In the ESTxENDS randomized trial, the addition of electronic cigarettes to standard smoking cessation counseling resulted in greater abstinence from smoking at 6 months but also greater nicotine use. Read the full trial E cigarettes are changing how nicotine is consumed and perceived. Patterns of use often differ from traditional smoking, with more frequent and prolonged exposure throughout the day. This raises questions about cumulative E Cigarettes vs Tobacco Cigarettes : The Electric Tobacconist Ltd. Reactions to vaping cessation messaging and strategies among US young adults who use e cigarettes