The World Vapers Alliance (WVA) has strongly criticized Hoekstras claims, warning that such misinformation could discourage smokers from switching to safer alternatives
Physical Constant fatigue, even after rest Low energy throughout the day Low motivation to move Disrupted or lighter sleep Feeling drained for no clear reason Mental and emotional Feeling disconnected even around people Sadness in a crowd Feeling unseen, unheard, or misunderstood Overthinking conversations after they end Pretending to be okay because explaining feels exhausting Behavioral Doomscrolling to fill the silence Withdrawing from plans you once enjoyed Irritability, snapping, getting triggered easily Avoiding calls, replying late, disappearing. Losing interest in things that used to feel good None of this makes you weak
Fresh cigarettes should have a rich aroma, consistent moisture level, and intact structure
Twenty-four healthy adult men who met Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria for nicotine dependence provided informed consent