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People hooked on vapes try a new way to quit: cigarettes

111 pointsby 1d agobloomberg.com
109 comments
23h agoHN ↗

Literally the worst idea. I quit vaping a while ago. Vaping made me, it gave me dopamine hits even when I got nothing done. Quitting has made me noticeably more focused, alert and let's me push myself harder. That feels great to me.

22h agoHN ↗

I've heard that you can get a "0%" vape that has no nicotine in it, but the vape shops I've asked have no idea what I'm talking about or why I'd want it. Any idea if that's real?

21h agoHN ↗

You can get Propylene Glycol or vegetable glycerin and vape that.

21h agoHN ↗

It's apparently a thing, "nicotine free" vaping

21h agoHN ↗

Every day we stray further from god, etc, etc.

Yes this is and has always been an option. Find any real vape shop at any point in the past... _checks calendar_ 15 years at least, and they will sell you nearly any of their "e-juice" products with no nicotine.

Trick is, the companies making disposables vapes/pods/etc generally don't offer them because those are generally large tobacco and other companies and ... well, why would they manufacturer and sell a non-addictive cigarette when an addictive version exists.

0% nicotine was an option almost 20 years ago when I started vaping and is still available. The tobacco companies getting involved and polluting the streets with single use lithium ion batteries and shit have done nothing but made everything worse.

16h agoHN ↗

It's useful for quitting. A lot of smokers/vapers struggle with "oral fixation", ie needing something to do with their mouth. Gradually lowering your nicotine to 0% is a way to get off nicotine without having to face this problem at the same time.

15h agoHN ↗

That’s how I did it and what I recommend to my friends (who vape constantly). It’s two habits you have to beat, why not do them one at a time?

3h agoHN ↗

It WAS useful for quitting, until the tobacco companies leveraged vaping as a skirt around the regulations on cigarettes. Now those wanting to using vaping as a method to reduce/stop smoking have to avoid getting addicted to vapes instead.

Also, vaping is fucking obnoxious for non smokers, clouds of awful smelling residue, and plastic shit everywhere. I'd rather people smoked, ideally those e-cigs that burn tobacco but cut out most of the toxins.

2h agoHN ↗

...vaping is fucking obnoxious for non smokers...

As a former smoker and non-smoker for a long time now, I disagree.

...clouds of awful smelling residue...

IME, most of the time it smells far better than cigarette smoke.

...and plastic shit everywhere.

Litterbugs are gonna litter, man. I know this because I live in a place with a very high concentration of them. Is the litterbug done with his drink, takeout, or other item that came in some disposable packaging? Is the trash can that's clearly visible from his current location more than two feet away? Then that packaging ends up directly on the sidewalk or tossed into the street.

Worse than that are litterbugs who are also dog owners. Their creed is "Pick up my dog's dogshit and put it in a trashcan? Hell no, fuck that, and fuck you!".

8h agoHN ↗

Yep, it exists. I tried it before, and it still felt as bad because of the smoke you're inhaling. Our lungs are extremely sensitive receptors and are pretty much supposed to interact with absolutely nothing else other than the air we breathe.

2h agoHN ↗

...it still felt as bad because of the smoke you're inhaling.

Unless you have an incredibly defective vaporizer, that "smoke" you're talking about is as much smoke as the "steam" in a hot shower is. If your vaporizer is producing smoke, you need to dispose of it and get one that doesn't set things on fire.

Our lungs are extremely sensitive receptors and are pretty much supposed to interact with absolutely nothing else other than the air we breathe.

You might be astounded at how much junk is in the air we breathe, even in "clean" natural locations. Because the natural environment is so incredibly filthy and because the natural environment contains so many things that want to eat us (because -as it turns out- we're made of food!) our bodies are built to interact with and neutralize all sorts of contaminants.

19h agoHN ↗

Evolution:

The next will be nicotine free tobacco. .. the leafs will be watered for a undisclosed amount of time to remove the nicotine as it's water soluble. It's like decaffeinated coffee - it's when you need this tastes but your heart can't take it anymore :)

15h agoHN ↗

If you can also keep the usual tobacco-processing chemicals and other additives out, is the bare leaf, nicotine-free, arguably no worse than other common vices ?

15h agoHN ↗

Generally I would say that burning(flame/smoldering) anything is bad for you. Even simplest hydrocarbons (methane, propane, butane) with imperfect combustion have negative effects. You can make it slightly better, but smoke is most likely always carcinogenic.

12h agoHN ↗

Cars, trucks, powerplants, indoor air, are bad for you.

11h agoHN ↗

Indeed they are, and you should also minimize exposure to the fumes from cars/trucks/powerplants and try to improve indoor ventilation.

5h agoHN ↗

I don't generally suck on the tailpipe of my car like a cigarette or vape.

11h agoHN ↗

This has effectively been a product for many years, 22nd Century Group sells very low nicotine tobacco smoking cessation products.

3h agoHN ↗

The unhealthy part of smoking is the smoke, not the nicotine.

2h agoHN ↗

That has already been a thing that has existed.

I once successfully quit smoking by buying a pack of cigarettes made with tobacco that had been cleansed of its nicotine. I bought them one evening on the way home from work.

That first night was rough because nicotine withdraw be like that. The second day was still not great, but it was easier. By the third day, I'd had enough. On about the fourth day, I threw the rest away because they were just tiresome.

They were lousy. They tasted terrible compared to my usual brand. And smoking them did nothing to quench my addiction-driven craving for nicotine -- the reward for my brain and my body simply wasn't being delivered.

And it worked.

---

My theory for the method of operation goes something like this:

My brain was used to pushing the button and receiving candy, and it needed that candy (or at least it thought that it did).

But this was disruptive of that: The button was still there and I could push it freely. But no matter how many times I pushed it, no candy was received. This went on just long enough that I no longer felt compelled to need candy (because nicotine addiction had enough time to fade out).

2h agoHN ↗

We used to smoke clove cigarettes. They would crackle with oil when you inhaled.

18h agoHN ↗

A while back I saw this on reddit... in case you don't want to click the link, it's a picture of a cigarette with the caption "This plant-based alternative promises to help high schoolers stop vaping".

I would have never thought that people would be stupid enough to try this for real, but here we are...

https://www.reddit.com/media?url=https%3A%2F%2Fpreview.redd....

3h agoHN ↗

That was hilarious but I hate how hard The Onion has to compete with reality now.

5h agoHN ↗

You're being judgmental but I think you're just misinformed.

Vaping can be difficult to stop because:

- it's more accepted

- it's smoother on the throat, and there's plenty of tastes.

- there is no "dose", if you want to you can just vape non stop, and you can pace yourself. With a cigarette, you can't smoke slowly, or you'll loose half the cigarette.

All in all, it's just more convenient and cheaper to vape. If you're hooked, I can see it quite a challenge to stop. You can always say : "oh I am just taking x drags a day".

Personnally I didn't like vaping much, cause it was the beginning, the tastes were weird, the gear was not great battery-wise. So I kept going back to smoking. Eventually going cold turkey from cigarettes was way easier than through vaping.

4h agoHN ↗

Heroin is even less accepted, offers less tastes and is more serious about correct dose.

2h agoHN ↗

You're missing the very basic point that taking up cigarettes is just as bad and likely considerably worse.

2h agoHN ↗

while tobacco is indeed more viscerally addictive than vaporized nicotine, i still believe it is wrong to label the act of switching from vapes to cigs as blanket stupidity. a cigarette has a defined start and end point around which the brain may optimize, while vapes have no off switch. from the outside in, it may be difficult to see that this factor may weigh in significantly ... so ill bolster my point by suggesting tobacco is a valid method to control schizophrenia symptoms, i dont believe that high dose nic vapes have the same effect.

17h agoHN ↗

For the past 3 years I have replaced my ADHD stimulant medication with nicotine patches and they’ve been great, cheap, and legal in the country I live in now.

Recently I got the urge to try vaping again, bought all the paraphernalia and started vaping like a chimney 24/7. Got light nicotine poisoning as well. After two days, I caught myself compulsively reaching for the vape.

So I threw everything away and I’m back to patches. Took me a week to forget the compulsive hand-to-mouth urge. I now believe intradermal nicotine is the superior method of administration. At least with cigarettes the smoke is such an intense irritant you self-regulate pretty quickly compared to a cupcake flavoured vape you can just suck on all day long.

16h agoHN ↗

At least with cigarettes the smoke is such an intense irritant you self-regulate pretty quickly compared to a cupcake flavoured vape you can just suck on all day long.

In my experience: no, you don't. You just arrange your life around the fact that you need to smoke all the time.

12h agoHN ↗

it also stops being unpleasant once your brain has associated it deeply with the dopamine

if anything, the strong smell and taste sensations makes it even more addictive

7h agoHN ↗

I've been a heavy cigarette smoker for 12 years (pack a day min.). When I switched to vaping, I vaped continuously the entire day.

There is no human on earth that can smoke continuously the entire day for very long. A pack a day smoker means smoking one every ~30 minutes circa.

5h agoHN ↗

I don't know how they did it but 50 years ago some people did seem to smoke non-stop. Of course they were still an exception. Of course when they cigarettes were dirt cheap you could let atleast a few burn up with just a puff or two off it also. These days they are so expensive from taxes that setting it down and breathing for a second instead of smoking can feel like burning money.

3h agoHN ↗

I'm 55 (UK) and recall the '70s. Loads of people were hardened chain smokers, including my Dad back then and on through to the early noughties. Chain smoking was not an exception at all but it was a dying habit and did trail away. I can remember filling cups with fags for parties to intersperse with the nibbles - you could reach for a handful of crisps or light up or both at the same time. They looked lovely next to the pineapple and cheese hedgehog (you'll have to look that one up!)

He'd go through something like 80 Embassy back then, a day. He gave up in 1984ish and is still trundling along. His Dad died at age 60 of lung cancer.

I gave up about eight years ago after 30 odd years at roughly 20 a day. I definitely did some damage and will eventually have to find out how much. I don't have a near permanent cough and at least five major bouts of 'flu per year anymore. I did have a short bout of Covid in 2021 and I suspect it might have been really nasty if I was still a smoker then.

3h agoHN ↗

There was a rumour/some basic statistics that smokers were at more risk in bad cases of Covid but nevertheless were proportionally less likely to have heavy Covid.

1h agoHN ↗

Smoking was so huge in Britain. People think smoking was big in America, but the UK it's like a culture in and of itself

5h agoHN ↗

John Wayne is said to have chain-smoked 5-7 packs a day? If you can smoke a cigarette every ~30 mins, that's 2/hour (actually about 1.5 packs/day), but if a cigarette takes 10 minutes to smoke and you chain-smoke, that's 6/hour (4.5 packs/day). So it's doable but John Wayne was significantly out of breath the last 10+ years of his life, perhaps from having an entire lung removed.

5h agoHN ↗

Lucille Ball's voice changed dramatically over the course of the 6yr show from heavy smoking. Their show was sponsored by cigarette companies and she used to hand out cigarettes on a platter to guest when they came over to her house.

2h agoHN ↗

I went to a Black Keys concert in 2007 or so that was sponsored by Camel cigarettes and they were giving out free packs of their newest variety at the door.

4h agoHN ↗

A lifelong chain smoker will smoke a cigarette in 1-2 minutes and light up another. 3-5 minutes is a relaxed casual smoke. Cigarettes were modified a decade or so ago to ensure that they go out quickly if not actively smoked. It's not even possible anymore to keep a cigarette burning for long enough for it to take 10 minutes.

This is all pedantic. The point is that you can chain smoke quite a lot if you're dedicated. I've never met anyone who smoked more than two packs a day regularly or maybe three on a crazy night out of drinking and smoking. 4-5 is crazy.

1h agoHN ↗

had one lung removed, and the other was probably close to worthless from smoking

2h agoHN ↗

My step-father’s parents smoked a carton a day. Each. They started smoking before breakfast and stopped just before sleep. Their trailer home had a 2-3’ cloud of haze below the ceiling and every surface was sticky. I’m not how many years they smoked like that, but probably decades.

As a kid, I could not breathe in there. This would have been late 70s. No way they could have afforded that habit at today’s prices.

1h agoHN ↗

That is crazy. How long did they live? It would be fascinating if someone could live a long life despite smoking so much

28m agoHN ↗

Mid to late 70s? Their last years were nothing but medical issues (from the smoking, plus excessive drinking) and poor health. Certainly kept me from starting to smoke.

1h agoHN ↗

There is no human on earth that can smoke continuously the entire day for very long

Out of curiosity how old are you? I remember plenty of places in my younger days where it was commonplace for people to light up their next cig off of their current one pretty much nonstop

1h agoHN ↗

It's just lighting and inhaling. It does not take any extra time

12h agoHN ↗

For the past 3 years I have replaced my ADHD stimulant medication with nicotine patches

My first thought was "That's a no brainer why didn't I think of that".

Then I remembered that I grew up during peak anti-smoking and so they made nicotine out to be some sort of borderline meth boogeyman rather than just extra addictive extra effective caffeine that comes in bad for your health form factors and that all that propaganda got sent straight to long term memory and I was indoctrinated by it at such a young age it didn't even occur to me to think outside the box like that.

Nicotine patches are expensive for what they are but they're basically free compared to meds.

7h agoHN ↗

It's two very touchy subjects: nicotine and ADHD. I'm not fond to talk about it because misinformation and ignorance is just rampant. Nicotine has indeed been turned into the boogeyman.

Anyway, I told my psych about my plan, and he agreed there is research indicating nicotine works as a third-line stimulant medication for ADHD. In many modern, Western countries adult ADHD is not even recognized, let alone medicated, so one has to make do with what's available.

In my experience it is almost as effective as amphetamines, with fewer side effects, much longer lasting (a patch lasts 16+ hours), and very cheap - if you get them on ebay from China. Addiction potential is null: addiction is a function of how quickly the effect peaks, and it takes 3 hours. Not even lisdexamfetamine can compare with how unaddictive patches are.

That said, if I had access to prescription amphetamines, I'd go back to them, but I sure don't miss the days all it did was making me incredibly horny and focused scrolling social media all day long. It was a little too effective at keeping me engaged for my own good, so using a subpar medication means learning to live with ADHD, adjusting your life around your own quirk, rather than only relying on the medication to fix everything for you.

5h agoHN ↗

as a medication alternative there's saffron, which also helps (not as good)

3h agoHN ↗

I've come to a similar conclusion.

On one hand, yes, nicotine in many ways does deserve the reputation it's received. Then again, a lot of the blame should go more towards smoking rather than nicotine the substance.

Nicotine is highly addictive, but as you mentioned, the delivery method plays a huge role in its addictive potential, and most people don't realize this. The chances that you'll become addicted to patches is incredibly low. If they were that addictive, then they'd likely be way more effective in helping people quit smoking; in reality, it's somewhere between 10 and 20 percent of patch users who successfully end up quitting smoking that way. Even with the highest dose patches, the addiction potential is still relatively low because the patches release the nicotine over a very long period of time and make it difficult or impossible to associate the use of the substance with a ritualistic activity like lighting and puffing on a cigarette.

And yeah, it's not a subject you can really bring up with anyone besides recreational drug users. Very few will be receptive to the idea that nicotine has legitimate uses and can be used without getting addicted.

1h agoHN ↗

You:

  Only about 6% nicotine users manage to quit every year.

Your linked article:

  Yet, only about 6 percent of smokers are able to quit in a given year.

Other than when it talks about prescription smoking cessation tools, the article does not mention anything other than tobacco smokers. The last paragraph of the article actually discusses the observation that the ritual of smoking often provides substantial behavioral reinforcement to the smoker who is attempting to quit smoking.

I also note that I was able to quit nicotine cold-turkey after smoking cigarettes for two years. I've never been able to quit caffeine... and -although it is notably shorter in duration- caffeine withdrawal is WAY worse than nicotine withdrawal.

3h agoHN ↗

Nicotine isn't just 'extra effective caffeine.'

The research seems to indicate it's a cancer accelerant -- it doesn't cause cancer directly, but it promotes the growth and spread of existing tumors.

Studies suggest it does this through several pathways including:

(a) preventing cancer cells from self-destructing (b) making tumor cells divide more quickly (c) stimulating the growth of new blood vessels in and around tumors, helping them grow; and (d) helping cancer cells metastasize more easily by increasing mobility via epithelial-mesenchymal transition.

It also lowers the effectiveness of chemo and radiotherapy.

Admittedly, most of these are animal/lab studies, in part because it's hard to design a good study in humans since so many patients also use/used cigarettes and vapes, which confounds the results. Still, there's enough evidence out there to be cautious.

5h agoHN ↗

I smoked my first cigarette at 6, really started at 13 and smoked 2 packs a day for 30 years. Patches are the best way.

3h agoHN ↗

How did you taper off patches? Are you still on them?

3h agoHN ↗

I smoked for roughly 30 years and was not in very good shape when I gave up eight years ago - that improved rather a lot.

The problem is that nicotine is not the only addictive substance involved. If it was then you could chew gum, wear patches or whatever and off you go. There is an extremely complicated set of chemicals involved in fag smoke. There is also the habit effect and other complications.

In the end I think that boring old will power is the only way and any trick or tool or whatever that you can deploy to bolster that is how you give up.

My initial plan was to vape but I soon found that unsatisfying and it looked to me like trying to substitute one habit with another.

Once I started stopping, I didn't want to stop! It was extremely hard but I always reminded myself that I had got so far and that that time would be wasted if I had to start again. I followed doubled up time periods - one day, two days, 1/2 a week, a week, a fortnight, a month, two months ("cripes, this might work") and so on.

A mental tool I developed was a couple of mantras: "I don't want to smell" and "I don't want to die". Whenever I felt the cravings I repeated those to myself and I have no idea why but it did work for a while at a time. Gradually the need tailed off (say around two years)

I remember having quite vivid dreams where I would "crack" and start smoking again. I had to do quite a lot of mental verification to prove to myself that it was just a dream. At one point I even smelt my clothes to prove to myself it was all a dream.

We are all different and there is no right or wrong way to quit. One thing we can all agree on is it is hard, very hard but not impossible. Pick a strategy that might work for you and be prepared to change it but please do have a go. It really is worth it.

5h agoHN ↗

Hey, another person with addiction-intolerant ADHD! I have run into so few people who encountered and noted it. Most people can’t just treat a compulsion by curtailing it through willpower, though I still don’t comprehend why. Ironic that the willpower disorder wins the day versus the baseline.

4h agoHN ↗

I always wondered if ADHD and smoking were related.

I’m ADHD boy for sure, and my dad and his younger sister are both very much not like my aunt, who is more like me. Shes in her 80s now, and was the only smoker - literally smoked cartons a week for about as long as I remember.

3h agoHN ↗

ADHD people get hooked to smoking quite easily. Nicotine's a stimulant after all.

3h agoHN ↗

I, too, have experimented with the patches over the last year. Nicotine is great in a lot of ways, but whether it's a tool or a crutch depends on both the person and the delivery method.

The patches are different, not just because it lacks that same connection to compulsive and ritualistic activity, but it simply doesn't provide the same quick "hit" that makes smoking far more addictive.

On the other hand, someone prone to addictive tendencies probably shouldn't even use the patches. Even the patches can be a gateway to vaping and smoking for such a person. I have simply never been the type to become addicted to any drug or substance, other than the occasional overeating. This isn't to say that I don't have the potential to get hooked on more powerful drugs, but my innate desire to use them is a lot less than I think is average. Even during times where I've habitually drunk copious amounts of alcohol, I've always been able to realize "this kinda sucks so I think I'm gonna stop" and then I just do without really much struggle other than some brain fog for a few days. Similarly, I sometimes use phenibut, and people talk about how easy it is to become dependent on it and how hard it is to get off it, and that hasn't been my experience in the slightest. Someone without a clear objective around how they use substances like that will be much more likely to end up suffering.

That said, the patches are great for focus and anxiety when used in low doses in moderation. I don't necessarily advise that everyone use them as I have, but I also don't think they're anywhere near as harmful as one might assume. I don't feel the need to ever switch to smoking or vapes, or even gums and pouches.

58m agoHN ↗

That said, the patches are great for focus and anxiety when used in low doses in moderation

There is almost no good evidence of this. Effect sizes are tiny, if any. Just placebo and anecdotal. The effect is so small it's not even worth it from

12h agoHN ↗

The only way I could quit my nicotine addiction was to slowly reduce the amount of nicotine in my vape juice. Even at 0% nicotine and no more physical dependence it still took a whole year to finally stop vaping. If I had a single cigarette I would have to start the whole process over again. Nicotine addiction is a terrible enslavement.

5h agoHN ↗

Which is why it is BS that many places have marketted and regulated away fillable vapes and buying your own juice. Most vapes available now are disposables and have one and only one concentration level available.

3h agoHN ↗

Yeah, it’s almost like these vape companies have no motivation to help you wean yourself off their product.

3h agoHN ↗

Nicotine addiction is a terrible enslavement.

The interesting part I think is that physical nicotine addiction only lasts two weeks. It's the smoking ritual that is so potent. I have several ex-smokers in my family who even after decades still have situations where they associate certain cues with smoking.

2h agoHN ↗

Honestly, the mental aspect of addiction is what makes it difficult. Anyone can get through a couple of weeks feeling like shit, especially if you have support. But for years and years, you can be addicted to something that never even entered your body.

5h agoHN ↗

i know this sounds dumb on the surface, but assuming you have other restrictions in your life it works.

Vaping tastes great, can be done indoors, doesn’t need an ash tray, and others around you are mildly annoyed vs visibly upset. Cigarettes are the direct opposite of all of those. The added friction could put someone over the hump.

5h agoHN ↗

I am more of a cigar smoker, I used to smoke a cigar every month, every other month and sometimes all month long for several months, but I was never addicted, I have gone a year or two without cigars, currently I have not had one in about five years now, give or take. I could have one any moment, they sit in my humidor, but I did try ecigs for a little bit. I'd love to have an alternative that doesn't compromise my health, but until then I'll keep my cigars.

I love cigars for various reasons, but there's no true alternative that's worth while.

5h agoHN ↗

Yeah, I love my pipes.

To be clear, it's 100%, definitely not good for you - but the level of harm doesn't seem to be even close to cigarettes or chewing tobacco.

The amount consumed is much less, the smoke shouldn't be entering your lungs, and if there are tons of good, "all-natural" tobacco out there without all the additives put in by cigarette companies.

43m agoHN ↗

Why is it less harm compared to cigarette? I would assume the cigarette at least has a filter which makes things a little better?

33m agoHN ↗

It's just because cigars (and presumably pipes?) are puffed, not inhaled. You absorb nicotine through the mucus membrane in your mouth (not as much), and otherwise enjoy the flavor. The practice with cigarettes is to inhale into your lungs. You could technically puff a cigarette I guess.

People make a big deal out additives and accelerants, but the carcinogens are 99% from smoke, burning plant matter. In that respect, pure tobacco isn't meaningfully safer. That said if you "puff", that's probably safer, though still risky (mouth cancer, and you're still going to inhale some amount of smoke).

5h agoHN ↗

BS, fake news, and dumb. Did a handful of humans actually post about this? I'm sure, and probably tried it for a day. But "people," as in a group of people large enough to be remotely news worthy? No. This is just bait. Also not hacker news.

5h agoHN ↗

I literally saw a meme image saying this last year. Crazy to see it become reality.

5h agoHN ↗

I'm pretty sure it wasn't entirely uncommon in Norway (and probably also Sweden) to quit cigarettes by switching to snus (tobacco between your lip/gum).

5h agoHN ↗

Try pipe tobacco in a corncob (beginner level, easy/forgiving) or briar (more advanced, takes packing & coal management technique) pipe. Way less costly than cigarettes, in more ways than the wallet!

4h agoHN ↗

I quit smoking by using Swedish snus until I got used to not smoking and then just tapered off the snus. This was after smoking 2 packs a day for 10+ years.

4h agoHN ↗

Had a cousin that was trying to use vape to get off of cigarettes, but it wasn't going well. The new plan was to move to the South grow tobacco.

54m agoHN ↗

no kidding . ppl have been trying to look for cig alternatives forever. If vaping worked as well, it would be everywhere. It's still a small niche.

3h agoHN ↗

I hate to be a shill for pharma but one of my friends went on Chantix and the results seem incredible to me.

If I recall correctly the clinical studies put it at 50% success rate or higher depending on how many weeks you continue the regiment.

From the outside looking in it looked like it was way less effort and mental strain than other forms of quitting. They basically started taking the drug and by the end they just didn’t want cigarettes anymore.

For those of you looking to quit nicotine, I think looking toward medical solutions is the way to go. It’s too bad our medical system has incentivized shyness around finding medical solutions.

2h agoHN ↗

I will second this, having enjoyed similar success. The idea is that you start taking it, smoke normally the first day or two, then stop (if I understand the mechanism correctly the drug uses the nicotine to guide it to the correct receptors at the outset and subsequently the molecules self-attach to each other). You take it 4 or 6 weeks - I think 4, but it was 16 years ago so I forget. Contrary to what some imagine, there's no long-term dose. Within the first few days your cravings evaporate, by the end of the course smelling someone else's cigarette evokes a mild feeling of nausea. It's the only approach that never resulted in a relapse of some kind for me.

There are side effects; it can cause stomach bleeding if you don't carefully take it with meals, so if your breakfast is just a cup of coffee you'll need to adjust to consuming food; and it's associated with intensely vivid dreams which can disrupt your sleep. I experienced both but did not find it that bad, I blame myself for playing a bit fast and loose with the mealtime warnings. idk what it costs now but I paid $400 for the full course out of pocket, probably like $750 today with inflation. So, less than 6 months of moderate cigarette use.

It doesn't fix the psychological desire for a 'smoke break'; for about 6 months I chewed gum (ordinary gum, not nicotine) to get past the mental habit of wanting to consume something. Some people reported using a fidget toy to give their hands something to do. My theory is that if you have a severe smoking addition it is probably because nicotine slotted neatly into some pre-existing somatic need, so once you get past the cravings stage it's worth exploring why smoking or vaping became such a big deal for you in the first place.

56m agoHN ↗

i remember a long time ago seeing the ads on TV with the turtle...the listed side effects were half the ad.

3h agoHN ↗

Here's what I did to get rid of my nicotine addiction (vaping):

- Gradually lower the strength of my liquid until it was at the minimum.

- Stop all vaping and switch to nicotine gum

- Gradually increase the time between each gum

- Stop the gum altogether

This process took probably 3 months and tbh it was pretty miserable the whole time. It's 100% worth it tho, You don't realize how much it controls your life until you stop. You will also still get random cravings for a year or two afterwards, Heck it's been 4 years and I still sometimes get dreams where I'm vaping.

2h agoHN ↗

Stopped smoking cold turkey when my first daughter was born.

For the first year I wanted a cigarette every fucking day.

Years later, I still had dreams where I would light up…

20+ years on, a distant memory.

1h agoHN ↗

My father did the same thing. He used to smoke a pack a day and the day that I was born he quit and never touched it again, and then when I was old enough to understand cigarettes, he taught me to never start smoking and I never have.

1h agoHN ↗

Heck it's been 4 years and I still sometimes get dreams where I'm vaping.

It has been way more than four years for me, and I'll smell some cigarette smoke when I'm in a mood and be all like "Man, wouldn't it be nice if I got me one of those?".

But, I can say the same sort of thing about my reaction to the odor of coffee or caffeinated tea. Despite the fact that the very same place I get my coffee and tea from sells cigarettes -and wouldn't even card me because I'm so very obviously old- I've been able to quit nicotine. I've never been able to quit caffeine.

12m agoHN ↗

How do people not just do the easy pleasurable thing? I am incredibly prone to addictions and I don't understand how some people aren't.

3m agoHN ↗

Genetic lottery, I think. There are some "addictions" I've been able to give up incredibly easily, and others I still struggle with. Other people have the opposite problem, others still don't have any at all. The older I get, the more I think willpower is a made up concept.

3m agoHN ↗

How are you right now not drunk while munching on cake and playing an online slot machine?

19m agoHN ↗

What have you done to replace the receptor-clearing capability nicotine has that likely “addicted” you in the first place?

(Feeling okay is addictive.)

4m agoHN ↗

In my late 20s and early 30s I would frequently join my coworkers outside while they took a smoke break. I would generally try to stay at the periphery or upwind when possible. Over time, I found myself having inexplicable cravings for a cigarette despite never having smoked one. Presumably this was due second hand exposure. (Acknowledging it would have been smarter to simply stay indoors.)

That eventually faded after our careers took us in different directions, and landing remote roles or at places with fewer or no smokers.

I can’t imagine how difficult it must be to quit. Props to anyone who makes the attempt, successfully or otherwise.

3h agoHN ↗

It's an idea I've considered. Quitting cigarettes was much easier than quitting vaping has been. You can vape in your home, most places and at most times. You don't have any concept really of how much you're using. With cigarettes you have to take time, go outside, and you can literally count them making it easier to track your reduction.

2h agoHN ↗

Did a cigarette write this article?

Cigarettes are ridiculously more addictive. I know this from experience, but also from a study that found that MAOIs (in cigarettes, but not found in vapes) "dramatically increase the motivation to self-administer nicotine in rats."[1]

I had a wickedly difficult time quitting cigarettes, many failed attempts over the course of years. Vaping made quitting tobacco comically easy, and quitting vaping was also comically easy compared to cold turkey. To quit my all-day vaping habit I just...got rid of the vapes and stopped doing it. I thought about it a few times a day for the first few days, and that was it.

People saying to avoid vapes as a cessation tool are committing actual harm, imo. It's like the difference in difficulty between just jumping off a roof versus using a ladder to descend. Yes, ladders are risky, but not as risky as jumping off a roof.

[1] https://www.jneurosci.org/content/25/38/8593

2h agoHN ↗

switched to vaping in 2011, and finally quit that last month. I started on 1.5 “step 1” patches and have tapered down to .5 over the last 6 weeks. Hardest thing I’ve ever done.

1h agoHN ↗

good. smoking is better for the soul than vaping. and you look cooler too.

i consume roughly 50mg of nicotine a day through pouches and have no issues quitting cold turkey, often for weeks at a time. its nice to reset your tolerance. but i find it hard to believe others find it so addicting. same with caffeine. do people really get headaches because they miss a coffee?

alcohol is another story tho. it's a lot more enjoyable and thus harder to eliminate without actually replacing it with something else.

57m agoHN ↗

How cool is COPD and lung cancer? Vaping at least does not kill you

1h agoHN ↗

"Nicotine is just caffeine" is too clean given the tumor-promotion evidence. To a large extent, it comes down to the method of delivery: patches are difficult to get hooked on because they do not cause a rapid spike in nicotine levels and are not associated with any ritual; cigarettes are hard to give up due to that spike, the accompanying ritual, and the MAO inhibitors found in the smoke; while vapes occupy a middle ground—which is precisely why they help some people quit smoking but foster addiction in others.

1h agoHN ↗

yeah it's annoying when people overstate the efficacy of patches. if patches worked as well as cigs, everyone would just buy patches instead (huge market here..don't steal my idea).

11m agoHN ↗

I assume people must vary in how strong an addiction can be as I have smoked cigarettes but have not become addicted to them. I am able to abruptly stop, get mild cravings and be able to ignore them for a few days and the cravings completely subside. I have another friend who did similar. A regular smoker for years who switched between a few alternatives such as pipe, then vape, then just stopped completely and doesn't miss it. Another friend is still smoking into his 40's and is having a hard time stopping. He cut back but still smokes daily.