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Today the RCP issued another landmark report that should inspire imitation in the United States, endorsing e-cigarettes as a harm-reducing alternative to the combustible, tobacco-containing kind.“Large-scale substitution of e-cigarettes, or other non-tobacco nicotine products, for tobacco smoking has the potential to prevent almost all the harm from smoking in society,” the RCP says. It’s this “marriage of tobacco and sugar,” as a sugar-industry report described it in 1950, that makes for the “mild” experience of smoking cigarettes as compared with cigars and, perhaps more important, makes it possible for most of us to inhale cigarette smoke and draw it deep into our lungs. Tobacco giant Altria invested $12.8 billion in Juul, taking a 35 percent stake in the e-cigarette maker that valued it at $38 billion as they begin to embark on a new path that relies less on traditional cigarettes.“We are taking significant action to prepare for a future where adult smokers overwhelmingly choose non-combustible products over cigarettes by investing $12.8 billion in Juul, a world leader in switching adult smokers,” Altria CEO Howard Willard said in a statement. It’s one thing for the average cigarette to contain sugar; it’s another thing entirely for the smoked thing to be sweetened and flavored to taste like things people already struggle with consuming healthily.

Some people want healthier ways to eat compulsively—that is, they accept the compulsive behavior as a part of their lives, they just want a way to do it that doesn’t result in weight gain or other related chronic illnesses. They want to eat what they eat and still manage to lose weight, because the attachment they feel to what they eat is something they want to maintain. And I cried under that sheet, feeling stupid, feeling embarrassed for being so scared, feeling sad that I wasn’t brave enough to just do it, like so many other women. I know what it looks like to feel like you’re stuck in the quicksand of depression; I know what it sounds like to have adopted a framework that mentally stifles you instead of liberates, encourages, and supports your growth.

People never want to acknowledge that depression isn’t simply ‘choosing to be down in the dumps;’ in the same vein, people also refuse to acknowledge that the foods people eat are rarely about ‘choice.’ Part of what makes it hard for people to respect those two points is because it seems so antithetical to how they themselves live. It has been considered the healthiest diet on the planet by numerous sources, but I’m skeptical of that—what makes it such a healthy diet is its reported absence of processed food, and the Mediterranean isn’t the only region with a diet free of hyperprocessed items. The new study offers the first evidence that these withdrawal-like symptoms can occur when people cut down on highly processed foods, said lead study author Erica Schulte, a doctoral candidate in psychology at the University of Michigan. The results showed that the symptoms people experience during withdrawal from tobacco or marijuana may also be relevant to cutting out highly processed foods from the diet, Schulte said.

Because it’s worth pointing out that, over the years, I’ve had *countless* women come to me talking about how they developed eating disorders because of trying to manage their weight in the face of learned compulsive behavior. As early as 1969, research showed that losing just 3 percent of your body weight resulted in a 17 percent slowdown in your metabolism—a body-wide starvation response that blasts you with hunger hormones and drops your internal temperature until you rise back to your highest weight. If there are fewer cells, or smaller cells (in the case of fat cells), then fewer units of energy are necessary to maintain that being’s existence, hence the decrease in measured metabolism. ’s about your habitual and compulsive behavior resulting in you being back at that weight, specifically and precisely because a person indulging in that behavior and consuming that amount of calories would weigh that amount.