In order to get them approved they had to lower the dosages so that the
NRT itself wouldn't be addictive. The
FDA Approved inhaler delivers about 12% of the Nicotine of a full flavor cig.... Doubling NRTs would give a higher dose (Closer to what they were getting by smoking) and the gum or lozenge would spike the dose closer to those levels during strong cravings.
We are also forgetting about the other alkaloids in tobacco, like the harmala alkaloids, which are MOA inhibitors..
And then we have delivery methods-- e-cig nic is absorbed in the upper portions of the respiratory tract, gums and lozenges through the skin in the mouth, Nicotrol (The inhaler) through the lining of the mouth, the patch- through the skin, and tobacco which is through the lungs , mouth lining, and upper respiratory system. It effects how fast the nic is available to the body... The patch designed to give you a steady low dose all day long- where as smoking hits you (Highest levels of nic in your blood) at around 14 min, e-cigs about 19.5 min, and the Nicotrol at 30 mins.
These low nic cigs are probably likely to be addictive as they most likely contain the other alkaloids in tobacco still.
Congress, the ANTI-Smoking groups, and the
FDA ares so obsessed about Nic that they have missed over a decade of research that was looking at MOAIs + Nic as the possible cause of the severe addiction.
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