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This is not anecdotal it is consistently documented across multiple immune system parameters in controlled studies
TUESDAY, April 7, 2026 (HealthDay News) -- Smokers using nicotine electronic cigarettes (ECs) are more likely to quit than those using most other methods, according to a review published online March 26 in Addiction.Angela Difeng Wu, D.Phil., from the University of Oxford in the United Kingdom, and colleagues synthesized existing evidence from systematic reviews on the effectiveness and safety of ECs to explore whether benefits outweigh potential harms.Based on 14 reviews of intervention studies (seven high-quality), the researchers found that of 21 meta-analytic comparisons of nicotine EC versus other interventions, all reported point estimates favoring nicotine EC for smoking cessation, with relative risks or odds ratios ranging from 1.17 to 1.67 versus nicotine replacement therapy and 1.46 to 2.09 versus non-nicotine EC

Concerning recent usage, 16% of students had used an e-cigarette in the past month, 5% had used e-cigarettes regularly (using e-cigarettes 20 or more days in the past month), and 3% had used e-cigarettes daily in the past month
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The compact format reduces smoke density, making the inhale softer and more manageable