WhyQuit News Banner. Article is the author's brief book review of his  revised book Freedom from Nicotine - The Journey Home by John R. Polito
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Thursday, August 8, 2013

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Freedom from Nicotine
The Journey Home, 2nd Edition

Revised popular stop smoking book at odds with national cessation policy

Cover Freedom from Nicotine - The Journey Home by John R. PolitoIronically, the National Cancer Institute (NCI) is rolling-out its retooled SmokeFree.gov website at the exact same time that its #1 competitor, WhyQuit.com, is announcing release of the 4th edition of the popular quitting book "Freedom from Nicotine - The Journey Home" (FFN-TJH).

Medication versus smart turkey, the two couldn't be more at odds.

While SmokeFree.gov (a/k/a BuyMeds.now), has a rich history of either ignoring or bashing cold turkey, WhyQuit and FFN-TJH promote, teach, support, defend and celebrate it.

The revised SmokeFree.gov site declares that "Most people who quit don't quit cold turkey on their own" and that "medications can double your chances of quitting for good."

Chapter 6 of FFN-TJH presents evidence that "while approved cessation products clobber placebo inside clinical trials, that they get clobbered just as badly by cold turkey in real-world use." It asserts that "clinical smoking cessation studies reflect the worst junk-science ever perpetrated upon humans."

So who's right? Who's wrong?

Four decades and billions spent promoting Nicorette, yet according to a July 31, 2013 Gallop Poll, nearly 50 times as many ex-smokers credit their success to cold turkey than to nicotine gum. According to the poll, all approved quitting products combined accounted for only 8 percent of success stories, while almost half (48%) attribute success to cold turkey, with at least another 25 percent indicating cessation under conditions historically and normally defined as cold turkey (abrupt nicotine cessation without use of a quitting product or procedure).

Link to Gallop Poll Table Screenshot

Have you ever wondered why we've never seen a Nicorette commercial claim that it has helped more than a million smokers quit? The answer is, it simply isn't true. And what percentage of the 1% crediting nicotine gum are dependent upon and slaves to it?

Gallop's cold turkey production finding clearly does not square with SmokeFree.gov's assertion that medication is more "effective" than "self help." It also strongly supports the existing population level effectiveness evidence-base in suggesting that toying with NRT or replacement nicotine, especially nicotine gum, is a weapon of mass destruction that has likely cost millions of U.S. smokers their lives.

Whether reviewing long-term population level effectiveness studies that distinguished light from heavy smokers (Pierce 2012), that interview patients of 1,000 family practice physicians (Doran 2006), or that were conducted by the NCI's own staff (see NCI, Hartman 2006, Pgs. 34-37), the results are the same: cold turkey prevails.

Written by John R. Polito, WhyQuit's 1999 founder, FFN-TJH is unique in taking direct aim at the root cause of all tobacco use: nicotine dependence. Whether the user is addicted to smoking, chewing, sucking or vaping nicotine, the book walks all brave enough to take that first step, through withdrawal and recovery, to the amazing sense of quiet and calm that arrives once their addiction's chatter goes silent.

The 4th edition of FFN-TJH is free and can be downloaded at WhyQuit in PDF format as an ebook or as individual chapters. A paperback version is also available through Amazon.com.

FFN-TJH provides users with both an easy to follow road-map home and packing tips. It explains how nicotine enslaved them, quitting's only rule and the inherent conflict between quitting and recovery. It debunks common use rationalizations while alerting readers to common pitfalls.

The meat of the book provides tips on moving beyond peak withdrawal (within 72 hours) and then launches into recovery's four overlapping layers: recognizing normal physical healing, extinguishing subconscious conditioning, navigating the emotional sense of loss, and overcoming conscious use fixation. It concludes with homecoming and the keys to relapse prevention.

It should be noted that neither the PDF version nor paperback versions contain the color photos seen in the individual PDF chapter downloads. Most of the color chapter photos were last minute additions yesterday, paid for by U.S. taxpayers, and borrowed from the revised SmokeFree.gov website.

While SmokeFree.gov's medicine, set a quit date, "slips," and how to handle withdrawal lessons each undercut successful cessation and will most certainly cost lives, the new photos are outstanding. Regarding setting quit dates see West 2006 and Ferguson 2009, and in regard to teaching the false lesson that slips are "a small setback" that "doesn't make you a smoker again" see Garvey 1992.

The NCI and its TCRB cessation leadership are strongly encouraged to immediatley end the deceptive and highly misleading practice of suggesting to SmokeFree.gov visitors that clinical efficacy victories over participants seeking medication but instead randomized to placebo look-a-likes bear any relationship to population level "effectiveness" or "your chances. The AHRQ knows the difference and so should you!"

More than 400,000 annual deaths, decades spent toying with replacement nicotine while calling it "medicine" has interrupted natural relapse lesson learning ("I am a nicotine addict and for me one equals all") and ground nicotine cessation to a standstill. Year after year, defeat after defeat, it's difficult to imagine what could possibly motivate any rational government health official to continue to intentionally discourage our nation's most productive and effective method.

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Learn More About Smart Turkey Quitting

  • WhyQuit.com's coffin bannerWhyQuit.com - WhyQuit is the Internet's oldest forum devoted to the art, science and psychology of cold turkey quitting, the stop smoking method used by the vast majority of all successful long-term ex-smokers. Left to right, WhyQuit is organized under three headings: (1) Motivation, (2) Education and (3) Support.
  • "Never Take Another Puff" - Imagine a free 149 page stop smoking ebook that's registered more than 4 million downloads and was written by a man who has devoted 40 years, full-time to helping smokers quit. Never Take Another Puff (NTAP) was authored by Joel Spitzer, the Internet's leading authority on how to stop smoking cold turkey. It is an insightful collection of almost 100 articles on every cessation topic imaginable.
  • "Freedom from Nicotine - The Journey Home" - Written by John R. Polito, a former 30-year heavy smoker and WhyQuit's 1999 founder, Freedom from Nicotine (FFN) is a free nicotine dependency recovery book that documents the science underlying nicotine dependency and successful cessation. Visit Turkeyville, Facebook's most popular quit smoking support group!Whether hooked on cigarettes, e-cigarettes (e-cigs), bidis, kreteks, a pipe, hookah or cigars, on dip, chew, snuff or snus, or on the nicotine gum, lozenge, spray, inhaler or patch, FFN provides a comprehensive yet easy to follow road-map to freedom from nicotine.
  • Turkeyville - Visit Turkeyville, Facebook's most popular quit smoking support group. The group's primary focus is the first few days and helping new quitters get started. Yes you can!
  • Joel's Library - Joel's Library is home to Joel Spitzer's "Daily Quitting Lesson Guide." The Guide walks new quitters through the first two weeks of smoking cessation, recommending daily videos to watch and articles to read. Joel's Library is also home to more than 100 original short stop smoking articles, to his free ebook Never Take Another Puff, and to his collection of more than 200 video stop smoking lessons.
  • Nicotine Addiction 101 - WhyQuit's guide to understanding nicotine dependency.
  • Freedom's small link banner Freedom - Looking for a deadly serious and highly focused education oriented support group? Home to Joel Spitzer, Freedom is the Internet's only 100% nicotine-free peer messageboard support forum. Explore Freedom's hundreds of thousands of archived member posts on how to quit smoking.
  • Nicotine Cessation Topic Index - An alphabetical subject matter index to hundreds of nicotine cessation support group discussions, article and videos.
  • 40 Quitting Tips - Key cold turkey nicotine cessation tips on how to stop smoking, vaping, chewing or sucking nicotine into your body and bloodstream.

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Article written August 8, 2013 and page last updated December 28, 2013 by John R. Polito