Juuling: The New Threat Of Nicotine Addiction Georgia Public Broadcasting FACT: Most e cigarette users also smoke cigarettes, a pattern known as dual use. This means the tobacco industry isn't helping people quit; it's sustaining addiction through another product. While the industry claims Are vape pens, or e cigarettes, ever the better option? Ohio State Health & Discovery The difference between smoking, vaping, and using heated tobacco, according to a new scientific study