free from nicotine addiction and kick the habit for good. Here are five ways to tackle smoking cessation. Once you have decided to stop smoking, you are ready to set a quit date. Research that compared abrupt quitting with reducing smoking found that neither produced superior quit rates over the other, so choose the method that best suits you.

Here are some tips recommended by the American Cancer Society to help you to prepare for your quit date:.

But breaking the association between the trigger and smoking is a good way to help you to fight the urge to smoke. You will almost certainly feel the urge to smoke many times during your quit day, but it will pass.

The following actions may help you to battle the urge to smoke:. Going cold turkey , or quitting smoking without the help of NRT, medication, or therapy, is a popular way to give up smoking. However, only around 6 percent of these quit attempts are successful. It is easy to underestimate how powerful nicotine dependence really is. NRT can reduce the cravings and withdrawal symptoms you experience that may hinder your attempt to give up smoking.

NRTs are designed to wean your body off cigarettes and supply you with a controlled dose of nicotine while sparing you from exposure to other chemicals found in tobacco.

If you have decided to go down the NRT route, discuss your dose with a healthcare professional before you quit smoking. Remember that while you will be more likely to quit smoking using NRT, the goal is to end your addiction to nicotine altogether, and not just to quit tobacco. Contact your healthcare professional if you experience dizziness, weakness, nausea, vomiting, fast or irregular heartbeat, mouth problems, or skin swelling while using these products.

Talk to your healthcare provider if you feel that you would like to try one of these to help you to stop smoking, as you will need a prescription. Bupropion acts on chemicals in the brain that play a role in nicotine craving and reduces cravings and symptoms of nicotine withdrawal. Bupropion is taken in tablet form for 12 weeks, but if you have successfully quit smoking in that time, you can use it for a further 3 to 6 months to reduce the risk of smoking relapse. Varenicline interferes with the nicotine receptors in the brain, which results in reducing the pleasure that you get from tobacco use, and decreases nicotine withdrawal symptoms.

Varenicline is used for 12 weeks, but again, if you have successfully kicked the habit, then you can use the drug for another 12 weeks to reduce smoking relapse risk. Risks involved with using these drugs include behavioral changes, depressed mood, aggression, hostility, and suicidal thoughts or actions.

Trying counseling services, self-help materials, and support services can help you to get through this time. As your physical symptoms get better over time, so will your emotional ones. Combining medication - such as NRT, bupropion, and varenicline - with behavioral support has been demonstrated to increase the chances of long-term smoking cessation by up to 25 percent.

Behavioral support can range from written information and advice to group therapy or individual counseling in person, by phone, or online. Self-help materials likely increase quit rates compared with no support at all, but overall, individual counseling is the most effective behavioral support method. Support groups, such as Nicotine Anonymous NicA , can prove useful too. NicA applies the step process of Alcoholics Anonymous to tobacco addiction.

Some people find alternative therapies useful to help them to quit smoking, but there is currently no strong evidence that any of these will improve your chances of becoming smoke-free, and, in some cases, these methods may actually cause the person to smoke more. E-cigarettes are a hot research topic at the moment.

The gains from using e-cigarettes may not be risk-free. Studies have suggested that e-cigarettes are potentially as harmful as tobacco cigarettes in causing DNA damage and are linked to an increase in arterial stiffness, blood pressure , and heart rate. Quitting smoking requires planning and commitment - not luck. Decide on a personal plan to stop tobacco use and make a commitment to stick to it.

In addition to trying out these steps, you could check out our selection of the best apps for quitting smoking. MNT is the registered trade mark of Healthline Media. Study finds 'wonder pill' doesn't lower heart attack and stroke risks, and can increase bleeding The forgotten milestones: Do YOU want to quit smoking? Try using the app from the hypnotherapist who helped Adele and Ewan McGregor kick the habit London-based Max Kirsten has helped a range of A-listers give up smoking Adele gave up her a-day habit in August after a visit to his clinic His app - Quit Smoking Now - uses a range of techniques to help people quit And Max claims it will prevent users from having any withdrawal symptoms By Stephen Matthews For Mailonline Published: You may have tried using e-cigarettes or even nicotine gum.

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