09/03/2026
If you ask me if I support switching from ci******es to va**ng, the answer is no.
That doesn't mean I don't understand why some health professionals, to***co treatment specialists, and researchers support switching from combustible ci******es to less harmful ni****ne products.
I understand the argument.
When options feel exhausted and time with healthcare professionals is limited, and when the immediate priority is reducing exposure to toxic chemicals produced by combustion, recommending a lower-risk alternative can feel like the most practical option available.
But my position differs because I know how much more is possible.
My frustration isn't with professionals who are trying to reduce harm.
It's that better options exist and how decision-makers appear to be close-minded about that possibility being more accessible, affordable and effective than the current standard of care.
Switching from ci******es to va**ng may reduce exposure to many toxic substances associated with combustion. But for someone who remains chronically ni****ne-dependent, switching products doesn't solve the underlying dependence...and it certainly doesn't eliminate the risks.
And that's where I struggle.
I understand that healthcare professionals may not have enough time with patients to provide truly comprehensive to***co treatment.
GET FIT TO QUIT™ does.
That's precisely why my recommendation will never be:
“Try va**ng instead.”
My recommendation is to use the time, tools and support available to build a path away from chronic ni****ne use altogether.
I don't believe smokers need to be given more ways to remain dependent on ni****ne when they're capable of learning how to leave ni****ne behind.
If my ability to communicate with someone were eliminated—or if they had no access to meaningful to***co treatment, guidance or education—I understand why a harm-reduction recommendation might become the best available option.
But when I can communicate with someone, when they have access to the internet, evidence-based treatment, medication guidance, coaching and ongoing support?
I'm going to offer hope before I offer another ni****ne delivery system.
𝗖𝗼𝗺𝗺𝗲𝗻𝘁 𝗜𝗡𝗙𝗢 𝗳𝗼𝗿 𝗵𝗼𝗽𝗲 𝗮𝗯𝗼𝘂𝘁 𝗾𝘂𝗶𝘁𝘁𝗶𝗻𝗴.
