Quitting Smoking Training #13

Quitting Smoking

Quitting Smoking • According to the Canadian Lung Association, “Tobacco kills about 45,000 Canadians a year. That is more than the total number of deaths from car accidents, suicide, murder, fires, AIDS and accidental poisonings combined” (2008).

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Quitting Smoking

The Scary Truth About Smoking • The Canadian Cancer Society states that there are over 4,000 dangerous chemicals in cigarettes, cigars and pipe smoke. • Many of these chemicals are cancer-causing. • Second-hand smoke is just as dangerous and causes many serious health issues. • Physicians for a Smoke-Free Canada estimate that every year, second-hand smoke kills between 1100 - 7800 Canadians.

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Quitting Smoking

What Is In Cigarettes? • Cigarette smoke contains over 4,000 chemicals, including 43 known cancer-causing compounds and 400 other toxins. • Cigarette ingredients include nicotine, tar, and carbon monoxide, as well as formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT. • With smoking, all of these chemicals mix together and form a sticky tar. • The tar sticks to clothing, skin, and to the cilia (tiny hairs) that line the insides of the lungs. • The cilia help to clean out dirt and germs from the lungs. If the cilia are covered in tar, they can’t do their job properly, and germs, chemicals and dirt can stay in the lungs and cause disease.

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Quitting Smoking

How Smoking Hurts The Body? • Most smokers are aware of specific risks associated with smoking, like lung cancer, emphysema and bronchitis, but smoking impacts nearly all aspects of a person’s health. Smoking doesn’t just damage lungs; it puts an individual at high risk for dozens of other serious diseases, including cancer.

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Quitting Smoking

How Smoking Hurts The Central Nervous System? • One of the ingredients in tobacco is a mood-altering drug called nicotine and it is habit-forming. • Nicotine reaches the brain in mere seconds. • It’s a central nervous system stimulant, so it makes a person feel more energized for a little while. • As that effect subsides, one may feel tired and crave more. • Smoking increases risk of macular degeneration, cataracts, and poor eyesight. • It can also weaken sense of taste and sense of smell, so food may become less enjoyable. • The body has a stress hormone called corticosterone, which lowers the effects of nicotine. If under a lot of stress, more nicotine is needed to get the same effect. • Physical withdrawal from smoking can impair cognitive functioning and increase anxiety, irritability, and feelings of depression. • Withdrawal can also cause headaches and sleep problems.

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Quitting Smoking

How Smoking Hurts The Respiratory System? • With smoke inhalation, substances are taken in that can damage lungs. Over time, lungs lose their ability to filter harmful chemicals. • Since coughing can’t clear out the toxins sufficiently, these toxins get trapped in the lungs. Smokers have a higher risk of respiratory infections, colds and flu. • In a condition called emphysema, the air sacs in the lungs are destroyed. • In chronic bronchitis, the lining of the tubes of the lungs become inflamed. • Over time, smokers are at increased risk of developing chronic obstructive pulmonary disease (COPD). • Long-term smokers are at increased risk of lung cancer. • Withdrawal from tobacco products can cause temporary congestion and respiratory pain as the lungs begin to clear out. • Children whose parents smoke are more prone to coughing, wheezing, and asthma attacks than children whose parents do not smoke. • They also tend to have more ear infections and higher rates of pneumonia and bronchitis. - 7 -

Quitting Smoking

How Smoking Hurts The Cardiovascular System? • Smoking damages the entire cardiovascular system. • When nicotine hits the body, it gives blood sugar a boost. However, after a short time, an individual may be left feeling tired and craving more. • Nicotine causes blood vessels to tighten, which restricts the flow of blood (peripheral artery disease). • Smoking lowers good cholesterol levels and raises blood pressure, which can result in a buildup of bad cholesterol (atherosclerosis). • Smoking raises the risk of forming blood clots. Blood clots and weakened blood vessels in the brain increase a smoker’s risk of stroke. • Smokers who have heart bypass surgery are at increased risk of recurrent coronary heart disease. • In the long term, smokers are at greater risk of blood cancer (leukemia). • There’s a risk to non-smokers, too. Breathing secondhand smoke has an immediate effect on the cardiovascular system. • Exposure to secondhand smoke increases risk of stroke, heart attack, and coronary heart disease.

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Quitting Smoking

How Smoking Hurts The Skin, Hair & Nails? • Some of the more obvious signs of smoking involve the skin. • The substances in tobacco smoke actually change the structure of the skin and can cause skin discoloration, wrinkles, and premature aging. • Fingernails and the surrounding skin may have yellow staining from holding cigarettes. • Smokers usually develop yellow or brown stains on their teeth. • Hair holds on to the smell of tobacco long after a cigarette is put out. It even clings to non-smokers.

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Quitting Smoking

How Smoking Hurts The Digestive System? • Smokers are at great risk of developing oral problems. • Tobacco use can cause gum inflammation (gingivitis) or infection (periodontitis). These problems can lead to tooth decay, tooth loss, and bad breath. • Smoking also increases risk of cancer of the mouth, throat, larynx, and esophagus. • Smokers have higher rates of kidney cancer and pancreatic cancer. • Even cigar smokers who don’t inhale are at increased risk of mouth cancer. • Smoking also has an effect on insulin, increasing the risk of developing insulin resistance and type 2 diabetes. When it comes to diabetes, smokers tend to develop complications at a faster rate than non-smokers. • Smoking also depresses appetite, which can lead to nutrient deficiencies. • Withdrawal from tobacco products can cause nausea. - 10 -

Quitting Smoking

How Smoking Hurts The Reproductive System • Smoking can cause erectile dysfunction due to restricted blood flow. • Both men and women who smoke may have difficulty achieving orgasm and are at higher risk of infertility. • Women who smoke may experience menopause at an earlier age than non-smoking women. • Smoking increases a woman’s risk of cervical cancer. • Smokers experience more complications with pregnancy, including miscarriage, problems with the placenta, and premature delivery. • Pregnant mothers who are exposed to secondhand smoke are also more likely to have a baby with low birth weight. • Babies born to mothers who smoke while pregnant are at greater risk of low birth weight, birth defects, and sudden infant death syndrome (SIDS). • Newborns who breathe secondhand smoke suffer more ear infections and asthma attacks. Source: Pietrangelo, A. (2014). The Effects of Smoking on the Body. Available: http://www.healthline.com/health/smoking/effects-on-body. Last accessed 31 January 2016.

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Quitting Smoking

Diseases Caused By Smoking Smokers are at very high risk for many diseases including: • Bladder cancer

• High cholesterol (LDL)

• Breast cancer

• Influenza

• Cancer of the mouth, lip, throat and larynx (voice box)

• Kidney cancer

• Cancer of the pancreas

• Liver cancer

• Leukemia

• Cataracts

• Lung cancer

• Cervical cancer

• Osteoporosis

• Chronic obstructive pulmonary disease (COPD, including emphysema and chronic bronchitis)

• Peptic ulcers • Pneumonia

• Circulatory problems

• Sleep problems

• Coronary heart disease (heart attacks)

• Stomach cancer

• Gum disease

• The common cold

• High blood pressure

• Tooth decay (cavities)

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Quitting Smoking

Smoking & Cancer According to the Canadian Lung Association, more people die from lung cancer than breast cancer, colorectal cancer and prostate cancer combined, but smoking contributes to other types of cancers as well. • Smoking is the single most preventable cause of cancer • It is responsible for about 30% of all cancer deaths • Because cigarettes contain numerous chemicals, cancer may develop from the accumulative effects of more than one of these carcinogens.

Source: Lung Cancer Canada. (2015). Canadian Cancer Statistics 2015. Available: http://www.lungcancercanada.ca/lung-cancer.aspx. Last accessed 31 January 2016.

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Quitting Smoking

Is There Safe Tobacco? • No. There is no safe tobacco. Tobacco is the only product in the world that kills half of the people who use it exactly as directed. • Whether smoking tobacco in a cigarette, pipe, cigar, or chewing it in the mouth, it’s still harmful to one’s health.

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Quitting Smoking

Cigars & Pipes • In 1964, the U.S. Surgeon General’s Report linked lung cancer, lung disease and heart disease to cigarette smoking. • Many people gave up cigarettes, but did not make the connection to all forms of tobacco use. • They switched to pipes and cigars, believing that they were safer. • Turns out, the risks of smoking pipes and cigars are only slightly different. • Smoking tobacco in a cigar or pipe has many of the same health risks as smoking cigarettes. • Cigars and pipes contain nicotine so a person is still breathing in the same harmful chemicals as people who smoke cigarettes.

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Quitting Smoking

Smokeless Tobacco • Spit, chew and snuff are all types of smokeless tobacco products. • Chew or spit tobacco is a leafy tobacco sold in pouches or brick form and it is often sweetened with molasses and sugar to make it taste good. • Snuff, is ground into a fine powder and sniffed into the nostrils. • The moisture in the mouth and nose release the nicotine, which goes through the lining of the mouth and nose and directly into the bloodstream. • Like cigarettes, smokeless tobacco is also highly addictive. • Some people believe that using smokeless tobacco is safer because the tobacco is chewed or snorted instead of smoked. • Smokeless tobacco, however, has a number of serious health risks: cancer of the mouth, throat, lip, tongue and cheek, severe tooth and gum disease, ulcers and upset stomach. • Some athletes believe spit tobacco gives them more energy and isn’t harmful. • The short boost from nicotine actually puts stress on the heart and lungs, which limits athletic ability - 16 -

Quitting Smoking

Light Cigarettes • Many smokers think light cigarettes have less nicotine, tar and other harmful chemicals compared to regular cigarettes. • In fact, someone smoking a light cigarette absorbs just as much or more tar, nicotine and carbon monoxide. • The word “light” is very misleading. It refers only to the way the cigarette tastes. • There’s no standard that says how much tar or nicotine a “light” cigarette should have. • Light cigarettes taste lighter because tiny holes in the filter allow more air to enter the cigarette. • The smoker inhales “air-diluted” smoke, which makes the cigarette taste lighter but doesn’t change the actual amount of chemicals in the smoke. • Studies show that people smoke light cigarettes differently than regular cigarettes because they still crave the same amount of nicotine. • They tend to take more frequent longer puffs, smoke the cigarette down to the filter, block the tiny ventilation holes in the filter, and hold the smoke in their lungs much longer. • By changing the way a person smokes, they get their usual dose of nicotine. • There are no health benefits to smoking “light” cigarettes.

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Quitting Smoking

Roll Your Own Cigarettes • Some people buy loose tobacco in tins or pouches and roll their own cigarettes. • These are not safer than regular cigarettes. • In fact, they may be even more harmful because they don’t burn as well as manufactured cigarettes.

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Quitting Smoking

“Natural” Or Organic Tobacco • Some people grow their own tobacco and think it’s safer because it’s “natural.” • Smoking homegrown tobacco doesn’t make it any safer. • An individual is still breathing in hot, dirty, toxic smoke into the lungs.

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Quitting Smoking

E-Cigarettes / “Vaping” • E-cigarettes are battery-operated devices, which mimic the smoking experience using an inhalation process that vaporizes an internal fluid. • This is sometimes referred to as “vaping.” • These non-combustible products most often do not include tobacco. • The liquid solution varies in composition but is usually propylene or vegetable glycol based and can be combined with other ingredients and flavours. • E-cigarettes are available with or without nicotine. However, e-cigarettes containing nicotine are not legally manufactured, sold or imported in Canada. • Canada’s Food and Drugs Act requires that product approval be granted by Health Canada for all products containing nicotine and at the present, no company has received product approval within Canada. • However, e-cigarettes containing nicotine and liquid nicotine in e-liquid (or e-juice as it’s commonly called), are often available online or in retail outlets in Canada. While this is illegal, enforcement is limited. • Researchers at the University of California created an extract from the ‘smoke’ of e-cigarettes and used it to treat human cells in a lab. • They found that vaping is no safer than smoking • They also found that e-cigarette vapor damages DNA in ways that could lead to cancer. • The exposed cells developed DNA damage and died far sooner than those left untreated. • Nicotine free e-cigarettes caused 50 percent more DNA strand breaks, while for those containing nicotine the damage rose three fold over eight weeks.

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Quitting Smoking

Marijuana • Despite what some people might think, smoking marijuana is not harmless. • Marijuana smoke contains more than 400 chemicals; many are the same cancercausing chemicals found in tobacco. • Using marijuana in any of its forms (oil, leaves and seeds) is harmful to the lungs.

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Quitting Smoking

Signs of Lung Damage It’s common for smokers to ignore or downplay the symptoms of lung damage. Here are some signs and symptoms: • Feeling out of breath when walking up a short flight of stairs • Frequent coughing • Spitting up mucus • Repeat chest infections

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Quitting Smoking

I’ve Been Smoking All My Life, Why Should I Stop Now? • It’s never too late to quit. • By stopping now, a person can reduce their risk of cancer, lung and heart disease. • They can also stop their lungs from getting even more damaged. • Within one year of quitting smoking, a person’s risk of dying of a heart attack drops by half.

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Quitting Smoking

Smokers Cleanse Can Help • Let’s be honest, it takes a lot of willpower to quit smoking. • There is no magic formula, only the desire to quit and solid support. • Smokers Cleanse is a 30 day, 3 part program containing herbs, vitamins, and amino acids formulated to assist in the process of quitting smoking. • It can be used by people who are in the process of quitting and those who are not quite ready but need the support.

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Quitting Smoking

Smokers Cleanse 1 • Smokers Cleanse 1 works to help expel mucus from the respiratory system as well as soothe inflamed tissue and bronchial passages. • It also contains powerful antioxidants that help to protect the respiratory system, allowing it to repair and rebuild faster.

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Quitting Smoking

Smokers Cleanse 2 • Smokers Cleanse 2 works to reduce cravings. • By using a therapeutic dose of green tea extract, cravings are significantly reduced. • Green tea extract has been shown in clinical studies to have a positive impact in helping people quit smoking. • Smokers Cleanse 2 also contains the amino acids GABA and L-Tyrosine which work to curb the effects that nicotine addiction has on the brain. • According to the American College of Neuropsychopharmacology, keeping the supply of GABA at high levels has the potential to reduce the pleasurable effects of smoking, in terms of duration and intensity.

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Quitting Smoking

Smokers Cleanse 3 • This formula helps to promote restfulness and relaxation. • This is very important as two common problems associated with quitting smoking are anxiety and trouble sleeping.

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Quitting Smoking

Smokers Cleanse Smokers Cleanse 1 contains (per capsule) N-acetyl-L-Cysteine

250mg

Thyme Leaf (Thymus vulgaris) 4:1 Extract (500mg)

125mg

Fenugreek Seed (Trigonella foenum-graecum) 10:1 Extract (1000mg)

100mg

Mullein Leaf (Verbascum thapsus)

50mg

Vitamin C (ascorbic acid)

40mg

Smokers Cleanse 2 contains (per capsule) Green Tea Leaf Extract (Camellia sinensis) Providing 75% catechins, 5% caffeine

325mg

GABA (gamma aminobutyric acid)

125mg

L-Tyrosine

125mg

Bilberry Fruit Extract (Vaccinium myrtillus) 4:1 Extract (400mg)

100mg

Smokers Cleanse 3 contains (per capsule) Hops, Dried strobili (Humulus lupulus) 4:1 Extract (600mg)

150mg

Skullcap, Aerial parts (Scutellaria lateriflora) 4:1 Extract (600mg)

150mg

Lemon Balm, Aerial parts (Melissa officinalis)

75mg

L-5-HTP (Griffonia simplicifolia seed)

25mg

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Quitting Smoking

Cleansing Support As studies have shown, smoking takes a significant toll on one’s health and the body. Once an individual’s smoking habit is firmly under control, we strongly recommend performing a full body cleanse that will detoxify the body’s 7 channels of elimination. • First Cleanse is designed for the first time, or sensitive cleanser. It is a 15 day program that is easy to use, gentle and effective. • CleanseSMART is designed for those who have cleansed before or who are constipated. It is an advanced, 30 day program that is 4-5 times stronger than First Cleanse. While cleansing after quitting smoking is highly recommended it is a suggestion only and does not make the Smokers Cleanse any less effective if someone chooses not to do it.

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Quitting Smoking

Ongoing Therapeutic Lung Support • If a person has a damaged respiratory tract, they are more prone to lung diseases such as asthma, bronchitis, pneumonia, emphysema and COPD. The key to a healthy respiratory system is to provide total support.

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Quitting Smoking

Total Lung Therapy Total Lung Therapy has 3 major functions: 1. It works to cleanse the respiratory system by expelling mucus from deep within the respiratory system 2. It works to soothe and heal the tissue in the respiratory tract 3. It protects and strengthens the respiratory system

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Quitting Smoking

Total Lung Therapy Total Lung Therapy will help cleanse, protect, and heal damaged tissue in the respiratory tract and can be used by: • Smokers and ex-smokers who need extra lung support • People who are exposed to secondhand smoke • Asthmatics and those with other lung ailments • People who work in professions where they are exposed to lung irritants (i.e. firefighters, bakers, hair/nail salon workers) • Athletes, to cleanse the lungs and support healthy lung function for maximum performance • Those who live in large cities where air pollution is an issue as a way to reduce the negative effects of long-term exposure • People who are healthy to proactively cleanse and protect their lungs • It can be taken ongoing

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Quitting Smoking

Total Lung Therapy Total Lung Therapy - Each capsule contains N-Acetyl-L-Cysteine

90mg / 9000 FCC DU

Fenugreek Seed (Trigonella foenum-graecum)10:1 Extract (1500mg)

40mg / 20,000 FCC HUT

Hyssop Leaf (Hyssopus officinalis) 10:1 Extract (1000mg)

11.2mg / 36 FCC LU

Thyme Leaf (Thymus vulgaris) 4:1 Extract (400mg)

2mg / 250 FCC CU

Mullein Leaf (Verbascum thapsus)

0.5mg / 50 FCC SU

Vitamin C (ascorbic acid)

2.5mg / 250 FCC ALU

Ginger Root, Rhizome (Zingiber officinale) 4:1 Extract (200mg)

12.5mg / 125 FCC DP

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Quitting Smoking

Stop Smoking Recovery Timetable 20 minutes Blood pressure, pulse rate and the temperature of hands and feet have returned to normal. 8 hours Remaining nicotine in the bloodstream has fallen to 6.25% of normal peak daily levels, a 93.75% reduction. 12 hours Blood oxygen level has increased to normal. Carbon monoxide levels have dropped to normal. 24 hours Anxieties have peaked in intensity and within two weeks should return to near pre-cessation levels. 48 hours Damaged nerve endings have started to regrow and one’s sense of smell and taste are beginning to return to normal. Cessation anger and irritability will have peaked. 72 hours The entire body will test 100% nicotine-free and over 90% of all nicotine metabolites (the chemicals it breaks down into) will now have passed from the body via urine. Symptoms of chemical withdrawal have peaked in intensity, including restlessness. The number of cue induced crave episodes experienced during any quitting day have peaked for the “average” ex-user. Lung bronchial tubes leading to air sacs are beginning to relax in recovering smokers. Breathing is becoming easier and the lung’s functional abilities are starting to increase. 5 - 8 days The “average” ex-smoker will encounter an “average” of three cue induced crave episodes per day. Although cessation time distortion can make minutes feel like hours, it is unlikely that any single episode will last longer than 3 minutes. We recommend keeping a clock handy and timing episodes. 10 days The "average" ex-user is down to encountering less than two crave episodes per day, each less than 3 minutes. 10 days to 2 weeks Recovery has likely progressed to the point where the addiction is no longer doing the talking. Blood circulation in gums and teeth are now similar to that of a non-user. 2 to 4 weeks Cessation related anger, anxiety, difficulty concentrating, impatience, insomnia, restlessness and depression have ended. If still experiencing any of these symptoms, please consult a qualified physician. 21 days The number of acetylcholine receptors, which were upregulated in response to the presence of nicotine in the frontal, parietal, temporal, occipital, basal ganglia, thalamus, brainstem, and cerebellum regions of the brain, have now substantially down-regulated, and receptor binding has returned to levels seen in the brains of non-smokers (2007 study). 2 weeks to 3 months Heart attack risk has started to drop and lung function is beginning to improve. 3 weeks to 3 months Circulation has substantially improved and walking has become easier. Chronic cough, if any, has likely disappeared. If not, consult a physician, as a chronic cough can be a sign of lung cancer. 4 weeks Plasma suPAR is a stable inflammatory biomarker predictive of development of diseases ranging from diabetes to cancer in smokers. A 2016 study found that within 4 weeks of quitting smoking, with or without NRT, that suPAR levels in 48 former smokers had fallen from a baseline smoking median of 3.2 ng/ml to levels “no longer significantly different from the never smokers’ values” (1.9 ng/ml) 8 weeks Insulin resistance in smokers has normalized despite average weight gain of 2.7 kg. 1 to 9 months Any smoking related sinus congestion, fatigue or shortness of breath has decreased. Cilia have regrown in the lungs, thereby increasing their ability to handle mucus, keep lungs clean and reduce infections. The body’s overall energy has increased. 1 year Excess risk of coronary heart disease, heart attack and stroke has dropped to less than half that of a smoker. 5 years Risk of a subarachnoid hemorrhage has declined to 59% (2012 study). If a female ex-smoker, risk of developing diabetes is now that of a non-smoker (2001 study). 5 to 15 years Risk of stroke has declined to that of a non-smoker. 10 years Risk of being diagnosed with lung cancer is between 30% and 50% of that for a continuing smoker (2005 study). Risk of death from lung cancer has declined by almost half for individuals who previously smoked approximately one pack per day. Risk of cancer of the mouth, throat, esophagus and pancreas has declined. Risk of developing diabetes for both men and women is now similar to that of a never-smoker (2001 study). 13 years The average smoker who is able to live to age 75 has 5.8 fewer teeth than a non-smoker (1998 study). But by year 13 after quitting, risk of smoking induced tooth loss will have declined to that of a never-smoker (2006 study). 15 years Risk of coronary heart disease is now that of a person who has never smoked. Risk of pancreatic cancer has declined to that of a never-smoker (2011 study). 20 years Female excess risk of death from all smoking related causes, including lung disease and cancer, has now reduced to that of a never-smoker (2008 study). Risk of pancreatic cancer has declined to that of a never-smoker (2011 study). Source: Spitzer, J.. (updated 2016). Stop Smoking Recovery Timetable . Available: http:// whyquit.com/whyquit/A_Benefits_Time_Table.html. Last accessed 31 January 2016.

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Quitting Smoking

Quitting Smoking

Product Appendix - 35 -

Smokers Cleanse Ingredients Smokers Cleanse 1 This formula works to support the respiratory system, help expel mucous, and soothe inflamed bronchial passages.

Smokers Cleanse 3 This formula works to reduce stress by promoting a feeling of restfulness and relaxation.

Herbs for the lungs: Expectorant (herbs that aid in the discharge of respiratory mucous) Fenugreek Seed Thyme Leaf Mullein Leaf Demulcent (herbs that help soothe mucous membranes) Fenugreek Seed Mullein Leaf

Herbs that promote restfulness and relaxation: Hops Skullcap Lemon Balm Herbs that help reduce anxiety: Hops Skullcap Serotonin Precursor (helps promote relaxation and sleep): L-5-HTP (5-hydroxy-tryptophan)

Antioxidants: N-acetyl-L-Cysteine Vitamin C Smokers Cleanse 2 This formula works to lessen cravings, which can be intense when quitting smoking. Herbs that reduce cravings: Green Tea Leaf Extract Bilberry Fruit Extract Amino Acids that reduce cravings: GABA (gamma amminobutyric acid) L-Tyrosine

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Total Lung Therapy Ingredients Total Lung Therapy Total Lung Therapy contains a mix of ingredients to heal, strengthen, support and protect the respiratory system. Total Lung Therapy contains therapeutic levels of Fenugreek and Hyssop. It also contains therapeutic levels of Ginger and Vitamin C. Ingredients to aid in the discharge of respiratory mucus - helps bring up mucus and other material from the lungs, bronchi, and trachea: Fenugreek Mullein Thyme Ginger Hyssop Ingredients to soothe and heal the respiratory system: Hyssop N-Acetyl-L-Cysteine Mullein Vitamin C Ingredients to protect and strengthen the respiratory system: Hyssop N-Acetyl-L-Cysteine Vitamin C

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Quitting Smoking

Thank You

for your time & involvement!

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