The difference between smoking, vaping, and using heated tobacco, according to a new scientific study 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 Juuling: The New Threat Of Nicotine Addiction Georgia Public Broadcasting 40,200+ Vaping Stock Photos, Pictures & Royalty Free Images iStock Teen vaping, Vape cloud, Vape pen