Hi guys, wanted to share my thoughts and experiences with quitting nicotine.
First, the type of nicotine addict I am. I am a naturally depressed person ("dysthymia"). My mood can only be stabilized by nearly daily exercise or a high volume of nicotine. My mother smoked when she was pregnant with me, in the car, in our little apartment and so on. I'm not so sure these two things are unrelated.
So, my type would be something along the lines of the depressed, all-or-nothing style of nicotine addict. However, managing dosage is something I was roughly able to do this last go.
I believe the most effective quits I've had are also when I've quit while depressed, with plenty of time for exercise. Quitting during the good times has never worked for me.
I've tried and have been a prolonged user of most nicotine products.
- Smoking. I started smoking around 15, quickly reaching a pack-a-day whenever I could afford it. I quit before going to university then would smoke off and on throughout my 20s. My last cigarette was during COVID lockdown shortly after the gyms opened.
Quitting experience: Initiated by compounding disgust (smell, cleaning) and complete despair (the last straw was reading Beaudrillard.) I took PTO for a week to rest up and play video games. I also smoked weed regularly (something I'd never done before or since) and worked out high for a few weeks. There was a feeling of "I'm done with this" that precipitated the quit which I felt was unmistakable and final and until, years later, I started...
- Vaping. I started vaping around 28 due to low level background stress with a girl I was dating. I knew I was going to break up with her and we'd fight constantly, but we lived together in a place I'd bought so I couldn't leave, and she was in a situation where I couldn't simply kick her out. However, I bought that first vape on an otherwise normal night. I still remember the almost instant soreness it gave my neck and after a few more puffs I threw the thing out. However, from that point on, I couldn't stop thinking about vaping again. I'd go on to vape another 5 years, and although it's been several months now I'd still consider myself addicted today.
Qutting experience: Truly a demon. I calculated the amount of nictoine I'd be ingesting to be around 3-4 packs a day. I could vape basically anywhere. It became ingrained in everything and does not let you leave it gently. It'll whisper in your ear about your acuity, social anxiety, mood. You'll be reminded of it drinking, eating, chilling. It'll break you down until you compromise through some shameful pretzel of logic. The lack of disgust (smells good, tastes good, often little residue with regular brushing) combined with the accessibility and mild physical symptoms leaves little incentive, and thus motivation, to continue a quit.
For vaping I had to do NRT. The depression I'd feel became overwhelming cold turkey, even with a supportive wife by my side. There was always a phase of euphoria as blood came flowing back which would be intense for a few days then diissipate and give way to a depression starting a couple weeks in and becoming unbearable after around three months. Even working out felt like simply mechanically pulling around the meat of my body. I started with 'double patching' plus lozenges, and slowly stripped all of them away.
Patches. Extremely easy to give up and scale down. Obviously there's a little adjustment when you reduce your usage, but working my way from 2x 21mg patches down to one 7mg felt seamless with gum/lozenges to smooth things over. Quitting and reducing patches was helped a little by the disgusting residue and constant skin irritation they leave on the body. I was certainly happy when I was down to one, and then down to none.
Lozenges. These are great and flavorful but made me literally shit blood so I quit them after a couple months. If I had to suggest an ideal NRT combo it'd be lozenges + patches, but due to the poopy I began using nicotine gum. Lozenges are discreeter, cleaner and easier to deal with than gum. For these reasons, however, I could see it being difficult to get off of them after prolonged use.
Nicotine Gum. We now arrive at the final product I've used. After using my last patch perhaps 2.5-3 months ago, I began only chewing gum. The gum is less desireable than lozenges because it has a disgusting side effect of chewed up gum everywhere. I'd push mine back into the little container capsule they pop out of. It's also far less subtle, sometimes socially inappropriate. I'll also add it made me drool while speaking and lispier sometimes.
Qutting experience: It's strange after having quit vaping so many times and having that demon bargaining with me every day to this silent, boring, sleepy and mechanical emptiness that is simple nicotine cessation. I'm two weeks in now and it's not completely comfortable. I'm still struggling with insomnia (writing this at 3am after having passed out around 9pm lol) and oversleeping and exhaustion and all those things but without the mental warfare it just feels like normal depression which is manageable. With vaping somewhere around 9.5 months past at this point the impulses have been severed, and chewing gum constantly was actually really annoying so I'm happy to be rid of that. No brain fog or mood swings, and I'm still able to get some work done and concentrate somewhat.
For vapers out there, I'd recommend NRT no doubt. Don't listen to the prescribed method or any of that shit though. Double patch, cut patches up, chew a whole sheet of gum if you have to. Get enough in your system you don't feel like you're quitting nicotine, win the battle against the habitual/psychological attachment to vapes/cigs, then begin the war against the physical addiction.
Nicotine is a toxic substance to the body so no matter what method you use it'll fuck you up in some way. Gum and lozenges would cause gum sores and burning/irritation to my tongue. Patches would leave inflamed skin on my arms. As my wife, who's a doctor, says "inflammation is cancer." So, there is no safe form, and you should get off of it for this reason alone, but you already know that. I would just imagine the inflammation and sores inside of my body, inside of my lungs, and it'd make me feel gross. It helps during the quit.
I think the brain fog from vaping and cigarettes is from your brain compensating for less oxygen by double timing the pump of nicotine-infused blood or something like that. It feels like a unique state that nonsmokers will never experience or understand. To me, it's like the pressure is changing inside my head when I try to think (thus my theory lol) and there's a general despondency toward thinking that sets in. Gum, lozenges and patches do not have the brain fog after extended usage followed by reduction/cessation in my experience. I may be unable to concentrate or have trouble carrying a thought deeply, but the feeling of brain fog is gone. My brain fog was still its worst going from vaping to NRT.
I also want to put aside the myth that if you use NRT products you can't quit with them again. I've shared sort of my high level story, but I've used patches, lozenges, gum in every configuration over the past couple years trying to quit, and it seems apparent that this time will actually be the last time. The difference this time around is that I didn't shy away from loading up on NRT products until I felt normal, and I had no prescribed schedule. An arbitrary two or four week timeline puts unnecessary pressure and artificial boundaries on quitting.
If you read this disorganized mess I appreciate it. Hope this is helpful or insightful to someone out there.