How to Quit Smoking Without Gaining Weight

It’s no secret that quitting the cancer sticks can lead to weight-gain—an incentive, for some, to hang on to the dangerous habit. But it’s time to put an end to that ridiculous excuse. A new anti-smoking medication may also help prevent weight gain among quitters, according to a study published in Biological Psychiatry.

Researchers at the University of Chicago and Yale University gave 700 male and female smokers either a pill, Naltrexone, or a placebo. Naltrexone helped the men ditch cigarettes, upping their quit rate from 17 percent to 30 percent over three months, but it did not significantly improve a woman’s odds of quitting. However, in women who did stop successfully, the drug helped cut their weight gain by more than half. Those on the placebo put on an average of 5.1 pounds, whereas women on Naltrexone only gained an average of 2.3 pounds. The drug is an opioid blocker, working to reduce cravings for alcohol, heroin, and nicotine, but it also blocks cravings for foods many smokers indulge on while they quit.

Mike Dow, Psy.D, clinical director of therapeutic and behavioral services at The Body Well integrative medical center in Los Angeles, explains weight gain is common with quitting because nicotine alters brain chemistry and induces cravings. “When you give up smoking, your brain is low in your body’s feel-good chemicals, dopamine and serotonin,” he says. “Many people gain weight when they quit smoking, because they trade cigarettes for unhealthy food to get these feel-good chemicals back. Dopamine is released when you eat high-fat foods, and serotonin is released when you eat sugar and processed carbohydrates.”

Here’s the thing: While more research is needed on Naltrexone (which, again, wasn’t actually effective at helping women quit), you don’t need to wait for a miracle pill to kick the habit. And definitely don’t avoid quitting in fear of food cravings and weight gain. A few strategies can help combat both problems. It’s not too late to re-write your New Year’s Resolutions list, with “Quit Smoking” at the top. Here’s how:

Keep active
Boost serotonin and dopamine levels — just don’t do it with food. Opt for healthy behavioral habits instead. “Running to loud music or kickboxing are great dopamine-booster activities,” Dow says. “Cuddling with loved ones or pets, calling friends, or taking mindful walks are great serotonin-booster activities.”

Avoid extreme dieting
You might think swearing off carbs is wise, but your body needs them to keep cravings in check. “Choose smart carbs like whole grains, fruits, and vegetables to control cravings and boost serotonin to control anxiety,” says physician nutrition specialist Melina Jampolis, MD.

Up your protein
Lean meat, eggs, soy and nut butters should stay in your food arsenal as you quit. Jampolis says protein with each meal will help “control blood sugar and hunger” over the course of your day.

Chew gum
Your mouth is used to cigarettes; don’t neglect it. Chew sugar-free gum between meals. “Quitting can increase appetite directly or indirectly, as you crave the oral stimulation of smoking,” Jampolis says. “Gum keeps your mouth busy, and studies show it can even help you lose weight.”

Break routines
Did you used to take a smoking break at 10 A.M. with co-workers? Take your break at 9:30, and go for a short walk instead to avoid the sight and smell of cigarettes. “Just like eating patterns, smoking patterns contribute to addictive behavior,” says Jampolis.

photo: iStockphoto/Thinkstock

More from WH:
What Smoking Does to Your Body
How to Quit Smoking
The Creative Way One Woman Quit Smoking

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When Is It Okay to Go Without a Condom?

Safe sex: Does it always mean using a condom?

You should know by now that forgoing condoms during sex puts you at heightened risk of unintended pregnancy and contracting STDs. But according to a new study in the Journal of Adolescent Health, it seems that most American women haven’t gotten the memo—or just aren’t that concerned.

The research found that women who start using hormonal contraceptives (think: the pill) for birth control typically stop using condoms. Ignoring the fact that non-monogamous skin-to-skin sex is like an open invitation to sexually-transmitted ickiness, it gets worse: The study also found that when women go off the pill, they don’t tend to return to regular condom use, leaving them and their ovaries vulnerable to disease, yes, but also unintended pregnancy.

But here’s the thing: for some monogamous couples, going without condoms isn’t always an invitation for trouble. There are times when condoms are necessary, and times when you can skip them (in a responsible way). Women’s Health expert Shari Brasner, M.D., OB/GYN, and assistant clinical professor at Mount Sinai School of Medicine, says that deciding whether to forgo condoms depends entirely on the context of your particular situation.

So here are four questions to ask yourself—and your partner—before making that decision.

Are you both monogamous?
Research shows that people with concurrent sexual partners (meaning: people who are sleeping with multiple people during the same time period) are more likely to contract STDs than those who engage in monogamous sex. Don’t skip the condom unless you know for sure that both you and he are seeing each other exclusively.

When was the last time he was tested?
Before going condomless, ask him to get tested for STDs – Chlamydia, gonorrhea, HIV, and Syphilis, and also ask him if any of his previous partners have ever had herpes or HPV. HIV tests are only accurate up to three months after last sexual contact, so depending on the last time he had sex with someone other than you, wait three months before he gets tested. Only then can you be totally sure he’s safe.

Do you have a method of protecting yourself against pregnancy?
If you’re not on the pill or employing some other form of birth control that prevents pregnancy, you should not forgo condoms—it’s the only barrier you’ve got between yourself and that positive sign on a home pregnancy test. For more information about birth control options, check out our birth control center.

Is this someone you’re willing to accept the consequences for?
“At some point, inevitably, you are going to ask yourself: Do we need to being using both condoms and the pill?” Brasner says. And the answer to that has to hinge from the question of whether or not you’re on board with the baggage that could come from stopping condom use (namely: babies and STDs), she adds. These things don’t just have physical tolls on you; they have emotional—and financial—tolls. So it better be worth it.

photo: iStockphoto/Thinkstock

More from WH:
The Best Condoms For Your Pleasure
What You Should Know About Pregnancy
6 Moves For Hotter Sex

Look Better Naked: Buy the book to learn how to look (and feel!) your very best.

 

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7 Ways to Enjoy Thanksgiving Without Packing on the Pounds

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prev1 of 9nextGorge without the guilt

By Bethenny Frankel

Stuffing, mashed potatoes, and gravy aren’t usually part of a low-cal diet, but you can still savor Thanksgiving dinner without falling off the weight loss wagon. Here are my favorite tips.

Next: Start prepping early

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