Smoking/Cessation

< Smoking

Smoking Reduction May Lead To Unexpected Quitting

"Cutting back is approved as a method of quitting in several European countries, but not in the United States," said lead author John Hughes, M.D., a professor of psychiatry at the University of Vermont College of Medicine. "Our review contradicts the commonly held belief that quitting requires stopping abruptly and provides evidence that smokers can quit successfully by reducing the amount of cigarettes smoked." --Medical News Today, 12 Dec. 2006[]

More smoking dosage reduction options (beyond merely fewer cigarettes)

The following ideas for a syllabus of smoking cessation, going beyond the parameters of Hughes et al.[] ("reduction in the amount of cigarettes smoked"), will start by eliminating the $igarette altogether, and substitute any of several dosage reduction options including the $$ vaporizer, the $$ e-cigarette or portable vaporizer, etc.

1. Initially, more cheaply, try a screened single-vapetoke utensil, or flexible-drawtube one-hitter, which offers a uniform 25-mg. serving size, replacing the hot-burning-overdose-monoxide 700-mg-per-lightup commercial $igarette (or, in India, 450-mg beedi)! This requires that the user learn an easy vape-instead-of-smoke procedure which reforms the inhalation process away from huff-puff toward smooth and slow.

Typewriter compliant diagram: conversion of conventional hotburning bigbowl tobacco pipe (load: 1-2 grams) into #40-screened single-toke one-hitter (load: 25 mg.)

 (4x enlarged)
                               
                             1/4" (6.3-mm.) ,6-mm. or 5.5-mm.(7/32") i.d.
                   __________ <---------> __________
                  /          \           /          \
                 /           |x         x| cupshaped \
       ________ /            |x         x|<--screen   \________
      /        \|            |x         x|    #40    |/        \
      |         |             \xxxxxxxxx/             |         |       
      |         |             |         |    wood     |         |
      |         |<--tight fit |         |    bead,    |         |
      |         |             |         |   branch    |         |
      |         |             |         |   segment,  |         |
      |         |             |         |     etc.    |         |
      |         \             |         |             /         |
      |         |\            |         |            /|         |
      |         | \___________/         \___________/ |         | 
      |         |                                     |         |
      |         |                                     |         |
      |         |                                     |         |
      |         |                                     |         |
      |         |       Vacant space helps cool       |         |
      |         |       smoke before it reaches       |         |                             
      |         |       point of inhalement           |          \__________          
      |         |                                     |                  
      |         \                                     \_____________________     
      \          \                                                             
       \          \                                         original pipe stem-------------->
        \          \                                        plus flexible extension drawtube
         \          \_______________________________________________________     
          \                                                                              
           \________________________________________________________________

2. Exploring different types of tobacco one toke at a time, thus breaking the single-brand $lave Loyalty habit! Bum one $igarette off someone, empty the contents into a canister labeled with the name of that brand, and arrange it into a dividered box with the rest of your collection. Or continue with the favorite type within a dosage limitation such as ten single tokes per day (total 250mg. = slightly more than one third of one present-day "normal" 700-mg commercial $igarette).

If Hughes et al. are correct about a reduced number of (700-mg.)$igarettes, the above restricted number (say, ten) of reduced-dosage tokes (25 mg. each) may result in a rising percentage of smokers who eventually "forget to smoke any more". (Later they may say they got caught up in the real life they had been missing while on chainsmoke regimen.) Those who continue "smoking" will do so with major risk-reduction, by partial if not total conversion to monoxide-free vaporizing (vape pens, plug-in vaporizers, one-hitters).


History of smoking: not the tobacco, the $igarette is the problem

/Smoking cessation/History_of_smoking:_not_the_tobacco,_the_$igarette_is_the_problem

Relevance to Wikiversity presentation:
(a) I think everyone should investigate this history, understanding how we got into the 6,000,000-a-year fix will help us get out of it;
(b) any reader including you might with luck figure out which historic ad campaign GOT YOU HOOKED in your time and reviewing that may help you kick the habit now!

For centuries, partly because tobacco was expensive, smoking pipes usually had a long stem and a narrow bowl (crater) in which it was possible to heat or burn small amounts of tobacco at a comparatively low temperature by sucking more slowly than on a present-day $igarette. Tobaccos were rare, expensive, strong-tasting and harsh compared to modern "cured" doctored "mild" $igarette tobacco designed for massive inhaling-- in past ages most users either didn't inhale or inhaled very little as shown by the small size of the pipes.

Technology first, then marketing opportunists

In the late 19th century $igarette-rolling machines were developed (replacing hand-rolling sweatshop laborers, like Carmen in the opera), and marketers discovered they could sell much more tobacco by attracting customers to the "sanitation", "convenience", "mildness" etc. of individually machine-rolled paper tubes ("untouched by human hands") with a heavy load of specially pre-toasted mild tobaccos inside, of which one could inhale large overdoses without coughing, and get a large intake of nicotine quickly, right into the bloodstream.

Instead of learning a more sophisticated art of sucking continuously very slow, possibly for 5-15 seconds (such as w:hatha yoga/pranayama breathing), youngsters (through picture ads, movies, etc. and filtered down through peer groups) were taught to suck hard for a short time (a one-second "puff", a 2-second "pull", a 3-4 second "drag" or a longer "bogart") from a device (the $igarette) which is designed to burn hot enough to keep burning and be ready, without re-lighting, for several minutes of further "puffs". Particularly strong heroic men were supposed to be able to "drag" without flinching, making it burn even hotter. Abusing oneself ostentatiously (like by breathing fire) relieved social anxieties by showing others, especially bullies, that one was fearless and capable of inflicting punishment (either on oneself or, by implication, on others). This was and is relevant at tough urban schools where bullies are looking for any excuse to pick on you and you must prove yourself as "tough" as they are.

20th C.: 200 million

Besides the social benefit of exhibiting brave self-punishment, there is also a magic "pleasure"-- (= bloodsugar)-- the nicotine causes a temporary rise in your blood glucose level! (Temporary: an hour later you'll crave another one.) This "temporary" pleasure lured the customers on to inhale massive amounts of carbon monoxide (CO), PAH's, ammonia, tars etc. By the mid-20th century research began to show catastrophic death increases, but by that time it was too late to head off a possible 200 million human fatalities, the greatest genocide (so far) in the history of the planet.

21st C.: 1 BIL?

The World Health Organization (May 30, 2011) estimates the current yearly $igarette death toll at 6,000,000 and predicts in a generation it could rise to 10 million (approaching a BILLION per century) as the wave of Third World teenagers who began to have enough money in the 70's and 80's to buy overdoses and get hooked will be dying off.

How to reconcile above allegations with scientific evidence that shows small amounts of second-hand smoke detrimental to non-smokers in the vicinity of smokers? citations needed How do the suggested reduced doses above compare to dose ingested via second hand smoke?
Thanks, it was published in the 1970's that "side-stream" smoke(SSS)-- the part that rises directly off the tip of a $igaret, NOT the same as "second-hand" smoke (SHS)-- contains 5 times as much carbon monoxide (the no. 1 cardiovascular toxin), 5 times as much sulfur dioxide, 30 times as much ammonia etc. etc. as "main-stream"(MSS) (the part inhaled directly from the device).

Eliminate SSS; SHS not so bad

Eliminating the $igarette format (and all other overdose smoking methods that produce more smoke than the smoker inhales such as a big wide pipe) and substituting a utensil with narrow (1/4 inch or 6.0 or 5.5 mm i.d.) enclosed screened crater (bowl) in which only a small amount (25 mg) of herb can be loaded at a time, just enough for the user to inhale in one take ("toke") and no more, eliminates the "SSS" problem. Then, it turns out, true "second-hand" smoke (SHS), that part which has been in and out through a smoker's lungs, actually contains the LEAST carbon monoxide. His/her lungs have "purified" that smoke and made it less bad for bystanders than either the SSS or the MSS. Further step-- substitute a vaporizer for smoking; learn how to vaporize with a one-hitter, etc.


The 3 fractions, proposed clarification

$igarette advertising history, or there's a sucker started every second

An overwhelming barrage of trillion dollar advertising has been the key to recent genocidal "success" of the tobacco industry. Surplus profit from overdose addicts was recycled into seductive ads to create new addicts (ad + diction = addiction, get it?).

Show biz showed kids how to smoke

What's behind the anti-cannabis laws?

As President, Reagan promoted the War on Drugs, really a War Against Cannabis-- an alternative herb which can substitute for tobacco. By 2007 over 872,000 Americans were arrested for cannabis "violations" in a single year, with an estimated $20 billions of dollars for all this arresting and processing law-enforcement function amply covered by over $36 billion (as complained-- or bragged?-- on an R. J. Reynolds website) collected by the selfsame government entities in the form of tobacco excise taxes, license fees, etc., not to mention campaign contributions primarily to the Republican Party, its leaders (such as Boehner: two tobacco corporation lobbyists on his advisory board)

and its candidates.

Why Big Tobackgo fears cannabis

In ascending order:

2. Over 100 million persons smoke cannabis today worldwide, and it could, if legalized, readily REPLACE tobacco among many smokers now each paying up to $4000 a year (pack a day in a high-tax US state) to that Industry;
1. (Much worse) because cannabis contains no overdose-addictive drug such as nicotine, many users are content to use infinitesimally small amounts, such as a 25-mg single toke, in a miniature pipe or single-toke utensil. If this conservative behavior, legalized de facto along with the cannabis, began to be adopted widely by tobacco smokers instead of the profitable 700-mg overdose $igarette (net weight not listed on the label, I weighed a Winston once to find out), the industry profit margin would be doomed.
The above is medically disputed. THC is an active addictive element in marijuana. Further, despite the early hysteria and humor associated with propaganda like "Reefer Madness" shown in U.S. schools in the 60s and 70s, scientific studies have found a clear correlation between use of Marijuana and subsequent use of harder drugs such as cocaine, heroin, meth, etc. .
While THC may appear to be psychologically addictive for some, it is rare to encounter anyone craving 20 hot-burning monoxide 700-mg $igarettes (1/2 ounce!) of it a day-- routine for nicotine. For a discussion of gateway drug theory, see Talk page.

Why Big Pharma fears cannabis

In ascending order:

2. Cannabis is alleged to be a viable cheap, natural substitute for many present-day highly profitable drugs;
1. Should cannabis legalization result in a sudden drastic reduction in illnesses caused by tobacco, due to correlative legalizing of an anti-overdose smoking utensil which can be used by tobacco smokers instead of the profitable overdose $igarette format, the result could be a matching drastic reduction in the demand for high-profit drugs and treatments needed by patients suffering diseases such as high blood pressure which result from chronic $igarette overuse.

Why so many present-day cannabis users smoke a "joint" or "blunt" rather than use a conservative utensil

3. Partly, of course, it's the longtime advertising, creating a profitable "synthetic tradition" which offers a glamorized grown-upness of fearlessly gesturing with a kind of symbolic torch in your hand (like a gun in typical crime drama shows-- "Winston tastes good, like a !!!! !!!! (gunshots) $igarette should!"). The hot burning overdose "joint" helps an emotionally insecure user borrow a media repertory of trucculent defiant tobacco $igarette (or gunwaving) gestures, helping to intimidate others.
2. More recently, it is alleged that, since the 90's, tobacco companies slipped money to "wRAP" artists to include references to "blunts" in their songs. (A "blunt" is a cigar-skin with the tobacco filler discarded and an overdose of expensive cannabis rolled inside. User can pose as a hypermasculine bigshot with the big "cigar", also it's dark-colored, helping some to assert a racial identity etc. Because the cigar wrapper contains nicotine, it's a sneaky way to get youngsters hooked! (If the nicotine helps get them hooked on further drugs, prohibitionists conveniently blame that on the cannabis.) Note key artist names such as "Cool" and "Tu-Pac".
1. The main reason is fear of the (paraphernalia) law-- it's easier to hide or dispose of a "joint" than a pipe, you aren't in danger of being arrested while they fish for evidence of something even worse to book you on, or of losing your investment in the utensil (such as a $600 vaporizer). And people say, "If the cops find one of those in here, they'll confiscate my car!"

Some legal ideas concerning utensils

Keep in mind that in the U.S. no letter from an official can exempt you from equal application of statutes as written. At worst it may embroil the official in criminal conspiracy charges. [2007]
Be aware that some medical cannabis users in the U.S. have found federal law enforcement willing and able to lock up medical users despite full compliance with local and state laws. I am looking for citations from California. Please find links provided below. Mirwin 02:49, 16 December 2007 (UTC)
True, but bear in mind the above suggestions concern only possession of a utensil, for stated tobacco-reduction use, and not possession of cannabis. In the above recommended letter, and in political advocacy, maybe one could present the argument that possession of an anti-overdose utensil is evidence of the intent to be a sober responsible citizen, more within the law than a reckless self-destructive hot-burning-overdose torchbearing slave. Note: as legalizing states are seeking guidelines for addressing cannabis use, it might be wisely suggested that possession of a vaporizer or a 25-mg nano-toke utensil be required to purchase or possess cannabis legally.

Vaporizer


The most effective way to eliminate cigarette-smoking immediately may be to acquire and use a vaporizer, which instead of burning herb material at 1500° F/860° C every time user sucks on it, can be set to heat the herb (ANY SPECIES) at an appropriate temperature (tobacco around 350F) thus avoiding all the combustion toxicity which accounts for the majority of health damage from smoking.

The top-of-the-line Volcano, selling for $600, has been endorsed by Allen F. St. Pierre, Executive Director of NORML, for medicinal cannabis patients (2007). Note that instead of cannabis, an amount of shredded tobacco removed from a cigaret can be inserted, or strong pipe tobacco or a segment cut from a cigar. At first glance, the price looks steep, but consider that a pack-a-day cigaret addict is burning up over $2000 a year ($4000 in New York).

If, according to 2014 US Surgeon General estimate, medical consequences of $igarette smoking cost, for example, the US economy $289 BILLION every year, it would be cost-effective for the taxpayer to buy all 45 million $igarette addicts each a Volcano vaporizer for a one-time outlay of $27 billion! This could be paid for out of the 1998 Clinton $200B tobacco settlement money-- in case any of it is left over from roads, schools, police etc.; that money was supposed to be used for stop-smoking programs!

Vaporizer Cafes

If, in the meantime, you wish to try vaporization, there are numerous brands in the $200-$400 range which operate several different ways; where can one try more than one kind of vaporizer to decide which to buy, or get some practice and counseling so that after investing the money you don't break the device by some mistake which voids your rights under the guarantee?

One way to address this hurdle and introduce larger numbers of persons to vaporization is by setting up vaporizer cafes, at which one can for an introductory fee try various vaporizers and have the services of a trained staff person or coach, as you learn the art of vape toke etc.

E-cigarette

This product, developed in China, has a rechargeable battery and a heating element which vaporizes liquid nicotine, alone with propylene glycol to create a smoke-like fog after each toke, and other flavorings so you can get one which tastes like a cigar, or a Marlboro etc. At under $100 each and 5 cartridges for $10 it is a cheaper way to get started than most vaporizers.

Single-toke utensil

For most of the 1.2 billion smokers worldwide, vaporizers may not be affordable immediately so it would certainly be cheaper to manufacture several billion miniature "smoking" utensils, which if made from metal or pyrex glass, deserve to be named semi-vaporizers, for if while sucking extremely slow the user holds a moderate lighter flame the right distance below the top opening of the crater-head, (A) heating the glass or metal wall (conduction), (B) heating the air going in (convection), much of the herb essence will have time to vaporize out from each particle being heated or, once burning has started, by adjacent burning particles, before that particle itself catches on fire.

Selection of appropriate mini-utensil

O.K. traditional types

Chillum

Made in India and Jamaica, traditionally a stick of wood or other material 4-5 inches long, with a channel running end to end and a wider opening at one end. See the wikiHow.com free article on How to Convert a Wasteful Wide-Mouth Chillum into a Long-Stemmed One-Hitter, which includes unique but imperfect typeface illustrations which need to be replaced by a handdrawn cartoon diagram format when someone with scanning technology gets around to it.


Kiseru

A man smoking a kiseru. Illustration of the cover of the novel Komon gawa ("Elegant chats on fabric design") by Santō Kyōden, 1790.

Used in Japan since about 1600, this has a wrought metal crater-head and mouthpiece with a long stretch of bamboo in between. You can substitute a flexible drawtube (pvc etc.) for the bamboo piece. Get a cylindrical-shaped crater instead of conical so your screen will sit securely inside. For a store marketing kiseru on line (and a special Japanese type of stringy tobacco like corn silk), see [].

Midwakh

A small pipe of Arabian origin, in which dokha is smoked, a confection of tobacco and other herbs. Especially popular in the U.A.E. where teenagers are said to be converting to it from $igarettes, in the wake of $moking bans introduced in September 2007. You might attach a long hookah tube when using it.

Sebsi

Sebsi

Made in Morocco with a clay L-shaped head and a long bamboo or hardwood drawstem. If the stem is not long enough, attach a flexible pvc drawtube to it.

Consider making your own

Preparation of tobacco

Directions for use

(They want you to feel guilty about throwing some away without "using it up", but you wouldn't dare put it out for later use and try to carry The Butt with you on a bus, would you? Yukh.)

Further harm reduction tips

Double toke

With a two-stemmed utensil and a partner, the following surprising benefits are available:

  • While burning the same 25-mg. serving size, each partner sucks twice as slow-- twice the yoga training. Count how many seconds mentally while you slowly steadily suck.
  • Each partner gets half the heat,
  • making it twice as mild!
  • Then use a double-ended breathbonnet, stare in her eyes and hypnotize.
  • You need the encouragement/resocialization. (Think of the advertising money they spent making you think overdose $igarettes or passed-around "joints" were something shared or sociable. Instead, victims were isolated, each with their own thumb-suckin' cigarette gesture language, living in a fantasy world of fear of germs or whatever, using that side-stream smoke to fend off children and enemies.)

Paperwork-- not the rolled kind

Many smoking cessation experts recommend keeping a diary. Here's how it works with your reduction utensil program:

On a single line, after maybe just the date, write a "t" for each single toke you did and a capital "C" for each entire cigaret. It might look something like this:
Monday, December 12: ttCtttCtttttCttt (etc.)
All those little "t"'s and big "C"'s will keep reminding you that you are "Ctttttin' down!"

Other brands

Herbal alternatives

Here's a list of "smokable"/vapeable herbs, almost all legally available from health food stores, usually bought by the ounce or a few ounces in a package at even lower prices than the tobacco marketed in $igarettes.

Please add further information to this list-- both names of herbs you know about (original research encouraged) and information on how to sift, prepare and serve them in a vaporizer, one-hitter or other suitable utensil.

alfalfa, anise (leaf), aloe (leaf), Althaea officinalis (marshmallow leaves)
basil (considered the King of Herbs by ancient Greeks), borage, *buchu(Barosma), burdock
camomile, catnip (Nepeta cataria. Actually, there are over 250 species of genus Nepeta, probably all usable), *chaparrel or creosote bush (Larrea tridentata. One living Arizona specimen of this shrub is allegedly 11,600 years old), clover, comfrey, corn silk (wait till they get brown and chop them down)
damiana, dandelion, dill
echinacea, elder(yellow flowers), *eucalyptus
fo-ti-tieng
garlic (the dried outer paper), ginkgo, ginseng(leaf, not root), goldenseal, gotu kola
hawthorn, heather, hibiscus, hops (Humulus lupulus-- use the yellow flowers; mildest of all smoking/vaping-herbs), huckleberry (Vaccinium myrtillus:leaf)
*kinnickinnick or bearberry (Uva ursi-- leaf; widely used by ancient Americans in mixtures with and without tobacco)
lavendar(three or four little buds per serving), lemon balm (Melissa), lemon grass, linden, lobelia(often recommended because the effect mimics nicotine)
marjoram, marygold, *matté, mugwort, mullein
nettle (Urtica-- the soft green minus the stingers, a surprisingly mild toke)
orange(flowers, very sweet), oregano (most popular of all herbs. Two cents worth of oregano adds $4 to the price of a pizza)
pennyroyal (mint), peppermint, plantain
rosebud, rosemary (chop little logs of 3-mm. length and use 4 to 6 at a time)
saffron(flowers), sage (Salvia; dozens of legal species, all good, even if you can't get the famous divinorum), St.-John's-wort (w:Hypericum), sassafras (leaves), savory, scullcap, senna, slippery elm, spearmint, stevia
tarragon, thyme
verbena
willow (bark shavings or leaf), wintergreen, wormwood (Artemisia absinthia; grotesque-tasting but safe in moderate quantity despite its reputation)
yarrow, yohimbe (bark shavings)
Just about any dried flower petal salvaged from a wedding or funeral...

(a) keep and use such small quantities you're unlikely to get caught or ticketed (Holder memorandum, August 2013)-- a gram is 40 tokes;

(b) use such small quantities it can hardly do any harm (limit a half dozen tokes a day);

(c) keep a few tokes in a cannister with the name "Oregano" or other legalese on the top to satisfy a rogue cop or literal-minded stoolpigeon.

Like, real drugs

It's break time-- does the following "KOOL" (-ool, -al, kill all etc.) profile fit you?

Fetal = fatal

Frankie or his successors got your mother hooked on smoking $igarettes, or on spending time with hooked males, or on being seen hearing cool music in scenes where it was necessary to sit inhaling sidestream smoke from dozens of $igarettes, i.e. you as egg (ovum) were already chronically exposed to nicotine even decades before you were conceived and born.

"Cool"

It started in school-- or in the schoolyard, among bullies, where the key to escaping being bullied was to be "cool"-- i.e. inconspicuous, impassive, undemonstrative, unemotional, someone they can't "get a rise out of". Nicotine constricts the capillary system so the blood vessels leading to the skin carry 40% less warmth (to drive flushing, quivering or other evidence of emotion) and you're really "cool".

School

(Yep-- this word is really a derivative of "cool" with a processing prefix added. "Cool" is the major part of what many kids really learn at school.)

Not at first, but once you have inhaled enough side-stream smoke hanging out with the cool kids, or sucked a few sucker-hits yourself, one of those nights arrives when the big test is the next day!-- and you know if you smoke a few cigarets you will be able to stay awake and cram all night, or slog through writing the tedious source-theme that is due tomorrow. This is the critical Sleep-Suppression-Emergency (SSE) moment when true crutch-dependence is established. Fortunately you're grown-up enough now, i.e. no more beginner symptoms-- Chills, Nausea, Dizziness, Faintness-- your immune system's resistance is blown away, and you can take it like a man. Excellent "training" for a post-schooling military career where everything may depend on not falling asleep through millions of hours on guard when "nothing happens" (quote from some famous WWI British poem?).

"Parental"

Well, after all, if you don't qualify to get into that Ivy League college you'll never get the diploma needed to qualify for the high paying job, after your parents spent so much money on you & now they are counting on you to be a source of economic security in their old age!

They probably won't like your cigaret smoking but... "Well, I guess it means he's going to settle down and get a steady job." (Besides, it might help you hide your cannabis use-- watch it, they've seen all those Drugfree Partnership scare ads.) Your dad will threaten; your mother will burst into tears. "Please don't throw away all we did for you, we'll die soon enough and then you can do anything you damn please!"

Marriage ritual

If kissing scares you (the Propa & Ganda Co. taught you to fear germs), it's less disgusting if both partners do something even more disgusting first, i.e. a $igarette, you're USED to that.

Playboy Magazine cartoons often show someone in bed, after sex, smoking a $igarette. That might not directly improve sex, rather is counted on to "cool" the seething inner quagmire of unresearchable post-childhood emotional turmoils that sabotage sex.

Feeling full

"Reach for a Lucky instead of a sweet."-- 30's jingle. Nicotine (snack-eatin') is said to reduce cravings to munch on (or substitute for) fattenin' foods. Many, especially women, fear to quit due to warnings that they will gain weight.

Harold Washington Syndrome

According to Salim Muwakkil, writing in In These Times, Harold spent a career appearing at innumerable dinners showing solidarity by eating good old Soul Food. At the height of his power (1987) his heart doctors forced him to quit smoking; his weight ballooned to 284, he bent over to pick up a pencil, could neither get up nor breathe, heart attack, died on the spot. Would Harold have lived (and served 20 years as Mayor of Chicago as he intended) if he had been prescribed a Choomette long-stemmed single-toke utensil and a gram (40 tokes) of oregano?

Career tool

What steroids are to a notorious big time athlete, nicotine is to the stayawake bureaucrat busywork hireling. You need the money; survival is the issue. "Stay awake, look busy, fool the boss, bring home paycheck." Final payoff: in the last decade of your life you may have to pass on much of that money to doctors, hospitals, drug companies, etc. in order to squeeze out a few more years, see a grandchild or two and disappear safely into the "average" lifespan statistics leaving a depleted estate for their coolege oops sorry college needs.

What about weight gain?

Today one of the most controversial grounds for dependency on smoking is weight control. Can a dosage reduction without quitting be the key to maintaining weight control without paying the overdose-disease price for it?

Quitting through short-term memory reduction

The NOT program

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