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Dr. Madhu Minocha

MBBS, DGO, MS - Obstetrics and Gynaecology

Gynaecologist, Delhi

18 Years Experience  ·  0 at clinic
Dr. Madhu Minocha MBBS, DGO, MS - Obstetrics and Gynaecology Gynaecologist, Delhi
18 Years Experience  ·  0 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Madhu Minocha
Dr. Madhu Minocha is an experienced Gynaecologist in New Delhi, Delhi. She has over 18 years of experience as a Gynaecologist. She has completed MBBS, DGO, MS - Obstetrics and Gynaecology . You can meet Dr. Madhu Minocha personally at Fortis Hospital in New Delhi, Delhi. You can book an instant appointment online with Dr. Madhu Minocha on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 37 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Calcutta University - 1999
DGO - Calcutta University - 2003
MS - Obstetrics and Gynaecology - NRS Medical College and Hospital - 2005
Professional Memberships
Indian Medical Association (IMA)
Federation of Obstetric and Gynaecological Societies of India (FOGSI)

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Fortis Hospital

A Block, Poorvi Shalimar Bagh, New Delhi,Delhi Get Directions
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Krishna Hospital

# 9, Chanderlok Enclave, Pitampura, Delhi. Landmark : Near M2K PitampuraDelhi Get Directions
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IVF Vs. Surrogacy : Which is the Better Option?

DGO, MBBS
Gynaecologist, Delhi
IVF Vs. Surrogacy : Which is the Better Option?

Ivf vs. Surrogacy: which is the better option?

Both IVF (in vitro fertilisation) and surrogacy are alternative methods of having a baby and can be resorted to when a couple cannot conceive the natural way. The reason behind the inability to conceive can be due various reasons ranging from infertility and low sperm count (in men) to damaged fallopian tubes and early menopause (in women).

You can opt for either surrogacy or IVF if you've been trying to conceive for more than a year without any results. But which of the two should you opt for? well, there are three things you must keep in mind before making a choice.

How does it work?

Surrogacy is opted for when the woman is unable to conceive by natural means, and when there's no possibility of her getting pregnant whatsoever. Surrogacy can be of two types- full surrogacy and partial surrogacy. Full surrogacy involves the implantation of sperms and eggs of the couple into the uterus of the surrogate mother; while partial surrogacy involves the fertilisation of the surrogate mother's egg by the sperm of the intended father. By opting for surrogacy the woman partner is unable to carry the child, a desire that is present in most women.

On the other hand, ivf works towards the treatment of infertility in one or both the partners, enabling the woman partner to conceive the child. Ivf involves the fertilisation of a woman's eggs by the sperm of the intended father in a laboratory dish. The developed embryo (or fertilised egg) is then implanted in the woman's uterus. This is a viable option for couples who want to have a baby on their own.

Chances of a successful pregnancy are usually higher with surrogacy when compared to IVF.

The risks involved

Risks of surrogacy include multiple births, ectopic pregnancy (implantation of the fertilised egg in the fallopian tube instead of the uterus, leading to miscarriage) and birth defects in the child, to name a few. Apart from that, the genes of the surrogate mother can affect the development of the unborn baby; hence, a surrogate mother has to be chosen with utmost care.

As for risks associated with IVF, ovarian hyperstimulation syndrome (swollen and painful ovaries), multiple births, ectopic pregnancy and stress can take place if ivf is opted for.

The legal process

Surrogacy requires the fulfilment of complex legal processes such as determining eligibility, matching profiles of surrogates with intended parents, finding of a potential surrogate and more, which require proper legal counselling. Besides the cost of surrogacy in India is roughly inr 8, 25, 000.

Ivf does not involve any such processes and is easier to carry out. The cost of IVF in India can range between inr 2, 50, 000 to inr 4, 50, 000, making it a much more viable option.

Based on these factors, you can make the choice of a procedure that is best suited for you.

'consult'.

Related Tip: BUSTED: 4 Myths on IVF Infertility Treatment

3090 people found this helpful

Hey. I had sex on 31dec. Took an morning after pill immediately. On 7th Jan had some spotting. Doctor prescribed norethisterone for 5 days. Had spotting on 17th Jan again. Does it mean I'm pregnant?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, No you are not pregnant at all. The spotting which you experienced both times is withdrawal bleeding. However to rule out pregnancy for sure, please get a serum beta hcg test done.
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Hi I have a baby of 2 years. She recently left the mother feed. My wife breast has became loose. Is there any cream or oil or any solution to get it in better shape with proper tight Ness. She is 26 years only. Kindly suggest.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Gentle massage with any oil will help, plus stretching exercises to tone up the muscles, weights, rowing, swimming & yoga exercises. But she will never have previous shape, keep weight under check and make exercise a routine.
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If I had sex with teenager girl without condom and my seamen goes inside her. What's precaution to prevent pregnancy.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Precaution is something done before any act. Here act is already done. Only solution is use emergency pill like unwanted 72 at the earliest not later than 72 hours after intercourse and if more time has passed or if this fails find out about pregnancy at the earliest (on missing period) and meet Gynaecologist.
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Hii Dr. I'm 6 month pregnant, & mujhe beta thalassemia manner bi hai, ye mujhe ek week pehle pata chali h, kya mere child ko thalassemia hone ki kitne chance h, or ye manner ho sake h ya major. Par mere husband ko thalassemia nhi hai, please answer my question i'm very worry about my child.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
If your husband does not have thalassemia trait and you are only a carrier your child will not be affected from the disease. He has a 1 in 4 chance of being a carrier like you.
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I have cramps during my periods and is unbearable sometimes and I can not seem to get any relief please help me.

BHMS
Homeopath, Dehradun
Dear ritka , have you done ultrasound ever .. if no so do ... take any painkiller rt. now and meet me with your full details ....
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Pregnancy time (1-5) months whenever she gets pain will come and which type of to eat at this time.

MBBS
General Physician, Faridabad
take protien rich diet, green vegetables, paneer, cheese, curd, dal, fruits, eggs, non veg [if nonveg ]. it may help you. welcome for any help.
4 people found this helpful
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Sir mera period khatm hone k 2 din baad sex kiya sperm kya koi chance hai pregnent hone kaa net p dikha rha hai ki period k 10 din k andar sex karne p pregnency kaa koi chance nhi hota hai.

M.D (HOMEOPATHY), MBA (Healthcare)
Homeopath, Gulbarga
Dear patient, yes you are right there are less chances of getting pregnant by having intercourse within 10 days of the menstrual cycle. But no one can guarantee that you don't get pregnant if you have sex in those days because it all depends upon the ovulation time period. It will be better if you take I pill within 72 hours or it is better to have sex with physical barriers like condom.
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My wife is 5 weeks pregnant. She has vomiting. Doctor gave her pregnidoxin tablets. Is it safe to have this tablet?

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Pregnidoxin Tablet is used in the treatment, control, prevention, & improvement of the following diseases, conditions and symptoms: Vomiting Pain killer Headache Migraine Neuralgia Toothache Sore throat Motion sickness Dizziness Management of spinning sensation due to problem in inner ear Inflammation of the inner ear. Pregnidoxin Tablet Side-effects The following is a list of possible side effects that may occur from all constituting ingredients of Pregnidoxin Tablet. This is not a comprehensive list. These side effects are possible, but do not always occur. Some of the side effects may be rare but serious. Consult your doctor if you observe any of the following side effects, especially if they do not go away. Restlessness Tremors Fluttering sensation in the chest Higher doses Abdominal pain Caffeine causes central nervous system stimulation.
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Hi, I am 2 months pregnant I want to know about prenatal medications and injections. Kindly suggest.

DGO
Gynaecologist, Pune
You need to immunise urself with tetanus toxoid two doses. And iron supplements from 4th month. This is all prenatally you will require.
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My spouse age is 41 years. She is healthy non-diabetic and non-bp. From past 4 months she is getting her periods 5 to 6 days later. This month shet got after a gap of 45 days and bleeding not stopped even after 7 days. But there is no stomach pain or any other pain during bleeding. She know is moving towards menopause. My question is it normal or she need to take any medicine.

MBBS
Sexologist, Panchkula
This is normal. I advise her to take proper balanced vegetarian diet. Take fruits and vegetables in daily diet. Take 8 to 10 glasses of water daily. Avoid non veg and eggs. Do meditation for mental strength daily. These will help you in your problem.
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Pregnancy - Common Problems That You May Face

MD - Obstetrtics & Gynaecology
Gynaecologist, Yamunanagar
Pregnancy - Common Problems That You May Face

Pregnancy can put quite a strain on your body. As your body changes to accommodate the growing baby, you may find yourself suffering from a few common discomforts associated with the various stages of pregnancy. Most of these are nothing to worry about. Here are a few of the most common problems faced by pregnant women.

  1. Backaches: As the body’s ligaments stretch and become softer to prepare for labour, you may feel a strain on your lower back and pelvis. This can cause a chronic backache. The growing weight of the fetus within your body can also add to this discomfort.
  2. Morning sickness: Despite its name, morning sickness can affect you at any time of the day. Most women begin to experience nausea and an urge to vomit from the 4th or 6th week of pregnancy, but this usually resolves itself by the 16th or 20th week of pregnancy. Some women may even feel sick for the entire day.
  3. Bleeding gums: Pregnancy hormones can make your gums more vulnerable to the build-up of plaque. This can lead to inflammation and bleeding gums. This condition may also be known as pregnancy gingivitis.
  4. Cramps: Many pregnant women complain of cramps in their calves and feet. This usually is more common at night, but the cause behind it is not clear.
  5. Urinary incontinence: Urinary incontinence is a problem experienced by many women during and after pregnancy. They often find themselves involuntarily urinating while coughing, laughing or sneezing. In most cases, this is a temporary problem caused by the relaxation of pelvic floor muscles (to prepare for delivery) and should resolve itself after delivery. Women may also find themselves feeling the urge to urinate frequently. This may be because of the pressure being placed on your bladder by the uterus.
  6. Skin and hair changes: Pregnancy hormones can make birthmarks, moles and freckles darken. Your nipples may also turn darker. In addition to this, you may notice the bumps around the nipples become more prominent. Pregnant women may also find their skin more prone to sunburns. You may also notice an increased rate of hair growth.
  7. Feeling hotter than normal: The hormonal changes occurring during pregnancy can make you feel warmer than normal because of increased blood supply to the skin. You may also find yourself sweating more than usual. In addition, you may also feel faint because of decreased blood supply to the brain.
2 people found this helpful

I got harmone deficiency and getting periods for every two months. What should I do?

BHMS
Homeopath,
There is conventional treatment with homeopathy like sul. Bell. Calc carb. Pul. Sil. Lots of medicine. But you have to take after homeopathic consultancy. Another is hormonal replacement but it has more side effects consult with gynac. Its your call which treatment you have to take.
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When she is passing her urine early morning after that two or three drops of blood falls and again urine comes in a small amount. Is this any kind of disease or any infection? What we have to do? One more thing I want to explain that before five months she had delivered a baby.

Ph.D - Ayurveda, FFAM-Post Graduate Fellowship, MD - Ayurveda
Ayurveda, Delhi
Consult any surgeon, there is possibility of urinary-bladder stone. Have usg and urine examination, after this report.

Wil pregnancy test work with in a week after sexual intercourse I want a good answer no menstrual cycle since the intercourse.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
It will come positive only after the 7 days of missed period or 19-21 days after the sexual act in case or irregular menses.
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Hello doctor, my last period was on 5th april 2015, I went to a gynecologist, he prescribed me primlut n and told me to take twice for 7 days. I have do so. My medicine was finished on 30.05. 2015 but still no results. Is this the correct medicine for me?

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
You need to wait for max of 10 days after stopping the medicine to have periods. Usually it works. It may fail in case of thin endometriummm and if you don't get periods till 10th july do pregnancy test and ultrasound to look for thickness of the endometrium.
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I get frequent headaches due to indigestion. I am 2, months pregnant. Kindly suggest a medication.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
1) massage with stress relief oil or warm coconut oil to head, neck, and ears. 2) apply chandan powder +2-4 saffron threads+ pinch of cinnamon (dalchini) lep with rose water to forehead. 3) take 8 hrs sleep in the night. 4) avoid oily & spicy food. 5) pour 3-4 drops of warm pure cow ghee in both nostrils in head low position 6) do eye check up if headache persist.
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Hello ma'am I have my menstrual cycle irregular. I have taken a meprate10 tablet befr 10-15 days. An I got my periods today but I am facing abdominal pain. Please suggest me what should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Delhi
For abdominal pain take mag phos 6x 4 tab with luke warm water 1hrly during period. Consult for further advice.
2 people found this helpful
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Stay Healthy

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Stay Healthy

If you have tried to quit smoking and failed before, take comfort in the fact that most smokers fail several times before quitting successfully. Your past failures are not a lesson that you are unable to quit. Instead, view them as part of the normal journey toward becoming a nonsmoker.
The information below will ease your way and help insure that this is the last time you ever need to go through the quitting process. You can do it!
Please wait a few moments while this page loads. You may wish to print it out.

QUITTING TIPS
The most important step to take is the first step --admitting you have an addiction.
When asked why you smoke, you might have said, "I just like to smoke!" or "It's my choice to smoke."
The tobacco companies have promoted the idea that smoking is a matter of personal choice. As I see it, there really isn't as much choice as they have suggested to their customers.
Ask yourself, and be totally honest: Am I addicted to tobacco? Am I truly making a freely made choice when I smoke?
You might consider that you need to have a cigarette. Studies have shown that nicotine addiction is as hard to break as heroin or cocaine addiction.
In Nicotine Anonymous' 12 Step program, which sprang from the venerable Alcoholics Anonymous program, the first step is admitting to yourself, "I'm powerless over tobacco." Making this admission may seem trivial to you, but for many it is a very significant part of completing the journey to becoming a non-smoker.
By telling smokers that smoking is a personal choice, the tobacco industry has helped to keep its customers in denial about the true extent of their addiction. If smoking is a choice, then what's the rush to quit? The tobacco companies have used this spin to help keep millions of customers buying their deadly products.
Admitting that you're smoking more out of addiction than choice will help motivate you to go on to the next steps -- taking control of yourself and becoming a nonsmoker.
This admission will further serve you by helping you stay smoke free later. In the months and years after you quit, when temptations to smoke occasionally overpower you -- and they will -- remind yourself, "I have an addiction and I'm powerless over tobacco." Saying this to yourself in overwhelmed moments of desire will help give you the strength to say no to "just one" cigarette.
If you can make it for just five minutes without giving in, the urge to smoke be controllable or disappear. In this way, you'll be able to stay smokefree for life.
For me there were two very distinct and EQUALLY IMPORTANT phases to quitting:
Phase One — Quitting with help Phase Two — Staying smoke free and not relapsing

Phase One:Quitting with help
When quitting, people who are the most successful at living life typically get help, and plenty of it.
For example, they might read up on how to prevent illness, and go to the doctor when sick. In business, a businessperson will get a lawyer to write the contracts, a marketing firm to do the marketing, an ad agency to create the ads, an accountant to do the accounting – and so on. The fact is that people who are successful in life get help. Real men ask directions!
Sadly, eighty percent of smokers who quit do so without being in any program – and studies show that 95% of these self-reliant quitters fail, and go right back to smoking. It's the same rate of recidivism as with heroin. With a 95% chance of failure without a program, you may wish to consider getting some help this time around.
For those who have repeatedly failed at quitting in the past, it's comforting to learn that most smokers in fact fail several times before stopping successfully. Your past failures are not a lesson that you are unable to quit. Instead, they are part of the normal journey toward becoming a nonsmoker.
I certainly failed -- 11 times. Every time I failed, I lost a little more faith that I could really quit. So each time I quit, it got harder and harder to motivate myself to set a date. I had begun to feel it was hopeless.
My mission here is to restore your faith in yourself. You CAN quit. Even if you've failed several times in the past, understand that this is normal. You're not alone.

You need to get your resolve up, and try again. YOU CAN DO IT!
Get help -- lots of it. Get into a good program, or better yet, a combination of more than one.
Call your local branch of the American Cancer Society, or the American Lung or Heart Associations. All have inexpensive and effective, mainstream programs.

Buy a How to Quit Smoking Book, or a motivational cassette tape program in a bookstore, and listen to the tapes in your car. Every little bit helps!

There is also the National Cancer Institute's Smoking Quitline, 1-877-44U-Quit, offering proactive counseling by trained personnel.
Try a free meeting
If joining a small group of other quitters appeals to you, then try a Nicotine Anonymous meeting. It's likely there's one near you where you live. It's a 12-step program based on AA; they're nonprofit and free. Ask directory assistance to get the number for a local Nicotine Anonymous chapter, or call the national line at (800) 642-0666. You can also check their website. (A for-profit company trademarked "Smokers' Anonymous" -- so you want the FREE program -- Nicotine Anonymous).
Don't count on any of these programs to make it a breeze. None of them will do that -- but they WILL reduce your distress by 15% to 50%, depending on how addicted you are psychologically, vs. physically.
I'm not promising it will be easy -- it won't. So get your resolve and willpower up, because you'll need it! And you CAN do it.
Don't ask, "Does this program work?" Rather, ask yourself, "Am I willing to DO the work?" You know how to work, don't you? I'm betting that you do.
I come from a wealthy background, and at one point it occurred to me that wealthy folks may have a much harder time quitting smoking, alcohol, or even dieting -- because they're used to getting whatever they want, whenever they want it. If you count yourself among this group, you might wish to consider an inpatient treatment center. You'd reside in a hospital for up to a week with a group of other people who are also quitting.

How are your self denial muscles? Pretty good, no doubt! Let's see. Are you able to easily put off getting a brand new car, or going to a $60 per head restaurant? How about postponing that vacation in Monte Carlo, Aspen, or Florida? Good! If you can do those things, chances are good you won't need an inpatient program, and you'll have all the self-denial muscles you'll need to quit smoking. But you'll need to flex them. And yes, it might hurt a bit.

A Note About Tobacco Ads
Many teens, if asked, would say that tobacco ads have no influence over them. However, new studies tell us that advertising plays a greater role than even peer pressure in getting teens to smoke.
And one recent study shows that the three most heavily advertised brands are the same three brands most often smoked by teens -- Camels, Marlboros and Newport. It's no accident. Cigarette ads clearly influence our teens. Tobacco ads may not influence your conscious mind -- but they do influence the unconscious mind.
Your Unconscious Mind

What is the unconscious mind? In a famous study, the Russian scientist Pavlov rang a bell every time he fed his dog -- and eventually the dog would salivate just on hearing the bell -- even though there was no food there. The dog had made an unconscious association between the ringing and dinner, and began to drool!
Cigarette ads reach our unconscious minds. These ads create an unconscious association between the addiction of cigarettes and strong, positive images of attractive, healthy people, sports like tennis or mountain climbing, beautiful country scenes, cowboys gathered around a campfire or on horseback, masculinity and manhood, being feminine and womanhood, being a 'real person,' and so on. As of 2000, the tobacco industry has been spending over $5 billion annually to advertise its deadly products. That's a lot of bell ringing! And it's not lost on our kids.
The smoker's unconscious mind also makes repeated pleasant associations with the act of smoking -- watching the smoke slowly curling, putting a cigarette to the lips, languidly inhaling and exhaling, absently handling a cigarette -- all these are very much a part of the psychological addiction to tobacco. Quitters often feel as though they are losing a best friend.

For most addicted smokers, the addition is about half mental, half physical. Studies show that the ratio varies with each individual. The physical portion of the addiction is to nicotine. As to the mental or psychological aspect, a smoker's conscious mind says, 'I will stop smoking -- no problem.' But the unconscious mind has been conditioned for years that cigarettes give pleasure, and that's all it can focus on. The unconscious mind says, 'Gimmie a cigarette -- now!' It only recognizes what feels good. It demands a cigarette, without regard to right or wrong, and ignores the conscious mind's intentions. Aversion therapy is one way to help counteract this.

During the process of quitting, the new habit of being a nonsmoker forms. The ex-smoker's unconscious mind gradually gets used to being a nonsmoker, as the urges to smoke slowly fade away.

The Boilerplate Points
Do your best to follow as many of these as you can. The points below are advocated by most of today's credible quit-smoking products and programs. They are widely accepted as an essential and necessary part of quitting successfully. Just using the patch or Zyban without following the points below will hinder your chances to quit for good this time.

DEEP BREATHING PERHAPS THE SINGLE MOST POWERFUL AND IMPORTANT TECHNIQUE Every time you want a cigarette, do the following. Do it three times. Inhale the deepest lung-full of air you can, and then, very slowly, exhale. Purse your lips so that the air must come out slowly.As you exhale, close your eyes, and let your chin gradually sink over onto your chest. Visualize all the tension leaving your body, slowly draining out of your fingers and toes, just flowing on out. This is a variation of an ancient yoga technique from India, and is VERY centering and relaxing. If you practice this, you'll be able to use it for any future stressful situation you find yourself in. And it will be your greatest weapon during the strong cravings sure to assault you over the first few days. This deep breathing technique will be a vital help to you. Reread this point now, and as you do, try it for the first time. Inhale and exhale three times. See for yourself!

The first few days, drink LOTS of water and fluids to help flush out the nicotine and other poisons from your body.
Remember that the urge to smoke only lasts a few minutes, and will then pass. The urges gradually become farther and farther apart as the days go by.
Do your very best to stay away from alcohol, sugar and coffee the first week or longer, as these tend to stimulate the desire for a cigarette. Avoid fatty foods, as your metabolism will slow down a bit without the nicotine, and you may gain weight even if you eat the same amount as before quitting. So discipline about diet is extra important now. No one ever said acquiring new habits would be easy!
Nibble on low calorie foods like celery, apples and carrots. Chew gum or suck on cinnamon sticks.
Stretch out your meals; eat slowly and wait a bit between bites.
After dinner, instead of a cigarette, treat yourself to a cup of mint tea or a peppermint candy.
In one study, about 25% of quitters found that an oral substitute was invaluable. Another 25% didn't like the idea at all -- they wanted a clean break with cigarettes. The rest weren't certain. Personally, I found a cigarette substitute to be a tremendous help. The nicotine inhaler (by prescription) is one way to go: it's a shortened plastic cigarette, with a replaceable nicotine capsule inside.
A simpler way to go is bottled cinnamon sticks, available at any supermarket. I used these every time I quit, and they really helped me. I would chew on them, inhale air through them, and handle them like cigarettes. After a while, they would get pretty chewed up on one end -- but I'd laugh, reverse them and chew on the other end. Others may prefer to start a fresh stick. Once someone asked me, "Excuse me, but is that an exploded firecracker in your mouth?" I replied that I was quitting smoking – and they smiled and became supportive. Luckily, I never needed the cinnamon sticks after the first three days of being a nonsmoker.
Go to a gym, sit in the steam, exercise. Change your normal routine – take time to walk or even jog around the block or in a local park.
Look in the yellow pages under Yoga, and take a class – they're GREAT! Get a one hour massage, take a long bath -- pamper yourself.
Ask for support from coworkers, friends and family members. Ask for their tolerance. Let them know you're quitting, and that you might be edgy or grumpy for a few days. If you don't ask for support, you certainly won't get any. If you do, you'll be surprised how much it can help. Take a chance -- try it and see!
Ask friends and family members not to smoke in your presence. Don't be afraid to ask. This is more important than you may realize.
On your quit day, hide all ashtrays and destroy all your cigarettes, preferably with water, so no part of them is smokeable.
To talk to a live human being, call the National Cancer Institute's free Smoking Quitline, 1-877-44U-Quit. Proactive counseling services by trained personnel will be provided in sessions both before and after quitting smoking.

A NOTE TO NONSMOKERS If you live with a smoker, or are close friends with one: don't be a NAG about their smoking habit! (You can make noise about their smoking in the house or near you, because their second hand smoke hurts you – but don't nag them to quit. There's a BIG difference!)
Just three times a year you can ask your loved one – briefly – VERY briefly – to please quit smoking -- in VERY loving and warm tones. (Try surrounding your request with HONEST complements, keep it BRIEF, and they might be more open to hearing you.
But if you speak up more than three times per YEAR, then you're a yukky, obnoxious NAG. Ick! And your beloved smoker will be so ANGRY with you that they'll keep smoking just to spite you. You'll be defeating your very purpose.
I ask nonsmokers to honor their smoking loved ones, and treat them like adults.
And if your loved ones are nagging you, don't fall into the old trap of hurting yourself by continuing to smoke out of your anger toward them. Instead, let them know how you feel.

Sometimes, life is painful. It's supposed to be that way. All of us are faced with grief, loss and struggle. And it's by our struggles that we define and strengthen our character.
In my live talks and video for youth, I revive the ancient practice of initiation. As I initiate them into life, I let teens know that sometimes life will be painful.
"And when those moments come, you need to take the ADULT path," I tell the students, "and stay with the difficulty -- and not go lighting a cigarette, raiding the icebox, taking drugs, blasting music or switching on the TV -- or, going to work for too many long hours. All these are just ways of avoiding painful feelings and numbing them out."
If you stay with your pain, you'll begin to see what's causing it. And when you're ready, you can take a step to solve the problem.

FEEL -- AND YOU HEAL
One example: grieving your sadness to completion is the most effective way to heal it --rather than burying it, or carrying it with you deep inside for years. This is a core part of psychotherapy, and it works.
The same is true of anger – let your anger out in reasonable, mild little bits here and there, as you go along, right as things come up. This is better than letting it build up, and later exploding in rage.
It's helpful -- and healing -- to let your feelings out verbally, as you quit smoking. Better words should come out of your mouth, in loud complaining tones, than extra unneeded calories going in!
Don't worry, if you ask for support and tolerance, you'll get it. A great outlet for this is Nicotine Anonymous meetings. There you'll get plenty of support -- and hugs too, if you ask for them. Don't isolate, and do lean on others.
Especially for men, this is a sign of STRENGTH. Not going to a support meeting could be construed an act of fear, and therefore cowardice. So be brave, and seek support from others. It's a sign of a strong man in my book. Real men do ask directions!
It's true that smoking is mostly very enjoyable, even comforting, for you. Let's not lie about it. Quitting will be like losing a great, dear friend -- and you may find yourself grieving a bit. That's only natural, and it's okay.
But if you don't quit and "grieve" now, this great "friend" of yours will probably turn on you and kill you one day. It's statistically equivalent to playing Russian Roulette with not one, but two, bullets in the gun: if you smoke, you have a 40% chance of dying due to the habit. Not to mention continuing to put up with having to go outside most times you smoke.
In coming decades, we'll look back on smoking as a thing of the last century. We know that statistically, only children and teens begin the habit. As our government passes laws making it increasingly difficult for youth to obtain cigarettes, and as Uncle Sam limits the advertising of tobacco more in the future, teens will not start smoking in such huge numbers. Finally, one day smoking will be no more. No more deaths, no more disease, no more grieving families around the world.
Welcome to the wonderful world of nonsmokers. You can do it!

One definition of insanity is...
Repeating the same behavior over and over again, expecting different results.
To Review
Phase One was realizing that with the help of one or more programs, I could stay off cigarettes for one to three months.
But I did that 11 times.
Phase Two -- the period starting a few weeks after going cold turkey -- the urges to smoke would greatly diminish, even disappear. But it was vital that I came to realize that any time from a week to a year after quitting, I was sure to get an occasional surprise ATTACK – during which I was suddenly OVERWHELMED with the desire to smoke.
Usually these attacks would sneak up on me during moments of stress – positive stress (out with friends, partying, or on a vacation) or negative stress (while immersed in an angry, sad or lonely moment – you know about those.)
During these surprise attacks I would always rationalize, "I could have just one. Just one…I haven't had one for three months – so what's the harm of having just one now? I want it SO BADLY!" And I would take ONE, and ZAP! The next day I'd have "just one more," and before I knew it I was once again a full-fledged smoker, 100% addicted again, back up to a pack a day within just two or three weeks.
THE SECRET IS SIMPLEHang on for five minutes.
I finally stayed smokefree in this way:
When the surprise attacks came a few weeks or months after quitting, I told myself, "Hang on for five minutes – and this out-of-control urge to smoke will pass."
After 11 failed attempts, I looked back and I realized that several times in the past, surprise attacks were ALWAYS the critical moment in which I would inevitably become re-addicted, as "innocent" as "just one cigarette" might seem.
As I wrestled with myself thinking about this during an attack, I thought, "Okay. Relief is about four minutes away..."
Still I was dying for a smoke – okay, so now it was just THREE more minutes to hold on for... Now TWO...
And sure enough, at the end of five minutes – the urge would be all gone, and I would be quite proud of myself for holding on (plus I got to deny my smoking friend his pleasure in seeing me light up like him).
It's harsh, but --
Only a baby gets to relieve itself whenever it feels like it. Adults know how to delay gratification! It's time to remember you're an adult. So grow up and join the rest of the adults!

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