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CT scans show cigarettes are harder on the lungs than marijuana

https://healthimaging.com/topics/medical-imaging/computed-tomography-ct/ct-scans-dont-lie-cigarettes-are-harder-lungs-marijuana
25•XzetaU8•5h ago

Comments

JimmyBiscuit•4h ago
I havent seen anything about frequency in the article. Unless they control for that it doesnt feel like you should claim that weed is somehow safer. Of course you will have less damage from smoking a few joints a day (which would be very heavy use) vs the standart amount of cigarettes a cigarette smoker smokes.
consp•3h ago
Isn't the "natural" reduction in frequency a factor which should not be accounted for as it might actually be the driving force behind it?
mandmandam•49m ago
There is a long-standing tradition in cannabis research of confusing the dose.

See: Rodent studies using insane super-doses injected directly with the equivalent of 140 joints+ every day, Marinol vs cannabis, claiming 5% THC cannabis as "high dose" in research, studies citing 'potency increase' as proof of increasing risk without controlling for dose adjustments, driving impairment studies using blood levels as measurement, etc.

bdavbdav•3h ago
Is this not a similar argument to condoms / birth control effectiveness? Condoms are 100% effective if used properly and they don’t burst. The failure proportion is primarily misuse. You build in the misuse / other factors into the effectiveness rate.
eru•2h ago
If you want an even starker examples: abstinence is 100% effective, if 'used' according to protocol.
AStonesThrow•2h ago
You'd be surprised about artificial contraception. Sure, when used they can be highly effective to prevent pregnancy, but they also train people to do risky behavior.

It's sort of like giving away free parachutes and plane rides to everyone. Sure, that support will encourage lots of skydiving. But eventually, isn't someone going to go up without a parachute, say "YOLO" and dive out anyway?

The same thing happens with contracepting, promiscuous men and women: they become accustomed to using one another as objects and free, easy access to sex whenever. But when that contraception isn't readily available at hand, they're going ahead anyway. They're going to do it regardless, because it's the habit they're accustomed to now.

So on balance, it's really been found that free access to artificial contraception tends to encourage and increase unplanned/unwanted pregnancies. And that's exactly why it's so plentiful, because the goal is the opposite of what you may think...

crtasm•1h ago
You're saying it's a contraception conspiracy? Any sources for these findings would be appreciated.
AStonesThrow•16m ago
https://naturalwomanhood.org/interview-abby-johnson-planned-...

Abby Johnson: You can find different studies that say different things. One in Colorado said you give women contraception and abortion rates go down; other studies say that’s not true. What we do know for sure, according to Guttmacher themselves, Planned Parenthood’s own research arm, is that 54% of women who are having abortions are using contraception at the time when they get pregnant. So the idea that contraception is working for women and that it’s preventing abortion is not true. If it were, that number would not be 54%.

> Sex is normal and healthy

So is pregnancy and childbirth. Why administer drugs to disrupt normal, healthy biological processes? Absurd!

SavinMyLungz•50m ago
This is a nonsense slippery slope fallacy, with a healthy side of the naturalism fallacy. Giving people access to contraception is proven over and over again to be the solution to STDs and unwanted pregnancy, and the "natural" methods of abstinence education and the rhythm method prove over and over to be ineffective. (If you have religious convictions such that the rhythm method is the only one acceptable to you, that's fine, live out your convictions, but it is what it is and it's not a prescription for society at large. A friend of mine once told me about going to a rhythm method workshop, taught by someone with 12 kids.)

> But when that contraception isn't readily available at hand, they're going ahead anyway.

They have been doing it anyway since the dawn of time, whether they ever had access to contraception or not. Sex is normal and healthy. The solution is to give them ready access to contraception.

mywacaday•4h ago
Way back in my college days we mixed weed and tobacco in joints, I presume this was the worst of both worlds?
oneeyedpigeon•3h ago
Very common in the UK and Europe where hash was more prevalent than flower until fairly recently. The prevailing wisdom would say not as bad as tobacco, worse than just pure weed, worse than vaping or an alternative method of consumption than combustion.
eru•2h ago
Depends. You probably don't smoke as many of those as your typical cigarette chain smoker?
tomhow•4h ago
Referenced study here:

https://www.sciencedirect.com/science/article/abs/pii/S03630...

everdrive•4h ago
I never see anyone describe just why Marijuana is less harmful than cigarettes (or apparently e-cigarettes) and it drives me up the wall.

My intuition would be that this is due to frequency, since a normal person would smoke weed far less often than they would smoke nicotine, and this is a really important distinction. If frequency is important to this question, then Marijuana smoke is not actually safer, but is just enjoyed more rarely. Maybe the lungs have a chance to clear themselves out and reduce inflammation between marijuana sessions? Just asking about the lifetime impact on users makes no sense since these drugs have totally different usage profiles.

throwup238•3h ago
The answer is industrial processing. Inhaling combustants is bad no matter the plant matter but the tobacco industry has over a century of experience in optimizing their product which leads to a lot of nasty chemicals that have been grandfathered in as a historical accident.

They “reconstitute” tobacco dust and other waste into usable material via binders (“sheet tobacco”), add humectants to keep the tobacco from drying out, preservatives to keep it from oxidizing, shit to enhance the flavor, “puff up” tobacco with a bunch of chemicals so it takes up more volume, and so on. Since the 2000s there’s also compounds similar to flame retardants (!!!) in the wrapping so that the cigarette goes out if you fall asleep, instead of burning your house down. Much of these additions come from reprocessing the waste from previous steps to “minimize waste.”

Marijuana on the other hand is religiously tested for pesticides and other contaminants in most states. However that industry isn’t far behind: a friend loves diamond/oil infused blunts and to me it’s blatantly obvious that they’re using some of the same techniques to repurpose lost terpenes and adding synthetic aromatics that were never tested for combustion.

AStonesThrow•3h ago
I feel like the harms of alcohol are also magnified by adulterants here. For example, an alcoholic will often choose dirt-cheap beer or spirits to consume on the regular. Is that stuff pure and clean? No. There is no requirement to label ingredients in a bottle of wine, beer, or vodka. You can put any old stuff in there as long as you're not outright poisoning people.

They're going to a convenience store, or a dive bar that carries the worst stuff and they're going to drink that, day-in, day-out, to excess.

I believe that, if drinkers had access to pure and clean ethanol-based beverages, and also maintained good nutrition and a decent diet, they wouldn't get all this liver failure and horrific metabolic stuff that they suffer as alcoholics. I feel it's often tangential to the substance itself.

When I smoked, I often picked up clove cigarettes. My hairdresser friend with purple hair advised me that the molecules of clove smoke were huge compared to tobacco smoke and I was killing myself that much faster. I thank President Obama for finally closing out the clove cigarette market. I was eventually smoking American Spirits, which are mass-market, but touted as extra pure or clean. Who knows, really?

throwup238•3h ago
In that case they’re not adulterants but natural byproducts of fermentation. That’s why most liquors are aged, to give the chemical reactions time to eliminate those byproducts (like trace amounts of methanol from fermented pectin).

A “fun” experiment to run along those lines is making prison hooch* or using turbo yeast. You can get anywhere from 20-30% ABV in a week or two, but if you drink it immediately it will result in the worst hangover you’ve ever had. It takes months of aging for it to become drinkable.

* The PrisonHooch subreddit is delightful. Who doesn’t want liquor made from Nerds candy or Gatorade?

eru•2h ago
NileRed (on YouTube) made alcohol from toilet paper to show what's possible.

Btw, distilling already removes most byproducts. (But you might still want to age.) Your comment seems a bit confused about straight up fermented products vs distilling fermented products.

I'm not sure you can get 20%-30% alcohol just from using fermentation. 18% is already a stretch and requires a lot of tricks. But you can get to your 20%-30% easily with some basic distilling equipment.

throwup238•1h ago
Distillation removes most byproducts but not enough to really matter. Their boiling points aren’t different enough and like with ethanol, distillation concentrates the bad stuff. It depends on the fermentation source but even vodka becomes significantly more drinkable when properly filtered.

18% requires a lot of tricks if you’re going the classical EC1118 route* but you can easily get 20% in a week or two from just turbo yeast (although its nigh undrinkable). I haven’t seen many reliable reports of 30% but plenty of 24-26%.

* which IIRC is capable of 21% en extremis

eru•2h ago
> When I smoked, I often picked up clove cigarettes. My hairdresser friend with purple hair advised me that the molecules of clove smoke were huge compared to tobacco smoke and I was killing myself that much faster. I thank President Obama for finally closing out the clove cigarette market. I was eventually smoking American Spirits, which are mass-market, but touted as extra pure or clean. Who knows, really?

Eh, putting any kind of smoke in your lungs is bad for you. Exactly what kind of plant matter you are burning is mostly a rounding error.

Go and vape, if you want to consume tobacco or marijuana.

everdrive•3h ago
I would understand this to mean that natural cigarettes (just some tobacco in paper) would be much healthier. However, I don't think this is true either. I hear you regarding the shocking and astoundingly bad chemicals added to the process, but my impression is that any kind of smoke is also quite bad for you. (as an aside, we're cursed with flame retardant chemicals in our couches and mattresses because people are too stupid not to fall asleep while smoking)
lyu07282•3h ago
There was research on that, low or heavy marijuana use makes no difference. It just doesn't cause cancer, that's pretty much established fact at this point. There were substances in THC found that kill cancer cells, so whatever negative effects it does have (marijuana has 4 times as much tar than cigarettes) seem to be cancelled out.

https://pmc.ncbi.nlm.nih.gov/articles/PMC1277837/

https://www.washingtonpost.com/wp-dyn/content/article/2006/0...

rikafurude21•3h ago
Sorry but any kind of smoke in your lungs causes cancer. Marijuana smokers have this bad habit of claiming 0 downsides to their favorite drug just because it was historically demonized. Be honest about the cons.
swores•3h ago
And yet they're the person who linked to a study supporting their claim, while you didn't. It's easy to believe your claim, but without evidence it's also easy to believe theirs. Posting your personal assumption isn't helping the argument on either side.
rikafurude21•1h ago
Linking a study doesnt make his claim any more credible. I could link you studies claiming all sorts of things.
rascul•1h ago
It makes it more credible than a claim without any supporting evidence.
kirsebaer•3h ago
Tobacco absorbs and concentrates radioactive metals in soil and fertilizers. Cannabis does not do this. https://www.cdc.gov/radiation-health/data-research/facts-sta...

The tobacco industry was well-aware of the risk from radioactivity since the 1950s. https://www.uclahealth.org/news/release/big-tobacco-knew-rad...

everdrive•3h ago
Thanks for the information. I wasn't aware of this, and this definitely aligns with the findings in the article.
eru•2h ago
I'm going out on a limb here, but I'm fairly sure that when you put _smoke_ in your lungs, radioactivity is the least of your worries.
SavinMyLungz•2h ago
My understanding is that inhaling polonium is one of the main vectors of lung cancer in tobacco smokers. Smoke inhalation is bad, afaik it's the main way people die in structure fires, smoke has carbon monoxide and formaldehyde and all sorts of bad stuff, but tobacco is particularly deadly, and afaik polonium from the fertilizer is a big part of why that is.
jajko•3h ago
Smoke tobacco bought in a package, and smoke just tobacco from cigarettes. Apart from cigarettes one being absolutely disgusting, it feels like there is something extra. I'd expect some addiction-enhancing stuff that also increases cancer rates, on top of that paper which is also carcinogenic to smoke.

Better comparison may be tobacco smoked in pipe but inhaled in same way as weed, and weed. But nobody smokes pipes like that.

rascul•57m ago
The fire safe cigarettes that have been mandated in the USA over a decade now have even more nasty stuff added to the paper to make the cigarette go out.
bawolff•3h ago
So according to https://www.canada.ca/en/health-canada/services/drugs-medica... about 29% of male uses use canabis 5-6 times a week. Presumably the top 5% smoke canabis even more.

You might be right about average user being less, but there are still enough people who use it all the time that i would expect negative effects to show up in them, if it was only about frequency of use. Like the top 1% of canabis smokers probably smokes as much as the average cigarette smoker, so if its just about dose we should still see it.

luma•3h ago
I think their point isn't the number of people, but that a heavy weed smoker might maybe run through a few joints in a day while cigarette smokers might run through a couple dozen.
eru•2h ago
> [...] would smoke weed far less often than they would smoke nicotine, [...]

Nobody smokes nicotine. People smoke tobacco. And it's that very smoke that's bad for you.

Just don't inhale smoke (whether marijuana or tobacco). You can vape or take edibles or use a nicotine plaster or chew a gum, etc. Compared to those alternatives, whether you set fire to marijuana or tobacco or toilet paper is pretty much a rounding error.

rich_sasha•4h ago
Either way I don't want this shit in my lungs. Knowing it's less bad than one of the worst carcinogens out there is little comfort.
Broken_Hippo•2h ago
I mean, fine. Don't do it then. Few people care if you personally do and if they pressure you, they aren't your friends.

This sort of thing really isn't about giving anyone comfort. It is an attempt to learn so folks can use them to understand the world better and the ways our bodies interact with it. It might result in harm reduction in other people, which benefits society in general.

montebicyclelo•3h ago
> Many have touted smoking marijuana as a safer alternative to cigarettes

Wierd take, given that they are completely different drugs, with completely different effects on the brain, with the only similarity being that they are both ingested via smoke.

zwnow•3h ago
And any kind of smoke isn't good for the lungs. I'm tired of people pretending that Marijuana is that wonder drug that's somehow "healthier" than smoking. It's just less unhealthy, which still makes it unhealthy.
btreecat•3h ago
Sitting in traffic is unhealthy, eating junk food is unhealthy, living with excessive heat is unhealthy, poverty is unhealthy, too much water is unhealthy.

Lots of things are unhealthy. Some of those are many degrees worse than others, and some only in certain context.

zwnow•3h ago
Some things you can actively avoid though. And inhaling smoke on a regular basis is one of them. I'm particularly sensitive about this topic because I live in a country in which my tax money is used to finance treatment of illnesses that people self inflicted due to smoking.
dijit•3h ago
I hear you, and I agree.

For me, though, some amount of harm is built-in to our condition.

We will eat junk sometimes, we will be sedentary sometimes- we might even overindulge sometimes.

For me, marijuana is recreational, like alcohol.

If a recreational session of marijuana is better for humans than a recreational session of alcohol, then I would actively promote that- since we are all keenly aware of how prohibiting all recreational unhealthy things goes in reality. “Perfect is the enemy of good”, in this case I might say that “perfect is the enemy of improvement”; maybe theres a better quote for exactly this.

Knowing that its better on your lungs than smoking, which was socially acceptable 20 years ago, goes a long way to helping.

Though I also agree with other commenters, its a low bar and the frequency of recreational drug use vs casual smoking is an apples to oranges comparison

zorobo•47m ago
> If a recreational session of marijuana is better for humans than a recreational session of alcohol, then I would actively promote that- Well it's not: if someone smokes near me, I am smoking with him. Not so with alcohol.
eru•2h ago
Eh, I want to agree with you because smoking is disgusting to me, but honestly in most countries is so heavily taxed these days that smokers are a net fiscal positive, even if the NHS pays for their health care.
Dibby053•11m ago
What about life expectancy? If smoking makes you die 10 years earlier, that's ~10 years of pension savings for social insurance. Sure, an unlucky few may get lung cancer at 50 and cost a lot of money but most smokers will die, retired, of cheap ailments like COPD or hypertension without fully realizing their social security investment.
elif•3h ago
There are neurogenic, anti-tumor, and anti-inflammatory properties and no direct chemical addiction mechanisms as present in nicotine.

Additionally your statement about "any kind of smoke" while kind of true does not recognize the disproportionate concentration of carcinogens specific to cigarette smoke.

It also misses the disclaimer that nearly as many cannabis users vape and consume edibles (roughly 70%) as do smoke (only 79%) which is certainly better than smoke, even before you add the benefits of water filtration and cooling common for marijuana users.

zwnow•3h ago
Where are the long time studies on vaping? I regularly read news about vaping with new findings on it being unhealthy... Not gonna defend smoking but also not gonna defend any other loser behavior regarding drugs.
elif•3h ago
What do you think is the harm of vapor that, for instance, begins it's life at 163 degrees, is filtered for particulates through water, and then cooled by flowing through ice and can be as low as 25 degrees depending only on breath speed?

I'm not saying it's nothing but I'm also not going to pretend it's any worse than, say, living in a wildfire state.

Are you saying that is comparable to a 800 degree ember 4 inches from your mouth?

david-gpu•2h ago
> not gonna defend any other loser behavior regarding drugs

Is that how you feel about drinking coffee and wine as well, or does it only apply to some other drugs? Is it the same for prescription drugs?

zwnow•2h ago
Coffee isn't nearly as self destructive as smoking or marijuana. Moderation is key for everything. Unfortunately the alcoholics I know and the weed addicts aren't the biggest fans of moderation. I lost friends to both so yea. Also I can't make people passively consume coffee. People who smoke weed are often extremely inconsiderate on who they affect with that.
david-gpu•8m ago
In your mind, is every person who drinks an alcoholic? Is every person who consumes cannabis an addict?

I lost my dad to alcohol and tobacco. The biggest cannabis users in college would often (not aleays) drop out of school. So I am not blind to the downsides of these drugs.

However, I also recognize that there are a zillion people out there that drink alcohol or consume cannabis in moderation, and feel no desire to lump them all into a category of "losers", nor treat them with contempt or disrespect. To each their own.

epgui•3h ago
You’re talking about different things. The study and the topic at hand is not addiction or cancer, it’s COPD, emphysema, and lung volume.

Any smoke (anything hot, even steam) will cause lung damage. They’re incredibly fragile organs. (biochemist)

elif•2h ago
I hear you, but coming from someone that spent about 20 years of his life smoking 4-8 joints per day, who quit smoking to use precise equipment to make filtered vapor at roughly ambient air temperature for the last 5 years, and also who just spent 2 years abstaining completely, you are comparing apples and lasagna.
eru•2h ago
> There are neurogenic, anti-tumor, and anti-inflammatory properties and no direct chemical addiction mechanisms as present in nicotine.

Huh? Nicotine ain't addictive either. See https://gwern.net/nicotine for more than you wanted to know.

Just don't smoke. Get your fix (whether nicotine or marijuana) in other ways. Vape or chew gum or use edibles or stick on a nicotine plaster, etc.

johnmaguire•2h ago
Nicotine is absolutely addictive. Ask anyone who uses an e-cigarette. Vape liquids typically do not contain MAOIs yet are quite difficult to get off - less than smoking though, likely due to the longer activation duration.

Nicotine being the addictive part is also why many smokers are successfully able to make the switch to e-cigarettes.

eru•2h ago
Please see the link. Especially this section https://gwern.net/nicotine#addictiveness

Nicotine by itself is at most very lightly addictive.

> Nicotine being the addictive part is also why many smokers are successfully able to make the switch to e-cigarettes.

I don't think we can draw that conclusion. Just because something helps you get over an addiction doesn't mean it's the addictive part.

Compare and contrast the absolute ineffectiveness of nicotine plasters for getting people off their cigarette habit. (Even though they are a great nicotine delivery mechanism otherwise.)

Similarly, I don't think anyone ever got addicted to nicotine plasters.

johnmaguire•2h ago
I did and while I like Gwern's writing, I think in this case it's plain wrong. I say this as a smoker who switched to e-cigarettes for a few years and then quit cold turkey. Switching was easy. The first 72 hours of quitting was a nightmare.

I think it's horrible to tell people nicotine is not addictive. Quitting is very difficult.

A quick Google offers plenty of alternative study results.

I personally know people who were addicted to nicotine patches. One reason they are likely not as addictive as smoking is because they take much longer to reach noticeable concentrations in your bloodstream. Vaping also takes longer than smoking but not nearly as long as patches.

Compare this to oral vs IV drug use.

Edit: I will add that while I do strongly believe nicotine is addictive, I also believe smoking is more addictive and that it is primarily all the other chemicals in tobacco smoke that cause most physical harm to the body.

thinkingemote•2h ago
as a non smoker, I followed Gwern's micro dosing experiments with nicotine. Small 0.5mg 1/2 tablet doses when doing a task I wanted to reinforce.

Then I found myself taking a one or two of these 1mg tablets during the day when driving as I want to increase good habits when driving. Then habitually whenever I felt like it, sometimes with a coffee and a book. They were the weakest mg you could get, and there was no direct feeling of their effect. I did feel increasing anxiety which lead to physical symptoms during this time, but the tablets didn't seem to make any direct effect on the anxiety, I didn't take the nicotine to calm down and I didn't connect the two together (its only now writing this comment that I'm thinking they may be connected)

So it was definitely addicting, however, when the box ran out, stopping seemed to be instantaneous and painless. I did quit because I realised I wasnt using it as I wanted to initially and it was becoming a habit. I do remember a couple of times looking for the tablets, checking to see if there wasn't some in the car. mild. The feeling of anxiety is gone now too.

So I'm not sure if I would say I was addicted, but maybe I was. It was certainly habit forming!

eru•2h ago
When you say 'tablet doses', did you mean you swallowed them?

Nicotine isn't really absorbed well that way. That's also why Gwern's self experiment didn't really work.

In any case, yes, stimulants can cause anxiety in people. (Weirdly, they can also help with anxiety. The brain is weird.)

johnmaguire•2h ago
Nicotine tablets probably refer to lozenges taken sublingually.
kubb•3h ago
Just use a vaporizer and the problem is gone. This one is good:

https://www.storz-bickel.com/en/venty

eru•2h ago
Or use edibles (for marijuana), or gums or plasters (for nicotine). So many better options than setting leaves on fire.
eru•2h ago
Yes. And you can get the mind-altering effects of both marijuana and tobacco without setting them on fire.
eru•2h ago
Eh, they are both fairly harmless on the brain. (At least directly.)

What kills you is the tar in your lungs (and on the way there, like your throat). And you get that from burning stuff in general.

Mc_Big_G•3h ago
I'd like to see smoking compare to vaping natural herb. It seems like the obvious, healthier choice.
eru•2h ago
Well, putting any kind of smoke in your lungs is bad.

The difference between vaping and smoking dwarfs the relative rounding error between tobacco vs marijuana in terms of direct health effects.

(There are indirect health effects, of course. Marijuana is more likely to give you the munchies. Tobacco is more likely to help you with weight loss, if anything.)

SavinMyLungz•2h ago
Tangentially, since moving to edibles to avoid damaging my lungs and hopefully live longer, I've noticed that I don't have cravings for edibles the way I do with smoking flower. Eg, if I smoke one day, then I will feel a craving to smoke for the next week or so. But if I eat edibles one day but not the next, I don't notice any craving.

My hypothesis is that it's similar to cigarettes where the nicotine is much more addictive in combination with MAOIs in the cigarette. I don't know that MAOIs are the culprit here, I haven't looked into it. And this could be idiosyncratic to me, of course.

Just another reason not to smoke. The cannabis industry in my state has perfected gummies and driven the price down to the point it's not much more expensive than smoking, even with my really high tolerance, and the dispensary will deliver them to my house, so I'm all out of excuses.

elif•1h ago
Cannabis addiction is a dopaminergic response so this makes total sense. The delayed response gratification of the edible onset is enough to break the response activation of dopamine behavioral reward.

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3•NotInOurNames•40m ago•0 comments

High-Latitude Stratospheric Aerosol Injection Is Feasible with Existing Aircraft

https://agupubs.onlinelibrary.wiley.com/doi/full/10.1029/2024EF005567
2•PaulHoule•41m ago•0 comments

Remembering to Prompt Yourself – A Reflection on Inner Questions in the Age

https://blog.namar0x0309.com/2025/05/remembering-to-prompt-yourself-a-reflection-on-inner-questions-in-the-age-of-ai/
1•rationalfaith•42m ago•1 comments

Failed Soviet Venus lander Kosmos 482 crashes to Earth after 53 years in orbit

https://www.space.com/space-exploration/launches-spacecraft/failed-soviet-venus-lander-kosmos-482-crashes-to-earth-after-53-years-in-orbit
3•taubek•43m ago•0 comments