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General Health
Question #23097
135 days ago
241

how to stop chewing tobacco - #23097

Ananya

I am really struggling with this habit of chewing tobacco. It's been years now, and I can't remember when I even started. Just a week ago, I tried to quit cold turkey, thinking it would be easy since I've done it before. But wow, I underestimated how hard it would be. My cravings hit me like a freight train! It seems like every time I try to stop chewing tobacco, I just end up back at it after a few days. I feel this guilt around my family too because they don't know I still do it, and I really don't want them to find out. I even got some patches, but they don’t seem to help much. I keep reading advice on how to stop chewing tobacco, but nothing looks like it could work for me. Should I try some kind of counseling or support group? I saw some people mention going for walks or chewing gum instead but IDK if that's enough. Like, are there any proven methods that actually help? I just really want to know how to stop chewing tobacco for good, you know? It’s affecting my health and my life in ways I never realized until now.

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Doctors' responses

Quitting chewing tobacco can be challenging, but effective strategies do exist. Given your experience with cravings and difficulty stopping cold turkey, a stepped approach might work better for you. First, consider talking to a healthcare provider about prescription medications like varenicline (Chantix) or bupropion (Zyban)—these can help reduce cravings and improve your chances of quitting. It’s important to use nicotine replacement therapy (NRT) correctly; patches can be helpful, but combining them with another form, like gum or lozenges, might be more effective. These provide variable doses of nicotine to manage cravings more flexibly throughout the day. Behavioral support is also a key component in successful cessation. Counseling, either individual or as part of a support group, can provide strategies and encouragement. Cognitive-behavioral therapy (CBT) has shown to be particularly effective in changing habits and managing withdrawal symptoms. In practical day-to-day steps, replacing the physical act of chewing tobacco with other activities can help. Regular physical activity, like going for walks, not only gives you something to do but also helps manage stress, another trigger for tobacco use. Keeping sugar-free gum or hard candies on hand can also address the oral fixation part of the habit. Try to identify and avoid or find strategies to cope with the specific triggers that make you reach for tobacco. Accountability is important—consider sharing your quit plan with a trusted friend or family member who doesn’t know about your habit, this can reduce the guilt and provide additional support. Instituting these changes can take time, so patience and persistence will be key. Remember to consult your healthcare provider to tailor any plan to your needs and to address any potential health risks associated with trying different medications or therapies.

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