What happens when a smoker quits by switching to nicotine vapes ("e-cigarettes")?

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(2) when a smoker switches to nicotine vapes

Excess lifetime cancer risk drops >10,000-fold, and is “lower than guideline values defined by EPA and WHO.” 2nd hand vapor risks are obviously even lower than that.
sciencedirect.com/science/articl…
(3) when a smoker switches to nicotine vapes

A more conservative estimate found lifetime cancer risk drops “only” 99.5%. Lifetime cancer risk from smoking is 18%. 0.05% of that = 9 in 10,000 (a risk so low it would be difficult to measure).
tobaccocontrol.bmj.com/content/27/1/10
(4) when a smoker switches to nicotine vapes

Their exposure to a major pulmonary carcinogen, NNAL, is reduced dramatically. (Results of a 4-arm, parallel-group, randomized, controlled trial funded by the US @NIH and @US_FDA.)
thelancet.com/journals/lanre…
(5) when a smoker switches to nicotine vapes

According to @American_Heart Association research, biomarkers for heart health are indistinguishable from never-smokers. (Just ignore the reprehensibly misleading headline they chose to announce this.)
newsroom.heart.org/news/vaping-co…
(6) when a smoker switches to nicotine vapes

They experience positive cardiovascular impact within 3 days. The benefit did not differ between nicotine vapes and nicotine replacement therapies (e.g., nicotine patches or nicotine gum).
mdpi.com/2079-7737/10/1…
(7) when a smoker switches to nicotine vapes

Systolic and diastolic blood pressure, and blood pressure control, improve. And significant weight gains that are associated with cold turkey smoking cessation do not occur.
pubmed.ncbi.nlm.nih.gov/27845734
(8) when a smoker switches to nicotine vapes

Blood vessel health improves as well.
jacc.org/doi/10.1016/j.…
nature.com/articles/s4156…
sciencedirect.com/science/articl…
(9) when a smoker switches to nicotine vapes

Lung cilia which, in never-smokers, remove debris and bacteria from the lungs, recover full function.
medrxiv.org/content/10.110…
ncbi.nlm.nih.gov/pmc/articles/P…
(10) when a smoker switches to nicotine vapes

Respiratory tract infections drop dramatically.
dspace.stir.ac.uk/bitstream/1893…

This is consistent with social media surveys involving over 1,000 ex-smokers who vape.
(11) when a smoker switches to nicotine vapes

If they have chronic obstructive pulmonary disease (COPD), their lung health and quality of life improve dramatically.
journals.sagepub.com/doi/full/10.11…
pubmed.ncbi.nlm.nih.gov/30197510
(12) when a smoker switches to nicotine vapes

If they have asthma, they experience “significant improvement in asthma control and quality of life.”
pubmed.ncbi.nlm.nih.gov/31960343
pubmed.ncbi.nlm.nih.gov/27011045
mdpi.com/1660-4601/11/5…
(13) when a smoker switches to nicotine vapes

Based on a study involving 19,000 people, 65% of smokers with asthma, and 76% of smokers with COPD, reported improvement in respiratory symptoms after switching to e-cigarettes.
mdpi.com/1660-4601/11/4…
(14) when a smoker switches to nicotine vapes

Findings: No significant changes in inflammatory cell counts, cytokines, mRNA or microRNA gene expression.
…erpreventionresearch.aacrjournals.org/content/early/…
(14) when a smoker switches to nicotine vapes

They experienc an 87% reduction in mitochondrial gene "dysregulation" (a scary sounding word for changes in gene expression, which may-or-may-not have any relevance to health).
nature.com/articles/s4159…
(15) when a smoker switches to nicotine vapes

They're healthier. WE are healthier. Anyone who takes the slight trouble to ask us would discover this. How hard is that? Just ask us how we're doing.

Ignoring these health improvements is, literally, a crime against humanity.
(16)
Finally, this: Nicotine is a natural product derived from plants. Half of all over-the-counter medicines (e.g., aspirin) are plant-derived.

So don't be surprised to learn that nicotine has therapeutic benefits. So does caffeine. So does cannabis. So does nicotine.
(17)
CODA... Just to end on a prime number.

Take this multiple choice test.

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More from @ChaunceyGardner

15 Nov
1/2
@CJBoyd_Research: No one vapes THC in "ENDS." THC vs. nicotine vapes = different devices.

Your study found “wheezing or whistling” in teens who vaped THC. And it found that teens who vape nicotine ("ecigs") have no respiratory symptoms. None.
sciencedirect.com/science/articl…
2/2
So, consider the logic of your statement on @CNN:

"Without a doubt, e-cigarettes are unhealthy and not good for lungs." ["Of course, we couldn't find any harms from nicotine vaping ('e-cigarettes'), but it just stands to reason there must be some."]
cnn.com/2021/03/03/hea…
PS: I cannot state strongly enough how the community of millions of adult ex-smokers who use #SaferNicotine to avoid toxic forms of tobacco HATE the term "ENDS."

And how much we hate @CDCgov's insistence that some people vape THC in "Electronic NICOTINE Delivery Systems."
Read 5 tweets
11 Nov
REMINDER
If nicotine vapes ("e-cigarettes") are, in fact, safer than smoking, and help smokers quit, they are (obviously) profoundly different from recreational drugs like alcohol, caffeine & cannabis.

So, what if we just ask ex-smokers who vape how they're doing?

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(2)
Among ex-smokers who quit by switching to nicotine vapes, 93% say their health improved. 62% say "improved dramatically." The 5% who said "no change" said "I was healthy to begin with."

Healthier. This is so different from daily screaming headlines.
(3)
Among ex-smokers who quit by switching to nicotine vapes ("e-cigarettes"), 90% say they now have fewer and less sever lung infections. We're healthier. Does no one care?

Confirmed by these peer-reviewed studies.
nejm.org/doi/full/10.10…
omicsonline.org/open-access/ch…
Read 7 tweets
8 Nov
LED candles (tea candles). No combustion. Our passive protest against #COP9FCTC efforts to - literally - kill us and other #SaferNicotine user like us.

From London, Day one of @MikeBloomberg-funded @WHO @FCTCofficial fiasco Image
LED candles (tea candles). No combustion. Our passive protest against #COP9FCTC efforts to - literally - kill us and other #SaferNicotine user like us.

From London, Day one of @MikeBloomberg-funded @WHO @FCTCofficial fiasco. Image
LED candles. No combustion. Our passive protest against #COP9FCTC efforts to - very literally - kill us and other #SaferNicotine user like us, plus 1.1 billion smokers.

From London, Day one of @MikeBloomberg-funded @WHO @FCTCofficial debacle.
@INNCOorg Image
Read 5 tweets
2 Nov
Lets explore @FDATobacco infographics. These data come from @CDCTobaccoFree's National Youth Tobacco Survey.

US teen nicotine vaping increased in 2018 (to twice what it is today), so FDA's infographic focused on the percentage increase.
@DrWoodcockFDA

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(2)
In 2019, US teen vaping increased again, but it's not clear WHAT they were vaping. @CDCTobaccoFree forgot to ask that in 2019, so much of this "increase" may be THC vaping, not nicotine.

This time there's a graph, huge letters saying "ALARMING," and an absolute number.
(3)
By 2020, US teen vaping had dropped 29%. This was before the pandemic hit (before schools closed).

@FDATobacco admits teen vaping dropped 1.8 million.
Daily use is obscured by hiding it under "current use." It's actually only 4.4%.

Oh. But "disposables SURGED!"
Read 12 tweets
5 Oct
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The death toll from smoking is staggering (including my own father). 8 million people die every year from smoking
who.int/news-room/fact…
...including 480,000 in the USA
cdc.gov/tobacco/data_s…
2
Harm reduction can reduce that death toll, according to 15 past-Presidents of the world's leading professional society in tobacco control.
ajph.aphapublications.org/doi/pdf/10.210…

...and over 70 respected scientific and public health organizations around the world.
drive.google.com/file/d/1Ty7pgR…
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Quit smoking options include nicotine patches, gum & lozenges; prescription meds; and #SaferNicotine alternatives such as nicotine vapes, #snus, nicotine pouches & HnB.

Smokers who switch to e-cigarettes reduce their risk of cancer, heart & lung disease
docs.google.com/document/d/1LX…
Read 24 tweets
29 Sep
THREAD
So... Here is the @US_FDA's original infographic. Let's take a good look at what they told the public about the National Youth Tobacco Survey 2020 (specifically March 2020, so just before the pandemic).

First, US high school vaping had dropped 29%
fda.gov/files/ctp-nyts…
(2)
Next... Unless you read this VERY carefully, you will not understand frequent use, and daily use, are given as a percentage of "current use."
(3)
One key to good infographics: They deliver facts clearly and need no translation.

This one from @FDATobacco needed translation. You have to do the math to find out how many US high school kids vaped frequent, or daily, in March 2020 (before the pandemic).
Read 19 tweets

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