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the Society of Medicine Conference in London in July of 1999, drinking at least one cup of black tea per day was found to reduce the risk of heart attack by 44% (38,43).  It didn't appear to matter if it was hot or cold, with or without milk. In five studies conducted to examine the protective role of flavonols in cardiovascu- lar disease, three have sug- gested a benefit, while one showed no benefit and one suggested perhaps even an adverse association between tea consumption and coronary heart disease (43).  Therefore, the avail- able literature on tea con- sumption and the prevention of cardiovascular disease has not yet led to a definitive recommendation.  However, for those who enjoy tea, at least one cup of either black or green tea per day may be included in a heart healthy diet. SMOKING Smoking is the single most important preventable cause of death and disability.  It doesn't matter if it is ciga- rettes, cigars or a pipe.  It doesn't  matter if it is low tar or not.  Approximately 50 million Americans still smoke and annually 23 billion dol- lars is spent  in related med- ical costs (44). Smoking kills at least 400,000 Americans (LDL).  It also inhibits the aggregation of platelets, which are small blood com- ponents that build up on plaque within the heart arteries, form blood clots, and can lead to a heart attack (49).  Based upon the above mechanisms, selenium is hypothesized to be protective against the development of plaque for- mation within the heart arteries, but this has not been established in clinical trials. Until more research each year and negatively impacts nearly all the organs in the body (45). For smok- ers the risk of developing CHD is 2.8 times that of a non-smoker (46). Fortunately by quitting, the risk of having a heart attack is lower within 2 years (47). HERBAL SUPPLEMENTS Selenium is an antioxidant that regulates important enzymes that protect against oxidized molecules such as low density lipoproteins ten basic principles to quit smoking* 1. Set a stop date 2. Involve other people 3. Switch to a less appealing brand and begin to taper 4. Take it one day at a time 5. Change your routine 6. Alter your surroundings 7. Time the urge 8. Practice positive thinking 9. Consider using aids such as nicotine gum 10. Do your homework first

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