Nicotine’s Effects on the Brain & Body & How to Quit Smoking or Vaping | Huberman Lab Podcast #90
Summary

In this episode of the Huberman Lab Podcast, neurobiologist and ophthalmologist, Andrew Huberman, talks about the effects of nicotine on the brain and body. He emphasizes the need for a nuanced conversation about nicotine, taking into account its potential benefits and drawbacks, especially for children, pregnant women, and those with addictive tendencies or mood disorders. Nicotine can be both beneficial and detrimental to cognitive function, and can also have mood-modulating effects. The podcast discusses the remarkable impact that nicotine has had on human evolution, consciousness, and experience, and places it alongside caffeine as a molecule that has fundamentally changed human behavior.

The podcast explains that nicotine enters the bloodstream through inhalation or contact with mucosal tissue and binds to nicotinic acetylcholine receptors, which dictate its effects on different tissues. In the brain, nicotine has four major effects on neurochemicals and neural circuits, including triggering the release of dopamine from the nucleus accumbens, increasing acetylcholine, increasing metabolism, and reducing appetite. The podcast also touches on the appetite-suppressing and metabolism-increasing effects of nicotine.

The podcast highlights the negative impact of smoking, vaping, dipping, or snuffing on every organ, tissue system, and cell of the body, and they contain carcinogens that increase the probability of cancer. The dopamine reinforcement pathway is the main reason for the powerful reinforcing effects of nicotine, leading to compounding rewards. People who smoke or vape are being rational when they say they enjoy it, but they cannot register the opportunity cost of the years lost. The podcast also discusses the difficulty in quitting nicotine addiction and mentions a behavioral method of quitting through clinical hypnosis.

The speaker suggests using a combination of nicotine replacement methods, such as transdermal patches, nasal sprays, and gum, to keep dopamine release variable and prevent the body from expecting a certain amount of nicotine. He also recommends healthy methods to increase dopamine, such as exercise and positive social interactions, and mentions the potential benefits of hypnosis in treating nicotine addiction. The speaker emphasizes the importance of understanding the time course of nicotine and developing a protocol to overcome the initial withdrawal period, which is critical for successfully quitting smoking or vaping.