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Comment by H8crilA | Hacker News Reader

People underappreciate how addictive nicotine is. I've been an addict for 15 years and I quit so many times, sometimes for longer than a year.

The new smoking inventions only make it worse because they allow for much much higher dosages. I've seen teens smoking what amounts to 10 packs a day worth of nicotine. And they didn't have to chain smoke for 12 hours to achieve that.

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Same story here. Chantix (varenicline) somehow magically eliminated the carvings permanently (13 years and I haven't wanted nicotine again, though I still have nostalgia for the act of smoking). It has heavy side effects, still worth it.

aww that's scary. I managed to quit smoking years ago (I only smoked for less than a year anyway), then quit vaping, then used nicotine lozenges for an embarrassingly long amount of time (4+ years?) until quitting cold-turkey at the start of this year.

do you think I'll relapse? I don't usually get cravings anymore but I'm scared it'll happen.

No probably not. If you don't usually get cravings and you haven't smoked in over 4 years you're probably fine. A good check is to note how you react when you smell someone's cigarette on the street.

What new smoking inventions? Genuinely interested.

Vaping probably. Depending on the jurisdiction people can get extremely high-nicotine liquids, or ingredients to mix such liquids at home.

Nicotine Vapes - Look at the effective dosage of JUULs capsules for example [0]. This combined with the ease of use, the removal of the (unpleasant) smoke, increased social acceptance (often indoors too) and a huge advertising campaign deliberately targeting teens [1] created a lot of new smokers/nicotine addicts (and converted some) that smoke more often and at much higher dosages.

[0] https://www.ucsf.edu/news/2020/01/416371/juul-delivers-subst...

   The research found that blood nicotine concentrations in the JUUL group (136.4 ng/ml) was eight times higher than e-cigs group (17.1 ng/ml) and 5.2 times higher than cigarettes (26.1 ng/ml).

[1] https://truthinitiative.org/research-resources/emerging-toba...

Vaping, I assume. I admit with some shame that after over a decade off cigarettes, I'm currently re-addicted to nicotine via vaping. Over the past 10 years or so, I would buy a pack of smokes every once in a while (like, maybe once a year), and enjoy smoking at a party or concert or whatever. I never had trouble stopping after a few and would usually throw the rest of the pack away, it was honestly just too inconvenient to keep up an addiction (not to mention that unless I was _really_ drinking, I would be all too keenly aware that, well, cigarettes are nasty).

Last time I was on vacation, and might have bought a pack of cigarettes, I decided "hey, why not try a Juul instead," and, the rest is history.

While I'm overall in favor of vapes and think that they're a valuable cessation device, the problem, for me, is that it's all to easy to vape while I work in my home office - no smell, no fire, etc. I think that makes it a lot easier to continually dose nicotine and really settle into addiction. Also, while I'm sure they're safer than cigarettes, I still have doubts that they're safe, and I can't help but think of the attitudes that used to prevail with regards to tobacco back in the 40s and 50s when I hear folks talking about how totally OK for your body vaping is.

Juul is useful if you want to switch from smoking to vaping because the high percentage of nicotine makes it easy. But for the same reason, it's incredibly addictive. Also difficult to stop by tapering down because low nicotine percentage juul pods don't exist.

I recently switched to a refillable pod "mod," and plan to start tapering down by buying lower percentage vape liquid. Iirc there's two concentrations available in Juul pods, but let's be honest, they don't want you to quit. (Not that any other vape company does either, but the vape store model does allow a little more consumer control).

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