ENDS EVALI VALI THCVALI: Difference between revisions

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==Tweets==

===[https://twitter.com/ScottGottliebMD/status/1217893624353980416?s=20 Scott Gottlieb, MD] (thread)===

===2021: [https://x.com/KozlovichS/status/1373116501130051587 Dr. Shannon Kozlovich (thread)]

*In 2019 there was a mysterious illness killing people known to use vaping devices. @CDCgov soon discovered that the additive causing the lung injury was Vitamin E Acetate. In Dec 2019 we mixed VEA with nicotine e-liquids and discovered that they don’t mix.

*This speaks to the need for a completely #legal and well regulated #cannabis market. These products would be safer and open to the vast resources at our research institutions. It is past time that we know when cannabis can help, when it can hurt, and how.

*We also took pure #nicotine (nicotine that was NOT in an e-liquid solution) and mixed it directly with VEA. We did fine that nicotine itself is miscible (can be mixed/visibly soluble) in VEA. The combination of VEA + nicotine is possible but also cost prohibitive.

*IF VEA was mixed with a nicotine e-liquid, it would form a visible layer that could be identified upon visual inspection of the liquid.

*The conditions we tested ranged in a-liquid solvent type and pH range. We created liquids from the most common nicotine solvents PG/VG and we used 0.3-3% nicotine. We tested nicotine base (used in tank e-cigs) and nicotine salt (made popular by JUUL).

*What doesn’t this paper tell us? Nothing in this publication says that nicotine products are safe. This paper only covered the mixture of VEA and nicotine e-liquids.

===2020: [https://twitter.com/ScottGottliebMD/status/1217893624353980416?s=20 Scott Gottlieb, MD] (thread)===

*An e-cigarette is an FDA regulated electronic nicotine delivery system (ENDS). It delivers nicotine. What CDC seems to be trying to refer to here are illegal vapes or “dabs” that contain THC. We develop precise regulatory nomenclature for a reason. It helps differentiate products

*CDC should reconsider the name it ascribed to these illnesses (EVALI) now that it seems to be definitively linked to THC vapes and dabs. By not speaking with precision it could leave a false impression as to the clear causal relationship between the tragic illnesses and THC vapes

@@ Line 89: / Line 89: @@
 ==Tweets==
-===[https://twitter.com/ScottGottliebMD/status/1217893624353980416?s=20 Scott Gottlieb, MD] (thread)===
+===2021: [https://x.com/KozlovichS/status/1373116501130051587 Dr. Shannon Kozlovich (thread)]
+*In 2019 there was a mysterious illness killing people known to use vaping devices. @CDCgov soon discovered that the additive causing the lung injury was Vitamin E Acetate. In Dec 2019 we mixed VEA with nicotine e-liquids and discovered that they don’t mix.
+*This speaks to the need for a completely #legal and well regulated #cannabis market. These products would be safer and open to the vast resources at our research institutions. It is past time that we know when cannabis can help, when it can hurt, and how.
+*We also took pure #nicotine (nicotine that was NOT in an e-liquid solution) and mixed it directly with VEA. We did fine that nicotine itself is miscible (can be mixed/visibly soluble) in VEA. The combination of VEA + nicotine is possible but also cost prohibitive.
+*IF VEA was mixed with a nicotine e-liquid, it would form a visible layer that could be identified upon visual inspection of the liquid.
+*The conditions we tested ranged in a-liquid solvent type and pH range. We created liquids from the most common nicotine solvents PG/VG and we used 0.3-3% nicotine. We tested nicotine base (used in tank e-cigs) and nicotine salt (made popular by JUUL).
+*What doesn’t this paper tell us? Nothing in this publication says that nicotine products are  safe. This paper only covered the mixture of VEA and nicotine e-liquids.
+===2020: [https://twitter.com/ScottGottliebMD/status/1217893624353980416?s=20 Scott Gottlieb, MD] (thread)===
 *An e-cigarette is an FDA regulated electronic nicotine delivery system (ENDS). It delivers nicotine. What CDC seems to be trying to refer to here are illegal vapes or “dabs” that contain THC. We develop precise regulatory nomenclature for a reason. It helps differentiate products
 *CDC should reconsider the name it ascribed to these illnesses (EVALI) now that it seems to be definitively linked to THC vapes and dabs. By not speaking with precision it could leave a false impression as to the clear causal relationship between the tragic illnesses and THC vapes