Thanks everyone for your support. The tingling achey sensation only lasted for a few days. I've been working out and my breathing is fine. I will go for a regular physical and ask for extra attention to my lung health. My doctor is good and has done this before when I was trying to quit (and did but it obviously didn't last). I assume that I'll have more withdrawal symptoms when I go off the patch, but until then I'm focusing on the fact that I'm not smoking and trying to get a healthier routine in place. I have found that my main trigger is getting angry or frustrated. So I've come up with ways to deal with that. One is just pure physical exertion with weights. Then there is also writing in my journal. And if I need a longer time out then a walk. Coming up with these little strategies as things come up is really opening my eyes to the way that smoking had narrowed my view.