Do e-cigarettes actually work?

https://lemmy.world/post/1412937

Do e-cigarettes actually work? - Lemmy.world

I have a friend who has been using an e-cigarette for 10+ years. He doesn’t seem any less addicted to smoking as back when he was using old-fashioned cigarettes. I understand e-cigarettes are supposed to help you quit… but has anyone actually had success with them? Or, is it more like trading one vice for another?

Depends - it can be used to quit by controlling and lowering the nicotine content, but it could just be used as a harm reduction method.

While certainly not healthy, it’s significantly much less bad for you than smoking.

This is what I did. Started at a “normal” nicotine level, then once I was used to that level and wasn’t getting any cravings (took a few months usually) I would lower my nicotine strength a little bit then repeat the process. It made it way easier for me to quit once I did. I barely got any cravings.

Burnt cigarettes have over 9000 different chemicals, several of which are addictive MAOI antidepressants. It’s not the nicotine hooking people to the level we see in smokers, it’s that, they’re having legitimate withdrawal symptoms from a legitimate drug dependency. Nicotine itself at the levels anyone takes it in is maybe a little more addictive than caffeine.

Ecigs, at minimum, have propylene glycol (GRAS) and nicotine which isn’t necessarily from tobacco, and even the nicotine is optional. Many have a couple other ingredients like vegetable glycerine (makes “smoke” clouds puffier) and flavorings, but even loaded up it doesn’t compare to the count in the first paragraph. Ecigs also don’t burn anything unless you’re doing it very wrong.

Also since I’m on the soap box anyway, when you hear fear stories about “vaping” they’re usually lumping in thc/marijuana which is effectively different even though it doesn’t need to be. Because it’s regulated if not illegal you’ll chance getting things like adulterated cartridges with oils in them, if you breathe in oil particles you’re getting pneumonia. So when you’re reading or hearing about some scary story it’s probably that and the one “reporting” is too lazy or too ignorant to make the distinctions they should.

That was the vitamin E acetate shenanigans from a few years ago that people were cutting with THC concentrate to make it look thicker/more quality than it actually was. Huge disinformation campaign somehow made nicotine vapes the bad guy even though it was entirely unrelated

I vape now. I used to smoke a lot. I agree it can be effective but the end result may not always be complete withdrawal from nicotine.

While certainly not healthy, it’s significantly much less bad for you than smoking.

It’s much better, tbh, aside from the health benefits vs cigarettes. The stench is no longer there - at worse, it’s just this annoying sweet smell. No more cig butts that you have to dispose of all the time - I know use “pods” which, if I’m stressed, I replace after 5-6 days. If anyone’s a smoker, I’d recommend to switch to vape. But if not, I’d suggest they stay away from vapes/nicotine.

As someone who smoked a pack a day until last year and switched to an e-cigarette yeah, they can definitely be helpful in quitting. I have a few friends who switched over and slowly lowered the nicotine levels until they had non nicotine and kept it for the oral fixation. Personally I switched just because it’s a lot cheaper, and I don’t have plans to lower nicotine anytime soon, but I’ve even felt better using just the ecig compared to normal smokes.
My husband just traded one for the other. We'd like to think it's "healthier", but who knows. Definitely stinks less which I appreciate.

I did the same thing, about eight years ago. By day three, I wasn't coughing up phlegm anymore. By day five, I could climb stairs without getting winded. After about a year, my dentist told me that my gums were way healthier.

Is it beneficial, when compared to not doing it? Most probably not. Is it far less damaging than inhaling tobacco smoke? Absolutely.

Research shows it's around 95% better than cigarettes.
It worked for me, but the intent was to quit. Your friend isn’t trying if it’s been more than a decade. I started at a higher nicotine, and slowly got lighter nicotine options. Once I got to 0 nicotine, it was mostly just breaking the physical desire to do something when my hands were free or while driving. I think I only bought one bottle of 0 nicotine and moved on.
Same, I switched from smoking to vaping a pretty high nicotine juice at the height of the vaping craze. Slowly worked my way down to 0 nicotine and finally was able to drop the vaping. I haven't had a vape in over a year and haven't had a cigarette in about 5 years. I still get cravings but they pass and I'm fine. E-cigs can absolutely help if your intent is to quit.
It depends by user really, but I’ve seen people getting addicted to all of the different fruity tastes even more than nicotine. E-cigs with taste have been outlawed in my country recently for that reason - people, especially young, often really vape/e-smoke for the flavours, untill they actually become addicted to nicotine in them. And, of course, the pandemic of single-use e-cigs which promote polution and are made with slave labour.
Why can't we just enforce laws against selling to minors, rather than ban a product that I, an adult, enjoy consuming and is much better for my health?
Because it’s not possible to enforce. And I’m not talking about minors, but they suffer in result too. In my country these things were a hot things so often sellers wouldn’t check ID, and even then, it’s not like asking an older brother to buy you something doesn’t exist. It’s just much worse than with alcohol or regular cigarettes because young people and minors often don’t like those.

Current e-cig user here.

Honestly, as a smoker, it’s a godsend. The smoke goes away so quickly, it has higher nicotine than cigarettes when purchased the RIGHT way, and since I can now smoke inside, I can puff on it all day every day as I work from home!

In all seriousness, it’s worse imo. It sets the precedent from the 50s of smoking EVERYWHERE and now without any of the negative outward effects like smell or yellowing of the teeth/walls.

It’s honestly made my addiction worse. To each their own for sure, but in my experience it just made my bad habit SLIGHTLY healthier, but much more accessible.

It requires a significant amount of willpower to break the addiction, but for those of us that do not, definitely do not pick this up. It will not help. If you have that willpower, it is useful.

It seems useful for people who were addicted to cigarettes by providing a potentially less harmful alternative.

But, for the generation that didn’t have addiction to cigarettes prior to E cigarettes I wonder how many went on to pick up the addiction to nicotine they otherwise wouldn’t have, since smoking cigarettes seemed to be going out of style.

I do kind of wonder what the end game of addictive product development is. I mean, if you assume that technology can both reduce negative side effects and make the product more-potently-addictive, absent some sort of social movement or something opposed to them, I would think that we would get closer to a point where there is stupendously-addictive stuff that has no intrinsic harm other than the addiction itself, but that the addiction could be crippling and extremely hard to kick.

Science fiction has explored the concept:

https://en.wikipedia.org/wiki/Wirehead_%28science_fiction%29

Wireheading is a term associated with fictional or futuristic applications of brain stimulation reward, the act of directly triggering the brain's reward center by electrical stimulation of an inserted wire, for the purpose of 'short-circuiting' the brain's normal reward process and artificially inducing pleasure. Scientists have successfully performed brain stimulation reward on rats (1950s) and humans (1960s). This stimulation does not appear to lead to tolerance or satiation in the way that sex or drugs do. The term is sometimes associated with science fiction writer Larry Niven, who used the term in his Known Space series. In the philosophy of artificial intelligence, the term is used to refer to AI systems that hack their own reward channel.

Wireheading, like other forms of brain alteration, is often treated as dystopian in science fiction literature.

In Larry Niven's Known Space stories, a "wirehead" is someone who has been fitted with an electronic brain implant known as a "droud" in order to stimulate the pleasure centers of their brain. Wireheading is the most addictive habit known (Louis Wu is the only given example of a recovered addict), and wireheads usually die from neglecting their basic needs in favour of the ceaseless pleasure. Wireheading is so powerful and easy that it becomes an evolutionary pressure, selecting against that portion of humanity without self-control.

Wirehead (science fiction) - Wikipedia

There are tons of harmful chemicals and tar you aren’t inhaling by vaping, instead of by combustion with traditional cigarettes. Not sure if they’re worse.
Being that I now vape from the time I wake up to the time I go to bed simply due to accessibility, I’d say it’s worse.
Is vaping worse, or are you?
It's not though. Your inhaling nicotine - which does not cause cancer or any other health issues - and water vapor. Probably burns your throat which can't be too great, but no internal damage except from the mental standpoint of addiction.

Honestly I’m not yet in that camp. Sure for short term it is for a fact much better than analog smokes, but we know nothing of the long term.

Gotta remember: for quite a while, doctors recommended cigarettes. Sure tech and general knowledge have improved drastically since then, but the method of proving a hypothesis is still done the same way: testing.

I hope it is better. Maybe I’m just getting jaded in my age.

Quick correction: the base isn’t water, it’s a combination of opulence glycol and vegetable glycerine. Barring sensitivities, these are GRAS—Generally Recognized As Safe for human consumption.

Source: I make joose.

PS: Stay away from any flavours containing diacetyl.

You could also argue that that doesn’t apply to everyone. I treat vaping like it’s smoking, and I have from the start.

On the health side, I don’t want other people to be exposed to my bad choices either in public or residential buildings. So, I only vape when I am far away from others out of respect for them.

From another angle, I don’t enjoy the residue buildup that would happen over time. Imagine that stuff building up on your walls, in your PC, on your counters and cabinets, etc. The vapour you exhale doesn’t evaporate like steam in the sense that it isn’t water.

I think it might be an individual thing. You have the choice whether or not you treat it like a cigarette. It sucks going outside in poor weather, but it makes me actually want to quit more.

Same situation here, vape more than I used to smoke.

Only concern I have is long term affects, since we don’t actually know what they are yet.

Estimates put out after research by Public Health England suggest that vaping is 95% better for you than smoking. So unless you’re vaping 20x more than you were smoking you’re probably benefitting.
E-cigarettes around 95% less harmful than tobacco estimates landmark review

Expert independent review concludes that e-cigarettes have potential to help smokers quit.

GOV.UK

Use your willpower in a small burst to buy a low nicotine juice and literally throw away the high nicotine stuff. You need to actually toss it and never use it again. Yes, it costs money, but do you want to quit or not?

Now use the low nicotine juice for a set amount of time (say, a month) and then switch to zero nicotine juice. Try to keep the same flavors you’re used to already.

Eventually you will stop smoking because youre only getting the positive feelings from the habit itself and not the nicotine.

They don’t do shit for me. I could vape an entire cart and still want a cigarette just as much, if not more, than before I used the e-cig. The nicotine gum did a better job of curbing my cravings for a cigarette. So did Prozac; but that was given to me for depression and also gave me ED, so I mean… You wanna quit smoking or you want a working penis? You can choose 1. 😖
Vaping disposables or salt nic devices did nothing for me. I had to have a mod that actually delivered a punch.
My lungs felt better when I switched to e-cigs but my nicotine intake skyrocketed. For cigarettes I had to go outside and devote a couple minutes. With e-cigs I could do it inside and I could just take a quick hit or two as I was doing things. So even though I felt better I felt waaay more dependent on the nicotine, tons of hits throughout the day. I ended up switching back to cigarettes for a few weeks before I finally quit because I found it easier to stop. Still wasn’t easy though. Good luck!
They are "supposed" to make qui quit burning tobacco. That's where the harm is.
Nicotine by vaping does not increase cancer risk significantly.
I quit smoking with them but it was more about harm reduction for me. They’re obviously less healthy than not using it at all, but everyone I know who quit smoking using an ecig has their own anecdotes about how they felt better after switching. I used to get bronchitis flare ups every flu season but that hasn’t happened since I switched. I don’t cough up crud all the time, I can climb stairs without getting winded, and I smell like fruit instead of cigarette butts which I’m sure everyone else appreciates. My nic level is also so low now I’m basically just vaping flavored vegetable glycerin.

I smoked for a long time, switched completely to vaping several years ago and still do it. I started at nicotine level 24mg - supposedly the equivalent of a Camel or Marlboro - decreased gradually to where I'm now at the lowest nicotine level widely available in pre-made juices, 3mg.

Remember that nicotine at these doses is not harmful, nor is it a carcinogenic. What it is, is addictive, and the documented harm from the cigarette as a nicotine delivery system comes from the combustion.

With that in mind, I admit that I'm still comfortable with vaping after several years, my health has improved dramatically since then.
I can breathe much better, easier. Now I don't catch every single throat infection and flu of the season, and if I do catch one, it's now usually so mild that I don't even need medication to sleep with a clear nose.

What keeps me on edge is the pervasive anti-vaping sentiment, caused by the anarchic environment of the fledging vaping industry at the beginning, many nicotine delivery systems packaged EXACTLY like candy. A greedy gold rush attitude poisoned the well at the outset.
As an analogy, think Bitcoin and crypto.

They help you stop smoking. In my experience they don't help you quit nicotine, they just manufactured all the joy out of it.
They do not help you quit. They can help you control the amount of nicotine you’re taking in. From my personal experience, it was harder to quit vaping than cigarettes.
I actually found that ecigs made my lungs feel worse that actual cigarettes, I don’t know it was popcorn ling or what, but it made my chest feel incredibly tight, and it didn’t matter the juice type/brand or strength. I’ve resigned that sheer will power is the only way I’ll quit.
The chemicals that cause popcorn lung haven’t been in vape juice for years.
Maybe, this was a long time ago. I tried vaping again a couple years ago, and while it wasn’t nearly as bad, it still wasn’t great.

I’m with you, just powered through cold turkey. Chemical addiction went by pretty fast, the habit part took longer.

Some vapes had that effect on me too with the heavy, tight chest. Most were fine and definitely felt better than cigs… I’m just glad I’m done with all of it. My body is doing much better as a whole without any smoking.

This is healther alternative to smoking and way easier to quit.

Quiting is relatively easy if done the right way - add less and less nicotine shot to each bottle until you start forgetting your vape. For example, go from 3mg/ml to 0mg/ml in the period of 6 months.

I am currently using e-cigarettes as a former smoker

I would say:

  • if you aren’t smoking already, there isn’t really a good reason to start
  • if you are smoking and sort of kind of want to continue, e-cigarettes are most likely healthier than analog
  • if you are smoking analog and want to quit, there are better ways to quit for sure - I don’t feel like committing to quitting just yet, however when I do feel committed, I will go with the tips outlined at the end of the Huberman Lab - Nicotine’s Effects on the Brain & Body & How to Quit Smoking or Vaping podcast
Nicotine's Effects on the Brain & Body & How to Quit Smoking or Vaping

In this episode, I explain how nicotine impacts the brain and body, including its potent ability to enhance attention, focus, and alertness, increase blood pressure and metabolism and reduce appetite.

Huberman Lab
From now on I'm going to refer to cigarettes as analogue vapes
  • if you aren’t smoking already, there isn’t really a good reason to start

This is why I was glad to see all the legislation beginning to come out banning disposables. I swear 95% of disposable users I see are kids who’ve never smoked, and disposables are just the alcopops of the smoking world - cheap, sweet, and used as a gateway in rather than out.

We already have laws banning sale of vapes to children. Why can't I, an adult, have a sweet flavored vape? I can legally buy weed gummies and flavored alcohol. Flavor bans are ridiculous.
I think they should be stricter on people who give or sell them to minors. Maybe they should start charging parents every time teens are caught vaping, until the source is found. Add more pressure. Make it more difficult to ignore than it is to deal with an angry teenager.

I'd been smoking cigarettes for 11 years and just switched to vaping 2 months ago. My lungs feel much, much better. I can walk up multiple flights of stairs/longer distances without getting winded. My mouth also no longer has that eternal burnt paper taste, especially when I wake up in the mornings.

So for the purposes of what I switched to vaping for - to ease back on destroying my lungs - vaping/e-cigs work. I used to smoke 2 packs in about a week and a half. I'd say the amount I vape now is the equivalent of 1 pack every month (I don't constantly hit it throughout the day).

I have no doubt that inhaling vapor with that density is still not good, but it's better than what I was doing previously.

As for helping to quit the habit entirely, I think that's the opposite of their goal. All these fruity flavors they keep coming out with seem like they're designed to be popped like candy.

I quit smoking/vaping last year after 22 years of that. Vaping helped my lungs, to a certain extent, because I started having so many other issues from vaping, I switched back to cigarettes before quitting for good. I quit using Defumoxan, which is a brand name for generic pills with Cytisine as active substance. I’ve been recommending it to anyone wanting to take back their life from nicotine addiction. At least where I live, you can get it without prescription.
Just curious since I just got into it... what other issues did you have? If you're comfy with saying, of course.
I started having pangs in my lungs around the heart area (like a stinging pain) which went away when I didn’t vape for a day. Also, while not having a wheezing breath, I did feel strain on my lungs. It got bad enough that I went back to cigarettes as those only made me cough (well, amongst other side effects of course).

I’m to far less harmful for you, but it’s a good aid for quitting too.

I quit by getting progressively weaker liquid. Sometimes I mixed my own and sometimes I’d have a vape shop do it. Every time, I would reduce nicotine content by 10% of whatever my current nicotine level was. Normally if I ran out, I would be in my car going to buy more. But after about a year of lowering nicotine this way, I ran out and said to myself, “I’ll get some the next time I’m out.” And I never did buy more.

They’re not inherently “supposed to help you quit”. That’s only if you use them with that superficial intention.

They certainly allow you to reduce or remove nicotine intake - because you can change the fluid.

I quite vaping 6 months ago after 9 years. Vaping is....not good. Can it be used to stop smoking? Absolutely! Your lungs will thank you but man, everyone should be striving to quite nicotine entirely. It's does nothing for anyone. The anxiety it cures is its own creation
i cannot spell quit
For me, it was a very effective way of cutting down on my nicotine intake, as others have described, by mixing my own ejuice.
I vaped for 10-12 months with diminishing nicotine, then quit altogether. I 100% would recommend for smoking cessation.
I do wonder about those who demand an end to an nearly-harmless substitute for dirty tobacco - are we really willing to sacrifice 'good' for 'perfect'?

are we really willing to sacrifice ‘good’ for ‘perfect’?

It’s not about sacrificing good for perfect, but rather sacrificing good for profit.

I suspect the big drivers of the push to demonise vaping are funded by Big Tobacco. So yes, we may be sacrificing a good alternative to protect tobacco profits for a few more years.
Aren’t there vape companies owned by tobacco companies? I know Vuse is. Tobacco has been on decline for a while now and lot of them are pivoting into other areas.

Funny enough, it's also aspects of the US government. There was a huge tobacco settlement across multiple states. The states opted to receive their settlement funds over a period of decades. The payout amount is tied to the number of cigarette smokers, NOT the number of vapers.

AND THEN, a bunch of state governments leveraged those predicted future funds into short term loans that they used to plug budget holes.

Enter vaping. The number of cigarette smokers begins to nose dive.

Enter an unholy union of cash strapped state governments and big tobacco money, and the perfect catalyst in a tiny number of stupid teenagers getting sketchy fake weed from China and dying from it. WON'T SOMEONE THINK OF UNTIL CHILDREN!! Boom, bans.

Nicotine itself is highly addictive but not terribly harmful. All the harmful shit is in the tar and other crap in cigarettes.

I personally used vaping to totally quit cigarettes. It was excellent. And now in my state vaping is effectively banned. We have to turn to black market mods and shit. It's horrible, and in 40 years it's going to be a massive "how the fuck did we let this happen" part of our history along with subprime mortgages and zero tolerance laws.

I successfully quit with vaping.

Switched to vaping not with the intent to quit, but to just get rid of the smell I get after smoking. While trying different flavors, in time I decreased the amount of nicotine every time I time I bought a new bottle. I then slowly started to forget to bring it with me when I leave the house until I vaped exclusively in my home and after a few more months decided to just throw it all away.

This is exactly my story. Nicotine free for years.