In January 2018, the National Academies of Science, Engineering and Medicine released a consensus study report that reviewed over 800 different studies and concluded that ENDS /e-cigarettes / vaping causes health risks 18. 2. Vaping is bad for your heart and lungs

Konstantinos E. Farsalinos, KE; Kistler, KA; Gilman, G; Voudris, V., “ Evaluation of electronic cigarette liquids and aerosol for the presence of selected inhalation toxins,” Nicotine and Tobacco Research 17(2): 168-174, February 2015. Fuoco, F.C.; Buonanno, G.; Stabile, L.; Vigo, P., “ Influential parameters on particle concentration and size distribution in the mainstream of e-cigarettes,” Environmental Pollution 184: 523-529, January 2014 However, it does still produce odour which many people do not like and which is why it is still prohibited in many locations. Smoking cessation: a report of the Surgeon General. Washington, DC: US Department of Health and Human Services; 2020 ( https:// pubmed.ncbi.nlm.nih.gov/32255575/, accessed 17 July 2021).

What are teens vaping?

In fact e-cigarette users uptake of nicotine can be more than that of smoking because of the concentration of the juice, the power of the device, the ingredients in the juice and the puffing style of the user 31. Furthermore, juice manufactures have developed new mixtures that deliver higher levels of nicotine to the user while masking it’s harshness enabling users to have more nicotine 32. Source: University of Michigan Monitoring the Future survey 4 % of UK teenagers who reported any vaping during the last 30 days Unfortunately you cancelled/postponed the appointment you booked for 21/11/2022 and this invalidated your guarantee.

Prinzio, Bondanini, D Falco, Vinci, Camisa, Santoro, Arenesano, Dalmasso, Raponi, Di Brino, Cicchetti, Magnavita, Zaffin Feasibility of a Stop Smoking Program for Healthcare Workers in an Italian Hospital: Econometric Analysis in a Total Worker Health® Approach. Annals of Global Health (2023) Vol: 89 Issue 1 I’m aware you originally booked on the recommendation of a friend so I can imagine how that must be doubly disappointing for you. Flavourings – There are thousands of flavours all with different additives and chemicals. One that was used until recently was diacetyl. This is used to create a buttery flavour such as used in popcorn, custard and sweet dessert flavours. High levels of exposure to diacetyl can lead to the serious lung disease bronchiolitis obliterans also known as “ popcorn lung”. It is banned in the UK & EU but is still available in flavours in the rest of the world 14

Vaping statistics in the UK

A cookie set by YouTube to measure bandwidth that determines whether the user gets the new or old player interface. Furthermore, there is research that suggests that, in some cases, ENDS / vaping could hinder cessation in some individuals by prolonging or increasing addiction to nicotine 38. Euromonitor international https://www.euromonitor.com/smokeless-tobacco-and-vapour-products and The global State of Tobacco Harm Reduction 2022 Briefing paper Scientific Committee on Health, Environmental and Emerging Risks (SCHEER). Opinion on electronic cigarettes. Luxembourg: SCHEER; 2021. UK – fruit (60%), chocolate/desserts/sweet (17%), Energy drink or soft drink (5%), menthol (3%) 10 .