So I ask myself, who IS this Eissenberg fellow?
First, if history counts, it's worth knowing that, before becoming and anti-e-cig wonk, he was an anti-hookah-wonk.
And a number of people found his conclusions questionable, given his ties to the tobacco and pharmaceutical industries, or at least to monies originating in those industries.
Declared and Non Declared Conflicts of Interest. The case of Thomas EISSENBERG, Wasim MAZIAK, Jack HENNINGFIELD
And then I wondered, so how does he KNOW that e-cigs don't deliver nicotine?
E-cigarettes deliver almost no nicotine.
And I asked myself, is this true? If it's SO true, then why, after vaping at my computer all morning, do I sometimes feel faint, with a lightly accelerated heart rate and a headache. (All known symptoms of light nicotine overdose, not unlike what I felt 20 years ago when I smoked too many ciggies as a new smoker.)
Some thoughts on the study described in the link:
He didn't use ecig users, he used nicotine-starved smokers.
It took me a while to learn how to "smoke" my ecig. We all know you get practically no vapor if you just suck it like a cigarette. Perhaps he would have got different results by using volunteers who knew how to use the product? Or if he taught them? (Which he had no motive to do.) And frankly, when I was smoking, after a night without smoking, I'd have EATEN the damn ecig in an effort to speed it up. That is not how it's supposed to be used, but we have no reason to think that his "users" used the ecig as directed.
He only checked for 45 minutes.
Smoking cigarettes is a marvelously efficient nicotine delivery system. I've seen studies that indicate that the nicotine hits your brain in seconds, easily in less than hald a minute.
Any former smoker using an e-cig KNOWS that it's slower. You draw slower. You inhale slower. You don't just draw on the think for 3 minutes and put it out, as you do with a cigarette. YOu take a longer time, draw, wait, draw, wait...and it still takes longer to "fill your jones." Nobody is denying that e-cigs are slower.
And, from the right-up I sourced, this quote just confused me:
The study is published in the latest edition of the journal, Tobacco Control. Professor Eissenberg had 16 smokers abstain overnight, then come to the lab. on different days and (a) smoke two of their usual cigarettes (b)puff on two unlit cigarettes or (c) smoke 2 leading brands of E-cigarette using their high nicotine cartridge (16mg), each brand on a separate occasion. On each occasion he measured the blood nicotine levels before, during and up to 45 minutes after using the products.
Read more:
http://www.healthline.com/blogs/smoking_cessation/labels/Thomas Eissenberg.html#ixzz1JhEwBdca
Healthline.com - Connect to Better Health
I don't know what "each brand on a separate occasion means." I also don't know what "smoke" means in this context, but it seems virtually unmeasured. How MUCH did they "smoke?" I know that, without any nicotine all night, by the time I got to the lab, I would be using my 510 for an hour before I felt "normalized." Did he count their drags? Somehow try to make it similar to the timeframe of the other smokers, who got 2 real cigs? (Maybe that would be six minutes? 10 at the outside?)
Conclusions I could support from this study:
E-cigs deliver very little nicotine when used for the first time by novices.
E-cigs need to be used according the instructions in order to be effective.
E-cigaretted do not deliver much nicotine in a short period of time.
or even
As a nicotine delivery device, e-cigarettes are slower and less efficient than traditional cigarettes.
I also wonder about:
Tom Eissenberg may have set this study up to prove his forgone conclusions
But the question of "When used by a habitual vaper, do E-cigarettes deliver nicotine in appreciable quantities?" is simply not answered by this study. There are too many flaws.
I'd like to propose a second study to Dr Eissenberg. I'm happy to volunteer as a test subject.
I will "nicotine fast" neither smoking nor vaping, for as long as he deems appropriate, and he can test the nicotine levels in my blood.
I will then use my PV, slowly and comfortably, over an entire day, having my blood tested regularly. (Say, every hour.) I'll stay in the lab all day, so they can see I'm not sneaking any other nicotine. I'm pretty sure that there WILL be nicotine in my blood. Possibly quite a lot, depending on the juice we choose.
If it's boring in the lab and I have nothing to do but vape, I can probably even arrange an exhibition of moderate nicotine overdose- complete with pallor, elevated heartrate, headache and nausea. I am willing to vomit, if that's what it takes to "prove" nausea, though I guess that if my blood is being tested, that won't be necessary.
Are you reading, Dr Eissenberg? This could really help sort out some information for you.
The thing is, we all know this. I am a nicotine addict, and have been since my teens. The effectiveness, or lack thereof, of the placebo effect in staving off nicotine withdrawal has been studied.
I know I am GETTING the nicotine because I can FEEL the nicotine.
Best,
Ande