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

156 pointsby 1d agobloomberg.com
167 comments
1d 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.

1d 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?

1d agoHN ↗

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

1d agoHN ↗

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

1d 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.

21h 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.

20h 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?

8h 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.

6h 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!".

13h 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.

7h 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.

2h agoHN ↗

Whoa there.

Breathing air with more than ~12ug/m^3 of small particles is considered less than ideally healthy. (This is where PM2.5 comes from.)

Go check out the mass of fine particles per puff:

https://www.ncbi.nlm.nih.gov/books/NBK507187/#_sec_000047_

This is so many orders of magnitude above the “good” AQI threshold that it’s almost comical.

Now, sure, different particles have different health characteristics, but the stuff coming out of a vape isn’t water, and you’d better hope that it is many orders of magnitude less damaging than the fine particles that are found in the environment if you actually want to believe that your lungs are prepared to handle it.

(Okay, it’s obviously orders of magnitude less damaging than, say, wildfire smoke or brake dust or restaurant kitchen exhaust on a per-microgram basis, but the question is how many orders of magnitude less dangerous.)

P.S. I strongly suspect that there is one common dry aerosol that is genuinely harmless in moderate amounts: sodium chloride from sea spray. It’s highly soluble and found all over inside your body. I’m not sure to what extent air quality impact studies try to separate out the AQI impact from sea spray from everything else.

4h agoHN ↗

That's how I quit cigarettes - got 0% liquids in a few flavours, hard-quit the smokes and puffed like crazy on a vape to assuage the habit. After around 3 months I noticed I'd stopped caring about the vapes so much and just put them down.

Worked well for me, might not work so well for others.

Personally I thought that was the whole deal with vapes, use them as a tool to beat the addiction to 'real' tobacco products, but it looks like the world proved me wrong on that one.

23h 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 :)

20h 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 ?

20h 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.

17h agoHN ↗

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

15h agoHN ↗

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

10h agoHN ↗

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

16h agoHN ↗

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

8h agoHN ↗

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

7h 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).

7h agoHN ↗

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

23h 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....

8h agoHN ↗

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

10h 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.

9h agoHN ↗

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

1h agoHN ↗

do I really have to mention that vaping and smoking use the same chemical addiction in comparable doses?

7h agoHN ↗

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

7h 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.

4h agoHN ↗

People are even vaping on public transit nowadays. Never seen that for smoking.

3h agoHN ↗

They appear to think that cigarettes smell bad, yet their nicotine infusused fruit salad/cotton candy monstrosity is fine.

3h agoHN ↗

Yeah, so I have smoked for 80% of the last 30 years… usually between 1/2-1 pack/day. I’ve been cutting back by switching to vape, knowing that it only has nicotine and not the MAOI and other substances. Right before Labour Day weekend I ran out and decided to try going the weekend. It’s been 20 days now and I am starting to feel like the effects of the MAOI are starting to wear off. I still have nicotine cravings, but it’s once I firmly feel like the MAOI withdrawal is gone (probably another week or two) I plan to start breaking the habit with patches and maybe gum.

Step by step, I feel like it might actually stick for real this time. Every time I started up again in the past was contextual (eg a break up, out for drinks with friends, have a half drunk smoke and I’m hooked again). No longer have any smoker friends, no longer have significant drama in my life, hoping it’ll work out.

1h agoHN ↗

maois are what make tobacco more than just nicotine (in terms of both benefit potential and addiction potential). maios were the first ever anti depressant, cigarettes are therefore a valid anti depressant too. cigs are also correlated with testosterone. maybe there's an ulterior reason they are demonized?

4h agoHN ↗

Bonus virtue-signaling points for "plant-based alternative", although I had a different plant in mind when I read that phrase.

22h 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.

21h 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.

17h 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

12h 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.

10h 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.

8h 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.

8h 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.

5h 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

3h agoHN ↗

But not in America? I mean, we have our little smoker subculture with at least some semblance of etiquette and shibboleths, and the protocols for bumming a cig (ideally, ask to buy one instead, whereupon the other party should just give you one, unless they're nearly out), and so on. We had ashtrays at the ends of the aisles in the grocery store, and restaurant hostesses asking us "smoking or non?" and bringing us ashtrays. People at work grumbling about smokers getting extra breaks all the time, and the smokers for their part having to hike to the smoking area (or enclosure, even). Common memories of the strange experience of being sent to the corner store at a one-digit age to buy a pack for someone. I'm sure that's not all there is to it but I can't think of anything else at the moment. Anyway, what are we missing? I think I sound a little bit defensive about whether America has a significant smoking culture, but I'm just curious.

10h 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.

10h 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.

7h 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.

9h 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.

5h agoHN ↗

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

7h 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.

5h agoHN ↗

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

5h 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.

4h agoHN ↗

It would be fascinating if someone could live a long life despite smoking so much

Genetic variation probably has a bigger role than we'd like to admit. There are definitely outliers. I know smokers who lived into their 90s, and non-smokers who died much younger. The sibling comment says they lived into their 70s, which is probably average.

...and then there's https://en.wikipedia.org/wiki/Jeanne_Calment#Health_and_life...

Calment continued smoking in her elderly years until she was 117

5m agoHN ↗

I know smokers who lived into their 90s, and non-smokers who died much younger

I hate this anecdata. I do know these too.

But statistics don't lie. The odd outlier is not relevant. How many times can you roll the dice and win the saving throw? Smoking kills, and when it doesn't it destroys well-being.

Even without the health issues smokers becoming absolute pricks because they didn't get their fix. Or how much imposing their cloud of dust is invasive, even in open air. I know, I've been there, I've been that guy. Stressing out because I had only two left in the pack on a Sunday. Rushing to buy a pack before the shop closes like my life depended on it. Snapping out when the effects wears off. Leaving the table at restaurants to get my fix. Barely able to get through an entire movie at the cinema, and as soon as credits roll, get out and immediately swallow an entire cigarette in under a minute.

Now that I'm out of it I can see the absolutely disrespectful behaviour, and in a way I understand because I've been there, I've been the addict that can't see how I harm not just me but others too. I've been the addict that keeps the blindfold of denial so that I can continue satisfying my craving.

And now life is _so much_ better without it. Much better energy, focus, willpower, and freedom.

There is _nothing_ positive about smoking. It's death in a tube, plain and simple.

4h agoHN ↗

2-pack-a-day smoker here (~40 cigs per day), for over 10 years (twice that if you consider the time I was 1 pack or less a day).

I stopped smoking and started vaping for a while (~1.5 years) and went back to smoking after some bad vape experiences. At some point, even the smell of the liquid would cause me nausea.

My health is surprisingly good despite the habit. I walk every day, and I can do longer cardio without loosing breath or feeling tired. I'm either lucky or sitting on some ticking time bomb that went unnoticed so far.

I definitely recommend not starting on either though.

3h agoHN ↗

My sister-in-law was so upset when we ran a 10K together, I beat her by 5 or 6 minutes, and when she found me at the finish line I was having a smoke.

Genetic lottery for sure. I’m still quitting but it’s not really because of acute or chronic health problems, mostly cost and being tired of stinking all the time.

6h 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

5h agoHN ↗

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

1h agoHN ↗

I'm sure some people acclimate to it but if you give it a try I think you'll find first your throat will get burned, then you'll start to cough more and more, and eventually you'll throw up. And I think GP was suggesting that, beyond acclimating, there's also other demands on your time and you usually can't smoke through them all.

17h 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.

12h 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.

10h agoHN ↗

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

8h 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.

6h 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.

8h 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.

10h 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.

8h agoHN ↗

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

8h 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.

10h 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.

9h 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.

8h agoHN ↗

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

8h 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.

5h 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

3h agoHN ↗

This has not been my experience. Obviously there's no way I can disprove a placebo effect, but I don't find myself to be particularly prone to placebo effects or magical thinking. The vast majority of the time,, I don't notice much effect if at all from the "amazing" psychoactives, nootropics, pharmaceuticals, supplements, etc., short of full blown psychedelics and stimulants. Perhaps I'm prone to the nocebo effect. Then again, if I nearly always have the nocebo effect, it would seem odd to me that suddenly I would have the placebo effect with patches. Is it like adderall? No, but I would be stunned if researchers performed a double-blind study of patches on me as the sole subject and couldn't find a measurable difference in my behavior in terms of task persistence.

17h 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.

10h 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.

8h agoHN ↗

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

1h agoHN ↗

its regulation. in jurisdictions where its not regulated you can often purchase a reusable, refillable vape for the same price as a disposable

8h 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.

7h 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.

10h 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.

10h 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.

10h 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.

5h 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?

5h 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).

20m agoHN ↗

A common assumption. A filter filters out harmful stuff right?

Except they don't:

https://exposetobacco.org/wp-content/uploads/Cigarette-Filte...

There have been calls in the Netherlands (perhaps even at the EU level) to ban filtered cigarettes, for the simple reason that they are misleading and offer no protection, but are harmful to the environment because of the non-degradable micro-plastics.

10h 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.

3h agoHN ↗

So, journalism ethics have totally disappeared because someone complains on the internet? Grow up…

10h agoHN ↗

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

10h 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).

10h 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!

9h 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.

8h 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.

5h 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.

2h agoHN ↗

A significant factor in vapes not overtaking cigarettes is the tobacco lobby; they pay to play in legislature to ban vapes and associated paraphernalia in many US states, as well as create their own vape products to play both sides of the market. It's difficult to use vapes to quit smoking cigarettes when vape juice and single use vapes get banned, yet cigarettes remain legal.

8h 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.

7h 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.

5h agoHN ↗

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

4h agoHN ↗

It gave my grandmother strokes. She never smoked again, and was still around, but never quite the same. She told me once, "I miss smoking every day. I loved it so much."

2h agoHN ↗

I had a family member who became suicidal on Chantix. I was wanting to quit at the same time so when given the option I went with Zyban (bupropion hydrochloride) and had quit by the second week.

What was really incredible though was right from the start I felt fantastic, like I spent all day in a flow state.

The doctor stopped the prescription after (I think) 8 weeks and I didn't start smoking again. Many years later I learned it is prescribed for ADHD and also as an antidepressant.

8h 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.

6h 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.

5h 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.

4h agoHN ↗

Stay that way. Your first cigarette will never let you forget it.

38m agoHN ↗

Not necessarily. I’m over 40 now and had a total of 3 cigarettes in my life, all of them in my twenties, parties, hanging out with people smoking etc. Every time it was a terrible experience and I was amazed why people do this to themselves…

4h agoHN ↗

Though it took my dad a bit longer, he managed to quit for good when I was a kid. Still died of lung disease at 80, but I have to think it would likely have been much sooner if he'd never quit. Anyway, watching him struggle with it when I was young definitely make me repulsed by cigarettes (and most other addictive substances) such that I've certainly never been tempted to try them.

3h agoHN ↗

I don't know the movie or show but there is a scene where someone asks a woman who quick smoking a long time ago (10 years maybe?) if she ever thinks about smoking and she says "every time someone lights up next to me at the bar I want to suck the smoke out of their lungs."

I smoked more than a pack a day for probably 7 or 8 years and quit a couple years after college, not quite cold turkey but basically just trying to wait a little longer between each cigarette. Eventually when the last half of the pack is stale and disgusting but you smoke them anyway because they're expensive, you just kind of stop one day. It was many, many years of no nicotine at all before I stopped thinking about it every day though.

1h agoHN ↗

Went cold turkey during the first covid lockdown. It was a combination of not being able to go out to buy cigarettes and also the fear of dying since I was a heavy chainsmoker.

Honestly, I didn't miss it once.

6h 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.

5h 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.

4h 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.

1h agoHN ↗

Sadly true, I think. My grandparents gave up smoking at the same time after grandad contracted emphysema. They were the generation that believed smoking was good for them and smoked for 50+ years. My grandma was shocked that she had physical withdrawal symptoms, something she associated with "druggies". But it went away after two weeks. After that my grandma never thought of smoking again and actually became repulsed by smoke. But my grandad never got over it, he craved a cigarette every day for the rest of his life.

4h agoHN ↗

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

2h agoHN ↗

I am very prone to (mostly digital) addictions, but on nicotine, despite having been smoking 7 years, I’ve quit cold turkey without trouble, and since then, I can absolutely just borrow one to a friend, maybe 2 or 3 times per year, without any withdrawal symptoms. It does not have any effect. I don’t understand anything about that :|

42m agoHN ↗

That's funny, as I was reading the comments on this page I was thinking the opposite: I don't understand people who get addicted to things.

Smoking seems gross and stupid and self-destructive to me.

Alcohol does nothing for me, I don't understand why people drink alcohol when it's clear they will get a hangover. Sometimes I drink wine or beer but there's nothing appealing about it.

Gambling (casinos, online, sports betting) seems stupid and pointless - it's pretty much guaranteed that you'll lose, it's the whole point of a casino.

Caffeine - I drink tea and coffee, but most of it without caffeine. Sometimes I drink caffeine every morning for a couple of weeks (mountain biking vacation), and then I stop it and feel bad for a day and then I'm back to normal.

I guess I'm just lucky.

43m agoHN ↗

I have never been addicted to nicotine so can't compare but it's quite easy to quit caffeine, I'll get headaches for a few days and then it's gone. But then what? Caffeine makes it easy to concentrate and work, enables me to get anything done at all. Other drugs that do that are illegal. Maybe one day, when I'm no longer working, I'll quit it for good. Not yet.

5h 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.)

4h 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.

4h agoHN ↗

thats how we all get started. its a social thing, your in or your out. sucks. but its what it is.

3h agoHN ↗

I vaped for around a year and each attempt to quit ended in failure.

The first attempt, quite early on, I hadn't realised how dependent I'd become and thought it would be easy. Sure, I enjoyed vaping, but I didn't "have" to do it. Give it a couple days and I'll be back to normal. Predictably that went poorly.

Various other attempts I'd now look back on as thinking I could outsmart addiction and try to ease out of it, when in reality it was little more than procrastination.

Oh, I'll start to limit the times I vape. Only between certain hours. Or I'll go outside and do it, make it inconvenient and less appealing. I'll buy flavours I don't enjoy as much and change the association.

For me the only way to stop was to accept the unpleasantness of going cold-turkey. I knew going in that the first 48-72 hours would be brutal but that it would get significantly easier afterwards. There's always a reason to delay but everything I attempted short of actually stopping feels like self-deception.

2h agoHN ↗

I combined a couple of methods:

- stop smoking in certain situations (no cigarette at the bus stop, no cigarette after lunch, …)

- allow myself to put out a cigarette halfway when I’m smoking. I lapsed and lit one, but that doesn’t mean I have to finish it.

- try to feel the downsides of the cigarette while smoking. The nicotine high mostly overrides this, but it’s possible to concentrate on the yucky feeling in your mouth, your lungs being burned etc.

- telling myself that I am sure I want to stop smoking at some point in my life so I might as well stop now.

2h agoHN ↗

Good job!! Would it have been less miserable if you did it more slowly? With antidepressants and other psychoactive meds the ride tends to be easier when it's drawn out longer.

1h agoHN ↗

Good for you, friend! You should feel proud.

1h agoHN ↗

Last time I managed to get addicted, the gum was a lifeline. I found it pretty easy to switch to, to be honest, and just told myself it was OK if I was on it forever. After about 4 months of as much gum as I wanted, whenever, I started working down through the dosages, eventually making little Franken-gums by using a pill-cutter and regular gum to split the dosage further.

I didn't find the process especially miserable.

21m agoHN ↗

Tabex (laburnum extract), something to boost dopamin for the first weeks and probably the actual will to do so. Quitting was actually easy that way.

7m agoHN ↗

Thank you. A similar regiment also works for digital technologies

8h 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.

7h 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

3h agoHN ↗

I’m with you 100%. We’ll see if the last step goes ok next month after the MAOI is all cleared.

1h agoHN ↗

I have to confirm the article. After switching from cigarettes to vaping and vaping for several years, I decided to go back to cigarettes precisely to get rid of the monstrous vaping addiction.

While never a heavy smoker I absolutely loved vaping: it was the first thing my hand reached for in the morning and the last it let go falling asleep. I went into panics when I couldn't remember where I had left my vape.

I've now managed to further reduce my smoking to only very few cigarettes per day. This might well still be more harmful than vaping all day long, but at least I got rid of my sixth finger (as a friend used to call it) and I can forget about smoking or vaping for many hours a day.

38m agoHN ↗

Part of the problem is that vapes easily let you ingest a lot more nicotine than cigarettes. Researchers in the Netherlands found that some teens are vaping so much they effectively have the nicotine intake of a three pack a day tobacco addiction. This is due to a combination of (illegal) vapes being available in all sorts of fruity and hip child-friendly flavours, illegal vapes simply containing more nicotine, and vapes coming in reservoirs good for 9000 or so 'puffs'.

If you stuck with plain vapes bought through a legal channel, that risk factor would have been absent.

7h 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.

6h 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.

5h agoHN ↗

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

2h agoHN ↗

The pouches are how I got off vaping as well. The vaping is how I quit smoking, but I would never go back to either.

I actually prefer and enjoy the slower nicotine delivery of pouches. If the oral fixation is a problem for anyone, they can just leave the pouch in long after it's dead. They're easy to stop using because there's no chasing a "rush". I think it's a superior product design.

I also go long periods of time without pouches, but I will say 50mg a day is quite a lot. I average about four of the 6mg pouches in a day when I even use them at all.

I tapered off alcohol when the anxiety during hangovers and compulsive overeating started to get out of hand. It was a good run. I'll have the occasional seltzer during holidays or events. That genuinely is just one or two to get a slight buzz. I can't feel any euphoria from it anymore, just mild relaxation that eventually progresses back into stress when I go over my limit. A big help in confirming it wasn't "all in my head" was my smartwatch showing my elevated heart rate, low HRV, and bad sleep. I feel much stronger euphoric feelings from working out now than I ever did from drinking.

In the end, moderation is key as it's ever been. It's a lot easier when the top (or sometimes only) options are not just beer and cigarettes.

6h 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.

5h 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).

5h 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.

4h agoHN ↗

It's a very psychological addiction. Obviously willpower and compulsiveness vary depending on the person, but whether you believe it is easy to quit or hard to quit, you are right.

The misery of quitting comes from wanting something you cannot have. The trick to avoiding that misery is to truly not want it. Then the only remaining struggle is a few days of noticeable physical symptoms (like having a mild flu, at worst) and the long struggle of trying to not forget why you don't want to smoke or vape or snus.

Anyone wishing to quit should read Alan Carr's book. Don't worry about whether everything in the book is literally true; the point of the book is not to be a list of pedantically true statements; the point of the book is to get you to quit smoking.

3h agoHN ↗

Cytisine ( https://en.wikipedia.org/wiki/Cytisine ) doesn't get much attention.

It's extremely effective at reducing nicotine cravings and withdrawal symptoms.

Moreover, European pharmacy formulations are available "OTC" from Amazon in the USA because its not a recognized drug there

3h agoHN ↗

I stopped smoking when my girlfriend got cancer and I switched to vaping. That worked for a year and a half, then my vape fell into mud and I bought a pack of smokes because I had no quick solution and started smoking again.

I'm working on going back to the vape.

2h agoHN ↗

I had a lot of trouble quitting. Menthol hemp cigarettes did the trick, smoked nice but no nicotine

2h agoHN ↗

You could always cut out the middle man and have cancer surgically implanted in your lungs.

1h agoHN ↗

I was always taught it's the nicotine in cigarettes that makes them addictive. But it's actually the action of inhaling from a little stick and exhaling visible smoke/vapour that is most addictive. It's quite curious why that is. I have never used nicotine regularly but I did feel this craving after using a nicotine-free vape for a while.

So if you have to do it, you might as well do the least harmful one, which is not cigarettes. You should also be able to kick the nicotine very easily. It will take a couple of weeks but it's not that hard. Kicking the inhaling and exhaling part is the hard bit.

54m agoHN ↗

Asocial junkies either way, poisoning the air whereever they go.

41m agoHN ↗

I used supplements with N-acetylcysteine (NAC) to quit smoking a few years ago and it was a surprisingly smooth experience.

Decided to go cold turkey and started taking them a few weeks in advance - and even before the planned date I suddenly started losing the urge to smoke.

AFAIK recent research indicates it helps with addiction to multiple other substances including alcohol.

36m agoHN ↗

It is simple. Ban them. Otherwise it is genocide.

27m agoHN ↗

Where do you all live that smoking or vaping are still a thing?!