I was put on Bystolic 5mg right before I started vaping, quitting analogs and the medicine has brought it down !
Can't say you're wrong (because there just isn't enough reliable research on the matter to know) but I think some of the numbers you quote are derived from mangled tobacco research. For tobacco cigs I think the generally accepted belief is that about 10% of the nicotine in the dry weight of the tobacco makes its way to the lungs of the smoker. The other 90% is cast off as second hand smoke or is burned or modified in the combustion process. In your analogy I think the nicotine in the tobacco leaf is more like beer and the refined pure stuff that is put in e-liquid is the whiskey. But presume your numbers are right. Where did other 60 to 90% of the nicotine go. It wasn't combusted like in analogs. It was heated to a vapor. When it cools it condenses and nicotine can be absorbed through the skin and membranes in its liquid form. In fact, it may be that the vapor as it hits the linings of the mouth and throat condenses and is simply absorbed there and may not even makes it way to the lungs. And if your 60 to 90% numbers are right, "second hand vapor" is a major problem. Maybe that "second hand vapor" makes is way to the floors of your kitchen - where it condenses - to be absorbed by crawling babies. Then there is the preliminary research that is currently coming out of Virginia that is suggesting that vapers can get as high on nicotine as chain smokers. I think more research is needed and there is possible some underway now, sponsored by the e-cig vendor industry and by e-cig users. Perhaps some other members can provide some details on that research.
No, according to studies by Professor Laugesen in 2009 and Professor Bullen in 2010, we are only receiving 10% of the nicotine per puff compared to cigarettes. The up to 40% is a consideration by a multitude of board members, and I believe preliminary findings by Eissenberg's most recent and still ongoing Virginia Commonwealth study. Initially, Eissenberg recruited subjects who had never used an e-cig and had no one there to teach them how to do it. Those subjects were getting little to no nicotine. In his more recent study, Eissenberg had 1 user reach nicotine levels comparable with a cigarette that I am aware of, and that subject was using a high voltage Chuck iirc.
Could you please provide a copy or source references of the Professor Laugesen in 2009 and Professor Bullen in 2010 studies? "we are only receiving 10% of the nicotine per puff compared to cigarettes" - 10% as compared to cigarettes is not the same thing as 10% of the nicotine in e-liquid being absorbed/taken in by a vaper of the e-liquid. Even if 10% is correct - what happened to the other 90%?
What percentage is a "multitude" and on what basis was the 40% derived? What do you mean by "was considered"? Was it agreed to or was it just "considered".
"In his more recent study, Eissenberg had 1 user reach nicotine levels comparable with a cigarette" - My reading was that at less one vaper reached blood nicotine levels of 30ng/ml. 30ng/ml would be comparable to "unrestricted smokers" of cigarettes as reported in the Institute of Medicines - "Clearing the Smoke: Assessing the Science Base for Tobacco Harm Reduction." (See page 251).
I still suggest lot's more research is needed and that the percentages you provided previously are not based on scientific research (or meaningful research) of e-cigs.
All right, let's take this a piece at a time.
"In the pharmacokinetic analyses, the serum nicotine Cmax for usual cigarettes was comparable with other studies. The 16 mg ENDD’s performance was consistent with findings from intensive-mode smoking machine tests of this same make of ENDD, which delivered 10% of the nicotine per puff delivered by a regular Marlboro cigarette (M Laugesen, 2009, TC2009/034355, submitted). This suggests that it is more like a NRT product, concerning nicotine delivery, than a cigarette." and "On average, the ENDD increased serum nicotine to a peak of 1.3 mg/ml in 19.6 min, the inhalator to 2.1 ng/ml in 32 min and cigarettes to 13.4 ng/ml in 14.3 min." - 'Effect of an Electronic Nicotine Delivery Device (e cigarette) on Desire to Smoke and Withdrawal, User Preferences and Nicotine Delivery: Randomised Cross-Over Trial' C Bullen, et al, tobaccocontrol.bmj.com, April 8th, 2010 - http://www.healthnz.co.nz/2010%20Bullen%20ECig.pdf
The Laugesen study referenced above and by myself is here; http://www.healthnz.co.nz/RuyanCartridgeReport30-Oct-08.pdf. All the studies done so far on e-cigarettes and/or e-liquid ingredients can be found here; CASAA.org - Labs, here; CASAA.org - Journal Reports, and also here; National Vapers Club - Scientific and Medical Information.
As to the rest of this section, I'll get to that farther below.
A multitude, as in a large number of ECF members talked it over in various places at various times and most seem to believe that they are getting more like 40% of the nicotine from their e-juice. This is not hard facts, just observation. If it was hard facts I would have given you actual percentages.
I notice you didn't bother to pull the whole quote. The qualifier there was "That I know of" meaning I had not read Eissenberg's preliminary results in some time and wasn't completely sure, but I did know 1 subject approached comparable levels. After finding the time to go back and re-read the info presented by Dr. Andrea Vansickle, an associate of Dr. Eissenberg, http://www.preventionconnections.org/conferenceslides/Tobacco_Harm_Reduction.pdf it turns out that there were two subjects that approached cigarette nicotine serum levels. The one I mentioned was actually using a P18 mod with 18mg e-juice, and the other was using a Chuck with 24mg e-juice to achieve 40ng/ml. As I mentioned in my earlier post, you might want to keep in mind that these are "Mod"ified e-cigarettes, not stock batteries like the ones used in the Bullen and Laugesen studies. In fact, the batteries and even the cartridges used in their studies were subpar to what we currently use in stock equipment.
Now, to get to the 10%, 40%, "where does it go" topics. Compare the milligrams of nicotine in a cigarette to the milligrams found in various levels of e-juice. Even at comparable serum levels the nicotine content is worlds apart. If you take the level of e-juice used by the Chuck subject (used because he's right in the middle of the 30-50 ng/ml cigarette serum level), 24mg times that by the most often mention daily e-juice usage which is 3mls, 24*3=72mg per day divided by the average 16 hour day, 72/16=4.5mg per hour. So in the one hour of ad libitum (unrestricted) vaping, the Chuck subject was able to gain the same serum levels at a +/- 4.5 mg content as cigarette smokers. Incidentally, 40% of 4.5 is 1.8, within the average yield (1 - 2) of nicotine from a cigarette. Does it actually mean anything? Scientifically no, but I believe the guesstimates are correct.
Look for yourself, and rather than accusing me, why don't you go donate to the study we vapers have been trying to fund for the last 6 months. IVAQS Project
Storm - Really not trying to accuse. I appreciate the time and effort you made in replying. I may have further questioning but not meant in accusing way. I am not anti-vaping. My initial concerns in this thread were the several comments that seemed to be suggestive to a newbie (which I am also as well) that vaping is a cure-all for all of ones ailments. I think that far from the case and that vaping is not at all risk free. I think you know as I do from other posts that some (very small number is my impression) vapers have concluded that vaping has caused them some serious health issues. Some of the negative claims seem quite irrational (IMO) and some not so irrational. I have not swallowed any and all of the negatives as being caused by vaping. But I don't really question those complaining that their adverse conditions are quite real. Likewise, I think it important that any and all understand that vaping - particularly those that choose to use nicotine - understand that vaping is a lesser risk than tobacco smoking (IOM) - not a no risk activity. Such understanding is particularly important to a newbie (IMO). Being a 50 pack year former tobacco smoker, unable to quit for a large number of years while knowing and believing that smoking was adversely affecting many things of my own system - perhaps to eventual kill me - yet continuing despite gums, patches, lozenges, etc. - vaping was my cure (IMO). As I see it, nicotine was part of starting that "cure" - and it was essential. My eventual goal is to have my complete cure - an existence that would avoid nicotine to me and to avoid providing it intentionally to others. Whether I achieve my eventual cure before the ills of my smoking years do me in is an unknown. But in the interim, I think it my duty, as a member of our society, to avoid, as best as I can, the contamination of some other society member's environment with nicotine. You will find, if you look, some negative comments I have made about a vaper you thought it "cool" to vape in a location prohibited to tobacco smokers. I found the action not only ill mannered but possibly contributory toward the environmental contamination that tobacco smoking prohibitions seek to avoid. And I thought this "coolness" was contributed to by the lack of information as to the negatives of nicotine and also possibly to mis-information about some of the possible hazards of vaping. Again, I may have more specific replies but not with any intent to do vaping in or to create bans and restrictions on vaping. And yes I do intend to contribute to the IVAQS Project that I interpret seeks to provide scientific information about vaping and its by-products. Thank you again.