
Father - Husband - USAF vet - Tobacco Harm Reduction Consumer Advocate - 13 yrs smoke-free - An informed nobody - Ask me about #SaferNicotine #vapingsaveslives
Portland, Maine
Joined September 2009
- Tweets8.8K
- Following647
- Followers1.6K
- Likes31K
Dale Staten retweeted
It’s interesting watching @FDATobacco be in this really awkward position of trying to communicate to adult smokers that vaping can drastically improve their life, while also turning to those under 21, trying to tell them that Vaping will ruin their life
Replying to @GrimmGreen @vapelawguy @brentstafford @ecigattorney @cdoug @alli_vapes @VaporTechAssoc @INNCOorg @GFNicotine @NannyFreeState
The question is: What will @FDA do now?
Authorize #SaferNicotine alternatives based on objective evidence for "substantial equivalence"?
Who opposes doing that?
@BloombergDotOrg and its grantees
@AmericanCancer Society
@American_Heart Association
American @LungAssociation
Dale Staten retweeted
Replying to @KYWNewsradio
So many people are quitting smoking that there's not enough money to help smokers quit?
Forgive me for saying, but that's a profoundly stupid observation.
ALL states are heavily dependent on cigarette sin taxes to pad their budgets. ALL stint on smoking cessation funding.
Dale Staten retweeted
Adding a thought here, respectfully:
The risk differential is real and well-established:
* Cigarettes involve combustion → thousands of toxic chemicals
* Noncombustible products → substantially reduced exposure to those toxicants
Many people misunderstand or underestimate how large the difference actually is. For the many smokers who can’t or don’t want to quit nicotine — which does not cause the illnesses and deaths resulting from smoking — it isn’t about both cigarettes and vapes being “bad,” but about moving down the well-established continuum of risk to an option that is much safer.
Many members of the armed services — I see you’re a proud Navy vet (thank you) — do exactly this for very good reasons.
I hope that helps.
Glantz: "The most comprehensive summary of evidence"
Study authors:
Replying to @Tobacco21
From the study:
"The overall certainty of the evidence was rated very low due to the risk of bias in the studies and evidence of publication bias across the studies."
pubmed.ncbi.nlm.nih.gov/4174…
As opposed to Cochrane's high certainty evidence of the opposite conclusion.
@grok describe the scenario where this person uses critical thinking to research the correct answer with use of the socratic method and then quietly leaves the conversation when they realize they were mistaken about oil based additives being present in nicotine vaping.
Dale Staten retweeted
Replying to @AnakLolina2
Can you point out where any of these former or current @FDATobacco employees including @DrMakaryFDA are incorrect?
Dale Staten retweeted
After all these years they still keep repeating the same old debunked arguments. There are countless community notes on all the issues raised in this article but i guess it pulls in clicks
The most effective way to stop smoking is… not actually that healthy trib.al/BLQybNI
Readers added context they thought people might want to know
CDC confirms vaping is far less harmful
cdc.gov/tobacco/basic_…
cdc.gov/tobacco/e-ciga…
NASEM, RCP, OHID, ANSES and many others agree
x.com/KingsIoPPN/sta…
rcp.ac.uk/policy-and-cam…
gov.uk/government/pub…
anses.fr/system/files/T…
tobaccocontrol.bmj.com/content/23/2/1…
nap.edu/resource/24952…
E-cigarette use by pregnant smokers is not associated with any adverse outcomes
onlinelibrary.wiley.com/doi/10.1111/ad…
obgyn.onlinelibrary.wiley.com/doi/10.1111/14…
No identified health risks of passive vaping to bystanders
assets.publishing.service.gov.uk/government/upl…
ncbi.nlm.nih.gov/pmc/articles/P…
pubmed.ncbi.nlm.nih.gov/36548547/
pubmed.ncbi.nlm.nih.gov/36136475/
antithrlies.com/2015/03/20/sci…
No seizures
doi.org/10.1016/j.jado…
epsyhealth.com/seizure-epilep…
jahonline.org/article/S1054-…
epsyhealth.com/seizure-epilep…
Dale Staten retweeted
Now served with a community note.
The most effective way to stop smoking is… not actually that healthy trib.al/BLQybNI
Readers added context they thought people might want to know
CDC confirms vaping is far less harmful
cdc.gov/tobacco/basic_…
cdc.gov/tobacco/e-ciga…
NASEM, RCP, OHID, ANSES and many others agree
x.com/KingsIoPPN/sta…
rcp.ac.uk/policy-and-cam…
gov.uk/government/pub…
anses.fr/system/files/T…
tobaccocontrol.bmj.com/content/23/2/1…
nap.edu/resource/24952…
E-cigarette use by pregnant smokers is not associated with any adverse outcomes
onlinelibrary.wiley.com/doi/10.1111/ad…
obgyn.onlinelibrary.wiley.com/doi/10.1111/14…
No identified health risks of passive vaping to bystanders
assets.publishing.service.gov.uk/government/upl…
ncbi.nlm.nih.gov/pmc/articles/P…
pubmed.ncbi.nlm.nih.gov/36548547/
pubmed.ncbi.nlm.nih.gov/36136475/
antithrlies.com/2015/03/20/sci…
No seizures
doi.org/10.1016/j.jado…
epsyhealth.com/seizure-epilep…
jahonline.org/article/S1054-…
epsyhealth.com/seizure-epilep…
Dale Staten retweeted
“Too commonly, vaping is still viewed as something dangerous that should not be used as a smoking cessation tool – in fact the opposite is true.”
expert reaction to systematic review of ecigs for stopping smoking
sciencemediacentre.org/exper…
Dale Staten retweeted
Replying to @nypost
Your little article contains health misinformation about relative risks. According to the @US_FDA, such misinformation reduces smoking cessation. And there is no longer any question about this: Nicotine vapes are much safer and help people quit smoking. So please #QuitLying.
Dale Staten retweeted
6/ Bottom line: The consistency across meta-analyses is striking—nicotine e-cigs can help people quit smoking.
The challenge now is how to use this evidence responsibly in policy and practice.
📄 Open access: onlinelibrary.wiley.com/doi/…
@Oxford_TAG
How the turn tables...
Kennedy said: "We’re going to ask Dunkin’ Donuts and Starbucks, ‘Show us the safety data that show that it’s OK for a teenage girl to drink an iced coffee with 115 grams of sugar in it.'"
Must be 21+ to enter, have ID ready
newsweek.com/rfk-jrs-dunkin-…
Dale Staten retweeted
"There were no significant differences found in cardiovascular disease occurrence for exclusive e-cigarette users compared to nonusers of any tobacco product."
digitalscholar.lsuhsc.edu/cg…
Dale Staten retweeted
Evidence 🧵
2010
Nicotine vaping avoids combustion (the main source of smoking harm), early peer-reviewed lab work comparing cigarette smoke vs e-cig aerosol characteristics
“Conventional and electronic cigarettes (e-cigarettes) have different smoking characteristics”
academic.oup.com/ntr/article…
2011
Nicotine vaping is less harmful than continuing to smoke (harm reduction framing supported by the then-available evidence base)
“Electronic Cigarettes as a Harm Reduction Strategy for Tobacco Control: A Step Forward or a Repeat of Past Mistakes”
vaportechnology.org/wp-conte…
2012
Nicotine vaping is less harmful than continuing to smoke (measured indoor-air pollutants far lower vs cigarette smoke)
“Comparison of the effects of e-cigarette vapor and cigarette smoke on indoor air quality”
articles.researchsolutions.c…
2013
Nicotine vaping is less harmful than continuing to smoke (cigarette smoke extract far more cytotoxic than e-cig vapor extract in vitro)
“Cytotoxicity evaluation of electronic cigarette vapor extract… comparison with tobacco cigarette smoke extract”
gwern.net/doc/nicotine/2013-…
2014
Nicotine vaping is less harmful than continuing to smoke (key toxicants measured much lower in vapor vs smoke)
“Levels of selected carcinogens and toxicants in vapour from electronic cigarettes”
tobaccocontrol.bmj.com/conte…
2015
Nicotine vaping is less harmful than continuing to smoke (TSNAs are minimal in e-cig liquid/aerosol; plus “dry puff” conditions matter for aldehydes)
“Tobacco-Specific Nitrosamines in Electronic Cigarettes: Comparison between Liquid and Aerosol Levels”
mdpi.com/1660-4601/12/8/9046
2016
Nicotine vaping is less harmful than continuing to smoke (broad toxicant panel shows dramatically lower emissions vs cigarette smoke)
“Chemical Composition of Aerosol from an E-Cigarette: A Quantitative Comparison with Cigarette Smoke”
pubs.acs.org/doi/pdf/10.1021…
2017
Nicotine vaping is less harmful than continuing to smoke (biomarkers of carcinogens/toxins far lower in long-term exclusive vapers vs smokers)
“Nicotine, Carcinogen, and Toxin Exposure in Long-Term E-Cigarette and Nicotine Replacement Therapy Users”
discovery.ucl.ac.uk/id/eprin…
2018
Nicotine vaping is less harmful than continuing to smoke (switching studies show toxicant biomarkers fall quickly when smokers switch)
“Biomarkers of Tobacco Exposure Decrease After Smokers Switch to an E-Cigarette or Nicotine Gum”
academic.oup.com/ntr/article…
2019
Nicotine vaping is less harmful than continuing to smoke (population biomarker data: exclusive e-cig users show markedly lower toxicant exposure vs smokers)
“Comparison of Nicotine and Toxicant Exposure in Users of Electronic Cigarettes and Cigarettes”
jamanetwork.com/journals/jam…
2020
Nicotine vaping is less harmful than continuing to smoke (comparative chemistry reviews continue to show substantially lower toxicant emissions vs cigarettes)
“The Evolving E-cigarette: Comparative Chemical Analyses of E-cigarette Aerosols”
frontiersin.org/journals/tox…
2021
Nicotine vaping is less harmful than continuing to smoke (fewer compounds + lower concentrations in e-cig aerosol vs cigarette smoke)
“The Chemical Complexity of e-Cigarette Aerosols Compared With the Smoke from a Tobacco Burning Cigarette”
frontiersin.org/journals/che…
2022
Nicotine vaping is less harmful than continuing to smoke (24-week randomized clinical trial: exposure/potential-harm biomarkers improve after switching)
“Biomarkers of Exposure and Biomarkers of Potential Harm… in a 24-week, Randomized, Clinical Trial”
academic.oup.com/ntr/article…
2023
Nicotine vaping is less harmful than continuing to smoke (real-world biomarker comparisons: smokers highest; exclusive ENDS lower)
“Comparison of biomarkers of exposure among US adult smokers, ENDS users, dual users and nonusers, 2018–2019”
nature.com/articles/s41598-0…
2024
Nicotine vaping is less harmful than continuing to smoke (systematic review/meta-analysis: TSNA exposure is far higher in smokers than exclusive vapers)
“Exposure to Tobacco-Specific Nitrosamines Among People Who Vape, Smoke, or do Neither: A Systematic Review and Meta-Analysis”
academic.oup.com/ntr/article…
2025
Nicotine vaping is less harmful than continuing to smoke (comparative emissions synthesis: TSNAs lower in e-cig aerosol than cigarette smoke)
“Tobacco-specific nitrosamine exposure from electronic cigarettes versus combustible cigarettes”
frontiersin.org/journals/onc…
When does, 'not enough evidence yet' stop being cautionary and turn into denial? 16 years of evidence on any product other than nicotine would have been policy already.
#Science
Thank you to the World Health Organization for allowing Community Notes to correct the record on some common myths that many people may not have known were myths.
E-cigarettes are harmful to you and the people around you.
Second-hand emissions:
🔴Typically contain nicotine, ultrafine particles and potential #cancer-causing substances
🔴Linked with increased risk of heart 🫀 and lung 🫁 disorders
👉bit.ly/3lV5IXC
Readers added context they thought people might want to know
To date, there have been no identified health risks of passive vaping to bystanders
assets.publishing.service.gov.uk/government/upl…
ncbi.nlm.nih.gov/pmc/articles/P…
pubmed.ncbi.nlm.nih.gov/36548547/
pubmed.ncbi.nlm.nih.gov/36136475/
antithrlies.com/2015/03/20/sci…
Exclusive vapers have the same cardiovascular risk / heart health biomarkers as non users
ahajournals.org/doi/10.1161/CI…
ahajournals.org/doi/10.1161/CI…
No lung disease association
ajpmonline.org/article/S0749-…
journals.sagepub.com/doi/10.1177/20…
discoverymedicine.com/Riccardo-Polos…
Less than 1% cancer risk
acsh.org/news/2016/11/1…
sciencemediacentre.org/expert-reactio…
tobaccocontrol.bmj.com/content/27/1/10
Legend has it this myth will outlive all of us, the internet, and possibly the sun.
What is popcorn lung? The serious and irreversible disease linked to vaping independent.co.uk/life-style…
Readers added context they thought people might want to know
Cigarettes contain up to 750x the amount of diacetyl than e-cigarettes do, and never caused popcorn lung
tobaccoanalysis.blogspot.com/2015/12/new-st…
snopes.com/fact-check/vap…
cancerresearchuk.org/about-cancer/c…
reason.org/backgrounder/d…
nhs.uk/better-health/…
safernicotine.wiki/mediawiki/inde…
Dale Staten retweeted
After 16 years, my @YouTube channel (GrimmGreen) was terminated today with no real explanation.
I’ve built my content around harm reduction, helping adult smokers quit, and advocating for science-based policies.
This feels like a huge mistake. If you believe in THR, free speech, and the mission we’ve been on, please help me get YouTube’s attention.
@TeamYouTube I’m asking for a real human to review my case.
I’ve never promoted anything illegal. I’ve never targeted youth. I’ve worked tirelessly to be a responsible voice in the vaping and harm reduction space. But like many creators in this space, it seems I’ve been swept up in an overly aggressive moderation wave.
Dale Staten retweeted
To everyone in the global tobacco harm-reduction community. Consumers, advocates, scientists, independent researchers, frontline vape-shop professionals, and policy experts. Thank you!
Your commitment, your evidence-driven voices, and your refusal to give up on safer alternatives have changed lives. You’ve stood up against misinformation, stigma, and policy environments that too often ignore the lived experiences of people who have actually made the switch. This music video is dedicated to you, the people pushing for a future where fewer families are harmed by smoking, and where adults have access to tools that genuinely work.
But the mission is far from over. Millions still smoke, and far too many are making decisions in an environment clouded by misinformation. When the truth about safer alternatives is distorted or hidden, people are left without the knowledge they need to make informed, potentially life-changing choices. And while the consequences fall on individuals and families, the conversations and policies shaping these choices often exclude the voices of those most affected.
If you’ve switched from cigarettes to a reduced-harm product, or you know someone who has, please share this post. Help us amplify real stories, real science, and real hope. The more people who hear it, the more lives we can change.
Let’s keep moving forward. The work continues, and so does our collective impact.



























