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COPD Patients Benefit from Vaping

by Robert Taney on November 22, 2021

Researchers in Italy founds that patients with COPD benefitted from switching to vaping over the course of a five year study.

COPD Patients Benefit From Switch to Vaping

A study conducted by the Center of Excellence for the Acceleration of Harm Reduction (CoEHAR) found that smokers with chronic obstructive pulmonary disease (COPD) who switched to vaping from combustible cigarettes saw a 50 percent reduction in flare-ups over the course of a 12-month period.

It was not only acute COPD symptoms that saw improvement. Switching from cigarettes to vaping also improved their ability to perform physical activity and overall cardiovascular health.

Subjects who vaped and the control group periodically filled out health questionnaires. These surveys found, “significant and constant improvements in lung function CAT scores”. The CAT Score is a standardized assessment used to assess COPD.

Improved Health

COPD impacts almost 16 million Americans and is a debilitating condition. Cigarette smoking is the primary cause of COPD. To measure fitness, the study measured progress using a 6-minute walking distance benchmark. The additional distance covered by the vaping group was on average over three-fold greater than the additional distance walked by the control group.

The study concluded that “E-cigarettes can be a massive remedy for COPD, and this is important for physicians, patients and their caregivers.”

Vapers in Study

As reported in Filter Magazine, the five-year COPD study found the subjects behaving very much like vapers everywhere in the world. They not only upgraded the devices they used over time, switching from starter kits to more advanced designs, but they also reduced their nicotine intake.

Bright Spots in Vaping COPD Study

The study found two major areas where the COPD group that ceased vaping excelled in comparison to the control group. The first was their physical condition. This might be considered harm reduction, although such concepts are forbidden in the United States. Despite the fact ex-FDA chief Scott Gottlieb has repeatedly stated it would be a net benefit if all smokers switched to vaping.

The second was a concept is just as taboo in the US: vaping as a method of smoking cessation. During the five-year CoEHAR study, only four vapers reverted to smoking combustible cigarettes. How many more nails need to be driven into the coffin of the “vaping as a gateway to cigarettes” myth?

If a CoeHAR study is not up to critics gold-standard, there is also the New England Journal of Medicine Study. In this study, vaping easily crushed Nicotine Replacement Therapy (NRT) as a smoking cessation tool.

The upshot is simple. Very few adults who initiate nicotine consumption on electronic cigarettes switch to combustible smokes. Most adult vapers are former smokers. Many adults who began as smokers switch to vaping and then quit. At least this is what a CDC survey found. Over half of US adults who quit smoking cigarettes in 2018 had switched to vaping in its place.

Nicotine Levels

The consumption of nicotine is the primary reason adult vapers use Electronic Nicotine Delivery Systems. Mad Vapes would love for smokers to switch to vaping, and for vapers to reduce their nicotine levels until they live a life free from both nicotine and vaping. We have no interest in selling our products to adults who do not smoke or vape. And we do our utmost to prevent underage vaping, including adult signature on delivery and cutting-edge age verification procedures.

The CoeHAR study began in 2013. The state of vaping technology was significantly different back then. Vape mods and max-VG juices were only beginning to emerge. Most vapers, at least those not using prefilled gas station devices, used pen shaped e-cigarettes with cartomizers that burned high-PG freebase nicotine e-juice.

With 2013 vaping tech as it was, it is not surprising that most of the study’s participants started with 12 and 18mg/ml. This was a typical strength in a classic e-Cig. Yet there was progress from this point, and that merits mentioning.

Reduced Nicotine Strengths

Five years later, only two of the vapers studied were still using this higher strength freebase nicotine e-liquid.

Most of the participants were using 3 to 9mg/ml nicotine strength. While TPD standards in Italy bar nicotine strengths over 20mg/ml, the average vaper in this study was using well less than half this number.

The reduced nicotine levels occurred despite a bizarre Italian tax on vaping that punishes those using lower nicotine strengths. The Associazione Nazionale per i Vapers Uniti (ANPVU), an Italian vaping advocacy group, pushed for the repeal which took place in 2018.

It also occurred after nicotine salts had hit the market. These are smoother at higher nicotine levels and have changed the vaping landscape. It is impressive that the study participants stayed the course and did not switch to a more potent form of nicotine.

“The most important finding of the study is that COPD patients can abstain from smoking cigarettes indefinitely if suitable substitution is available. E-cigarettes can be a massive remedy for COPD, and this is important for physicians, patients, and their caregivers. The study confirms that ‘harm reversal’ is achievable and that it can be maintained for years. We are telling the world that substantial health gains are within reach when substituting deadly tobacco cigarettes for vaping products.”

Dr. Riccardo Polosa, Interview with Filter Magazine

UK Paves Way

Italy reducing their nicotine tax in 2018 is just one example of the abominable policies adopted at the local, state and federal level regarding vaping in the United States.

As reported earlier, the UK paved the way for prescription vapes. Through the offices of the UK’s National Health Service (NHS), adults looking to quit smoking will soon be able to obtain vape juices through the pharmacy. This isn’t a matter of switching store fronts. The NHS is a national health care system that covers prescriptions. In other words, marginalized smokers will be able to obtain smoke and ash free cigarette alternatives without paying out of pocket.

NHS is an umbrella term for the UK’s taxpayer funded health care. It is not run for profit. They are notorious for slasing treatments that do not deliver.

Homeopathy, chiropractic care, herbal medicine, and other treatments have been kicked to curb in the last five years. This occurred despite the most wealthy and influential residents, such as Prince Charles, complaining vociferously, Compare this to the United States, where a $160 million has bought Michael Bloomberg considerable control over the vaping policies of the world’s largest economy.

The NHS also hosts the Using E-Cigs to Stop Smoking website. Vape hardware and juice manufacturers can submit their products through the same approval channels offered to pharmaceuticals and health devices. The UK does cap nicotine levels, but has generally avoided the hysteria and foolishness that dominate discourse in the US.

Wealthy Quit Smoking in 1990s

A quick perusal of smoking demographics makes it clear why prescription vapes are a good idea. The wealthiest ceased smoking decades ago. Perhaps this is why they suggest total nicotine abstinence as the gold standard and only solution. To suggest this approach for any other risky, legal, adult behavior would get you labeled a rube and laughed out of the very same room.

In the US, the group most likely to smoke or vape are members of the LGBTQ community according to CDC data. Rural Americans and those with less than a college education suffer worse health outcomes and have reduced access to cigarette alternatives due to online sales restrictions.

Vaping is largely absent in the circles where decisions are made. It is no surprise that it is viewed as a disreputable habit and is under siege. Nor is it surprising that vaping’s critics have almost no fundamental understanding of the industry. The scowl and grimace, wheeling out max-VG juices with names like Unicorn Milk to prove that vape juices are marketed to children.

Yet this style of vaping isn’t even the rounding error at a popular gas station when compared to Juul sales. And Juul Mint, which very nearly evaded the federal ban on vape pod flavors despite being commonly viewed as the catalyst of the teen vaping spike, never appeared on their radar. Vape mods are loud, thirsty and generate a fair amount of odor. Yet because of the colorful livery on max-VG bottles, they are erroneously tied to underage use.

What is notable for its absence in these discussions is alcohol. Second only to cigarette smoking in terms of annual death toll, it sends 130,000 minors to the emergency room annually and another 3000 to an early grave. But wealthy and college educated Americans imbibe at the same or greater rate than other demographic groups. And it is much less popular to suppress the vices of friends and family.


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