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Multiple Sclerosis Centers of Excellence

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Smoking and Multiple Sclerosis

Most people know smoking is dangerous, but fewer know it is linked to multiple sclerosis (MS). Smokers have a higher risk of developing MS, and secondhand smoke may raise the risk for loved ones too. Smoking may also make MS more aggressive - with more brain lesions, more disability, and faster progression - and it can worsen fatigue and slow healing. The good news is that quitting helps, no matter how long you have smoked.

Why Quitting Is worth It

Your body starts to recover quickly. Within a day, your risk of heart attack begins to drop and your blood's oxygen returns to normal. Within a few months, circulation and lung function improve and walking gets easier. Over the years, your risk of heart disease, stroke, and several cancers falls toward that of a non-smoker. For someone with MS, quitting is likely the single best thing you can do for your long-term health.

Make A Plan To Quit

Quitting is hard, but millions of people have done it, and a plan improves your odds. A simple approach is to START:

Set a quit date.

Tell family and friends.

Anticipate the challenges you will face and plan for them.

Remove cigarettes and tobacco from your home.

Talk to your doctor about help to quit.

Get Help

You do not have to do it alone. Every VA facility offers help quitting, often including medicines and counseling that make success more likely. Start by telling your provider, it belongs on your list, even if that list is long. You can also call the VA National Quitline at 1-800-QUIT-NOW any time.

When to Talk to Your Provider

Talk with your VA care team about a quit plan that fits you, including medicines and counseling. Quitting smoking is one of the most powerful steps you can take for your health and your MS, and your team is ready to help.

Based on an article by Aaron Turner, PhD, ABPP (RP).