Health

As a woman who writes for a publication that routinely encourages striving for health, I’m ashamed to admit that I vape. It’s a habit I picked up years ago in China, where every second person walked around with a vape around their neck (the country has since banned all e-cigarettes, except those with tobacco flavour). Upon re-entering South African society, I was surprised to learn that vaping had graduated from an embarrassing activity for people who channel their inner Gandalf to something almost everyone is doing. Last year, a local survey found that “more than one in 10 (11.3%) adults in urban South Africa have tried e-cigarettes and 4% of adults were regular e-cigarette users at the time of the survey.”I’m one of the 4% and from my experience, the vapers around me are sure that it’s something they need to give up at some point. The health impacts are becoming more known to us – stuff ranging from excess phlegm to full-on hospitalisation – but there’s one giant problem. Nobody seems to know how to successfully quit vaping. 22-year-old Kiara Bouw started vaping to mitigate the “stress of my final year and my job; I needed some sort of outlet.” She thinks it’s addictive and hasn’t stopped, even though she’s experiencing health complications. “My coughing has been getting so much worse, especially in the morning,” she notes. “I wake up in the morning and I’m coughing or wheezing and I’m like ‘I’m gonna quit smoking, I’m done, I’m not smoking anymore,’ but as soon as I smoke, my throat feels much better. My throat really hurts but as soon as I smoke, it goes away.” As to when she’ll quit? She says it’ll happen “as soon as I graduate.”So… what does vaping do to your body?Traditionally, vapes are marketed as cigarette smoking cessation tools. Without the harmful tobacco or tar, vapes – a heady mix of water, food-grade flavouring, nicotine, cannabis (THC, CBD), propylene glycol or vegetable glycerin – are touted as the smoking alternative without the looming death date.Now, more and more evidence is emerging to debunk the idea that vapes are a good idea. It’s linked to poorer mental health, including anxiety and depression, with experts saying that vapers are more at risk of a depression diagnosis than non-vapers. Plus, the adverse effects of vaping are now an illness in itself, called “e-cigarette or vaping-associated lung injury” or EVALI, which has resulted in nearly 2 800 cases of severe lung disease and 68 deaths so far in America alone. (In SA, the number is unknown, possibly because docs won’t typically consider vaping when diagnosing lung disease.)Next, the high nicotine content poses a problem. Typically, vapes use nicotine salts for a more intense hit that also translates into a smoother smoking experience. But “nicotine salts, which have a lower pH than freebase nicotine, allow particularly high levels of nicotine to be inhaled more easily and with less irritation to the throat than freebase nicotine,” the CDC notes. As a result, experts estimate that there can be as much nicotine in one vape pen as there is in one or two boxes of 20 cigarettes. And that hyper flood of nicotine, introduced every few minutes, creates a vice-like addiction that’s harder to get out of than a Wi-Fi contract.Trying to quit vaping? Good luck, people sayThe overload of nicotine, an addictive substance, is what many suspect to be the reason it’s so hard to quit vaping. “The nicotine gives me a calm feeling, which is why I smoke,” explains 29-year-old ex-cigarette smoker and current vaper Kim Fortuin. “It’s really my way of dealing with my day-to-day stress at work and life, I think I pick it up when I’m most stressed.”What’s more, since vaping is so easily accessible and far less offensive than cigarettes, people have access to it all day, multiple times a minute: puffing in bed, on the couch, during WFH sessions and while driving. “I use the disposables; I can smoke it all in one day and be very disappointed because I want to smoke more,” confesses 30-year-old Sam Buckley. She’s been vaping for seven years. “It’s just constantly in my mouth,” she adds. “Now I smoke the big disposables with 5000 puffs – in one week. I know. It’s so bad.”

Like many people, Sam wasn’t a smoker before starting on vapes. She smoked hookah socially but when vapes started permeating social gatherings, she was attracted to the pleasant taste and flavours. It’s what drew in Kim, too. “The smell of cigarettes was working on my nerves and the smell of vapes are so much nicer and delightful,” she says.

READ MORE: 5 First Steps To Take After An Early-Breast-Cancer DiagnosisPeople who want to quit vaping feel like they’re trappedFor people like Kim, who turned to vaping to quit smoking, a 2021 study in Preventive Medicine Reports found that 80% of them continued vaping a year later, essentially swapping one vice for another. While Kim knows the health impacts of vaping, she’s just not keen to give it up yet. “Eventually I think I should want to quit but I don’t know how; I must be really motivated to stop and I think something else might take its place,” she says.Ironically, for some people, that replacement is cigarettes, as one study found when analysing people’s vape cessation methods on X (formally Twitter). That might be because of what a 2019 study qualified: that vaping is twice as addictive as cigarettes, making it that much harder to quit.

In the end, one might end up in an endless loop, going from one smoke to another in search of relief. “I tried to quit because it’s bad for me – smoking is bad for your health,” says Sam. “I feel like vaping is worse than smoking because you’re constantly going at it.” She tried to quit three times in the span of six months but always succumbed to sweet blueberry vapour, citing stress as the final straw. “When I’m stressed, I just know that I have to smoke,” she says.

Case in point: the longest I’ve been able to go without vaping is just two days. By the third day, I was in complete frustration, unable to think about anything else but the sweet relief of peach ice tantalising my olfactory system. It’s a special kind of torture.How are people giving up ‘flavoured air’?TikTok is bedazzled with videos of people trying to quit vaping. Most of the time, people throw the vape in water (so they don’t dig it out of the trash in a few minutes). And then there’s a ‘quitting kit’ – what I’m calling them – often involving nicotine patches, teas and fruity chewable snacks.

Quitting kits are all over TikTok. This might be because vaping can be an all-encompassing sensory experience. TikTokkers are learning to replace that one habit with an entire bag of tools. This ranges from things that replace the hand-to-mouth movement (water bottles with straws, for the sucking motion). And, mint gum and sweets mimic the glucose response from vaping. Journals replace the emotional release from vaping and books serve as a distraction or motivation.As I’m writing this, I’m forced to reflect on the many times I’ve tried to quit vaping. I didn’t have gum, fidget spinners or a journal. But now, having done all this research, I’m seriously considering the deep hole I’ve dug for myself. After all, I wasn’t particularly invested in the stuff to begin with. But now I can barely survive an hour without a drag. There’s a list below on how to quit vaping – step by step. I’ll be trying it ASAP. But that’s a whole new story (stay tuned).READ MORE: More People Are Using Ketamine For Depression – But How Safe Is It?How to actually quit vaping, according to expertsActually giving up flavoured air for good might entail a bit more than a bunch of candy. Here, experts dive into concrete steps you can take to give up the sweet smoke.1. Understand addiction“Someone who wants to quit vaping should understand that vaping is an addiction and that quitting can be difficult,” explains Dr Mdaka. Sanam Naran, counselling psychologist and founder of the practice Conscious Psychology, agrees. “We often minimize our addiction to vaping because it is seen as “less harmful” and more socially acceptable,” she says. “Breaking through the denial is always the first step.”While you’re looking inward, it’s a good idea to talk things through with a psychologist. “I often notice that there is an inability to regulate emotions healthily, as well as an inability to tolerate uncomfortable emotions, which is the first layer underneath an addiction,” observes Naran. “Once this is explored in therapy, they are able to then move on to tackling the behaviour.”2. Rally the troopsExperts emphasise that letting people know ahead of time about what you’re doing is an important step. “Identify people around you who can act as a support structure during this period,” says Dr Mdaka. “It’s also important for the individual to know the possible withdrawal symptoms that they may experience.” When this happens, Dr Mdaka recommends you “remind yourself that these symptoms are temporary and will pass.”3. Recognise your triggers“Addiction is founded on chemical releases alongside environmental stimulus-response triggers,” explains Cara-Lisa Sham, CEO of digital well-being platform soSerene. For example, if a vexing boss drives you to vape in the bathroom multiple times a day, make a mental note of it. Then, figure out how to work through those emotions healthily. Sometimes, says Dr Mdaka, you might need to avoid your triggers altogether for a while.4. Prepare for the mood swings“During the period of quitting, anxiety symptoms and depressive symptoms may be exacerbated,” says Dr Mdaka. Anxiety, irritability and restlessness may be par for the course. If your side effects get unmanageable, Dr Mdaka recommends talking to a doctor about therapeutic interventions or medication to help.Also, recognise that simply giving up vaping doesn’t make things smooth sailing. “It’s important to take into account that quitting an addiction is often not a linear process. There may be moments where you relapse, so try not to be too hard on yourself. Focus on taking it one day at a time,” says Naran.5. Yeah, the quitting kit works“They *are* effective methods that can help individuals addicted to vaping to quit successfully,” notes Dr Nokuthula Mdaka, a member of the South African Society of Psychiatrists. It’s called nicotine replacement therapy and includes nicotine-infused gum, patches, nasal sprays or tablets. “These products have been well studied in literature and are approved by US Food and Drug Administration (FDA). They work by delivering measurable nicotine doses which are free from the harmful chemicals found in vaping,” says Dr Mdaka.But if you’re in a pinch and don’t have the specialised stuff, the regular goods (gum; candy), can work too. “They also reduce and relieve cravings and withdrawal symptoms of nicotine,” says Dr Mdaka.6. Implement new coping mechanisms“In times of high stress, we are drawn to activities that offer temporary relief or instant gratification,” says Sham. “Given the dopamine-inducing qualities of nicotine contained in vape, a sense of calm and serenity can be quickly felt from vaping. There are, however, more sustainable and health-promoting activities that can be adopted instead.” Time to take on the work of really dealing with stress.Experts recommend:Exercise. It’s a potent dopamine factory with an overwhelming amount of positive evidence

Meditation. This is key for settling the mind and bringing yourself back to the present

Adopting a positive mindset. “When we change our perception and see challenges as opportunities for learning and growth, we can reprogram the way we see stress,” says Sham.

Plan your day. “Scheduling everything that needs to be done will make your day less stressful and more predictable,” says Dr MdakaREAD MORE: PCOS Diet Plan: The Best Foods To Eat (And Limit) When You Have PCOS, According To Experts7. Identify any underlying issuesOf paramount importance is figuring out what’s driving your addiction in the first place. “Individuals who are addicted to vaping could have underlying psychological problems or disorders,” says Dr Mdaka. “These psychological problems could have been present prior to the addiction. Vaping could have been used as a coping mechanism. Vaping could also exacerbate the psychological problems.”Naran notes that trauma can also hamper your ability to give up your crutch. Childhood trauma (including perfectionist or absent parents), emotionally repressive cultures and emotional avoidance can all drive addictive behaviours. “Self-reflection through therapy with a psychologist is what would address the above,” she says.

Michelle October

Michelle is the features editor at WH. She’s immensely curious about the world, loves a and enjoys a good surf when the waves are good. Find her on Instagram here. More