1. DANGER! POISON! Addiction by Design! Big Tobacco’s Dirty Secret:
Ammonia is Added
to New Tobacco!!
Quit&Live
DANGER! POISON!
Ammonia/Urea (floor/toilet cleaner urine)
Hydrogen Cyanide (gas chamber poison)
Urethane (wood sealer)
Methanol (rocket fuel)
Toluene (industrial solvent)
Naphthalene (mothballs, lighter fluid)
Arsenic (rat poison)
Acetone (paint stripper)
Polonium 210 (radioactive element)
Vinyl Chloride (plastic material)
DDT (insecticide)
Formaldehyde (embalming fluid)
Cadmium, Mercury, Lead (poisonous heavy metals)
Propylene glycol (antifreeze)
60+ cancer causing substances
Carbon Monoxide (car exhaust)
Addiction by Design!

2. Tobacco Pyramid Smoke/Chew Nicotine Relationships Stress Relief
Habits+Routines
Smoke/Chew
Nicotine

3. The Dopamine Drip Dopamine New Teen Smoker Quitting Smoking
Addicted Smoker
Quitting Smoking
Non-smoker Ex-smoker
Dopamine No
Dopamine
Nicotine stimulates the release of dopamine in the brain, which is the brain’s major pleasure-regulating chemical. The use of tobacco leads to an increase in the number of receptors that become dependent on nicotine to release dopamine. This addiction changes the normal function and structure of the brain.

4. Brain Chemistry of Tobacco Addiction
Dopamine=OK (calm, focused,
awake, nice)
Dopamine
Nicotine=10
Dopamine
Quit&Live 10 5
Nic.
level
in the
brain
Nic.
level
in the
brain
Cig
5 sec
Dopamine=BAD
(tired, cranky, can’t think, anxiety, panic, depression, insomnia, nausea, headache)
Chew & Am. Spirit 60 sec
Nicotine=0 Dopamine=0
Smoke chew
Hours
Wakeup 6:00 am
Nicotine breaks down into Cotinine. Cotinine levels indicate how much nicotine you use and depend on to keep your dopamine level up to feel OK.

5. Nicotine Receptor Sites
The Broken Brain Pump
Dopamine Receptor Sites
Dopamine Pump OK
Great Bad OK
Nicotine Receptor Sites
Medication options
Wellbutrin-resets the dopamine pump
Chantix-blocks nicotine & mild dopamine boost
Nicotine Replacement - slowly opens the pump, releases dopamine and decreases receptor sites.
Nicotine from tobacco quickly opens the pump, floods extra dopamine into the receptor sites and you feel great. Continued tobacco use breaks the pump and causes addiction.

6. NRT Combination Therapy
Nicotine Nasal Spray Nicotine Inhaler Gum/Lozenge 4 mg Gum/Lozenge 2 mg Patch 21 mg
Cigarette 10 5
Nicotine level in the brain
Time (minutes)
Wake-up
The GOAL is to feel OK and minimize withdrawal symptoms to successfully quit tobacco.

7. Blood is Your Lifeboat Yes! CO2 O2 Four O2 Four CO2 EXHALE INHALE
OXYGEN
CARBON DIOXIDE
EXHALE
INHALE
LUNGS
OXYGEN
CO2 O2
CO2
Four O2
Four CO2
OXYGEN
CO2
CO2
CO2
Red Blood Cell
Red Blood Cell
Yes!
CARBON DIOXIDE
CARBON DIOXIDE
OXYGEN
Carbon Dioxide is a waste product of cell metabolism. It is an acid that must be continuously released from the cells and exhaled through the lungs for healthy cell function and life.
Oxygen is inhaled into the lungs and transported by blood to all cells. Oxygen is essential for healthy cell function and life.

8. Smoking Pirates Hijack Lifeboat
ADD CARBON MONOXIDE CO
EXHALE
INHALE SMOKE
LUNGS
CARBON DIOXIDE EXHALED
CO & O2
CO2
OXYGEN ABSORBED
Carbon Monoxide on RBC
Carbon Monoxide on RBC
CO & O2
CO + CO2
Red Blood Cell
Red Blood Cell
Help me!
Oxygen on RBC
Carbon Dioxide on RBC
CO & O2
CO + CO2
CO2
CO + CO2
Pirates hook on and won’t let go. This leaves less room for Oxygen and Carbon Dioxide.
Carbon Monoxide Poisoning = Oxygen + Carbon Dioxide = Sickness/Disease/Death