But all these excuses are cop-outs. There's no reason to smoke. Smoking doesn't have any redeeming benefits. It's 100% harmful, poison.

But many smokers don't want to hear that. In fact, they already know it's poison. They just haven't yet discovered how to quit. Reading truth, in a non-aggressive, non- threatening way, helps to get started on quit smoking path.

So excuse, 'I enjoy them', 'they give me pleasure', needs to be looked at carefully. Do they really enjoy them, or are they making a 'Can't quit' excuse.

In reality, pleasure comes from experiences associated with smoking. It doesn't come from smoking itself.

In fact, smoking becomes 'avoidance of displeasure', rather than 'gaining of pleasure'. Smoking brings temporary relief to withdrawal symptoms that smoking caused in first place.

Have you always smoked ? Or do you remember back to a time you felt peace and confidence, before this addiction took hold of you ? Any pleasure comes from temporary relief of withdrawal symptoms. That's sad truth.

Where's pleasure in loss of taste ? A build up of tar and other chemicals causes a gradual loss of taste. Smokers sometimes don't notice since it happens over years.

Then they can't taste expensive restaurant meals, and think multiple cigarettes before, during and after meal provides answer. Sound familiar ?

In fact, good company and conversation provide pleasure, which a smoker mistakenly associates with his cigarette.

What else causes us to associate pleasure with cigarettes ?

Unfortunately, over many years, cigarettes have featured prominently in movies. Famous, beautiful people seem to love their cigarettes.

Have you noticed how most romantic movie moments used to involve two people lighting up cigarettes together ? Luckily that's less common in modern times, but who can forget Bogie and others in classic old films.

Cigarettes still get advertised around world, associated with something pleasurable. Once again, romance, freedom, open countryside, tranquillity.

Yes, this is a great time to be sure that you are up to date with your family's history. This includes not only your immediate family but your grand parents and aunts and uncles. This history needs to be updated on a regular interval and then cataloged. Organizing this gives your doctor an upper hand to look for more clues of your susceptibility to any of these diseases.

The US government last week (and very quietly) unveiled a new software that you can use where you enter this information and get a prints out in graphic form a family tree that can help your doctor to assess your risk.

Up to 96% of us know more or less our family history but only 1/3 have tried to catalog. This is according to CDC. Dr Francis Collins stated last week "family history is central to taking advantage of new genomic information..". The program is neat and should help your physician. Here is site where you can download this for your family: http://www.hhs.gov/familyhistory/ Dr Bob's Take: do it, please.

Vitamin E Update

This study has concluded that taking more than 200 international units of vitamin E can worsen your chances of heart disease. Dr Edgar Miller of Johns Hopkins University has analyzed 19 previous studies involving a total of 130,000 people who took vitamin E alone or with other vitamins.

The findings showed that people taking 400 IU or more had a 10 times risk of dying from heart disease as compared to those taking 200IU or less. Most multivitamins contain about 35 - 40 IU. The benefits of anti-oxidants like vitamin E was first demonstrated in test tubes but never has been seen in scientifically based human studies.

Dr Bob's Take: I have not seen a study in medical literature which was scientifically sound show that vitamin E prevented heart disease. Initially, when first studies (test tube) came out that vitamin E was worth taking I was a proponent but as other studies never proved it I told folks not to take them. It may be that anti-oxidants only work if taken from food. (more on that to come)

Fruits and Veggies Update

Here is a very large study over 100,000 participants of which 71,000+ were female and rest males. It was conducted under auspices of Dr Walter Willet of Harvard School of Public Health. The participants answered mailed out questionnaires and study was following participants from mid 80's until 1998.

The outcome showed that if participants ate five or more servings of fruit and vegetables per day there risk heart disease was slightly decreased but it did not show any effect on cancer reduction that was statistically significant.