The research

What the science says

Peer-reviewed research behind every choice in Harb: what we left out, why the ritual matters, and what vaping does to your body.

32 peer-reviewed sources
40+ years of research on the ritual
0 mg nicotine in every core
No coil 2018

Metal Concentrations in e-Cigarette Liquid and Aerosol Samples: The Contribution of Metallic Coils

Environmental Health Perspectives

Johns Hopkins tested devices from 56 daily vapers. Lead, nickel, chromium and manganese rose once the liquid touched the heating coil, and almost half of aerosol samples exceeded the EPA health-based limit for lead. Harb has no coil.

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No heat 2015

Hidden Formaldehyde in E-Cigarette Aerosols

New England Journal of Medicine

When e-liquid was heated at high voltage, it formed formaldehyde-releasing compounds. The carcinogen is created by the heat itself. Nothing in Harb gets warm.

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No heat 2014

Carbonyl Compounds in Electronic Cigarette Vapors: Effects of Nicotine Solvent and Battery Output Voltage

Nicotine & Tobacco Research

Raising battery voltage from 3.2 to 4.8 V increased formaldehyde, acetaldehyde and acetone in vapour anywhere from 4 to over 200 times. Heat turns ordinary solvents into toxicants.

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No PG / VG 2016

Emissions from Electronic Cigarettes: Key Parameters Affecting the Release of Harmful Chemicals

Environmental Science & Technology

Berkeley Lab identified 31 harmful compounds in vapour, including two probable carcinogens, formed when propylene glycol and glycerin break down on a hot coil. Harb uses neither.

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No aerosol 2014

Levels of Selected Carcinogens and Toxicants in Vapour from Electronic Cigarettes

Tobacco Control

Vapour from 12 e-cigarette brands contained formaldehyde, acetaldehyde, acrolein, nitrosamines and metals. Lower than cigarette smoke, but not zero.

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No diacetyl 2016

Flavoring Chemicals in E-Cigarettes: Diacetyl, 2,3-Pentanedione, and Acetoin in a Sample of 51 Products

Environmental Health Perspectives

Harvard found diacetyl, the flavouring linked to popcorn lung, in 39 of 51 sweet and fruity e-liquids. At least one of three related chemicals turned up in 47 of 51.

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No additives 2020

Vitamin E Acetate in Bronchoalveolar-Lavage Fluid Associated with EVALI

New England Journal of Medicine

Vitamin E acetate was found in the lung fluid of 48 of 51 patients with vaping lung injury across 16 states, and in none of 99 healthy people. Most cases involved THC vapes.

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No aerosol 2018

E-Cigarette Use Causes a Unique Innate Immune Response in the Lung

American Journal of Respiratory and Critical Care Medicine

Sputum from regular vapers showed raised markers of neutrophil activation and altered mucus secretion. Some changes matched smokers, others were unique to vaping.

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No nicotine 2015

Randomized Trial of Reduced-Nicotine Standards for Cigarettes

New England Journal of Medicine

840 smokers over six weeks: those given very-low-nicotine cigarettes smoked fewer per day and showed lower nicotine dependence. Take the nicotine out and the pull weakens.

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No nicotine 2010

Nicotine Addiction

New England Journal of Medicine

Landmark review of how nicotine acts on the brain's reward pathways to create dependence and withdrawal. Every Harb core contains 0 mg.

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Clinical trial 2011

Effect of a Nicotine-Free Inhalator as Part of a Smoking-Cessation Programme

European Respiratory Journal

Randomised trial of 120 smokers. Overall quit rates were similar, but among smokers with strong hand-to-mouth habits, 66.7% of those given a nicotine-free inhalator quit, versus 19.2% without one.

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Lab study 2019

Pleasant Olfactory Cues Can Reduce Cigarette Craving

Journal of Abnormal Psychology

232 smokers at peak craving. Sniffing a pleasant scent cut urges by 19.3 points on a 100-point scale, versus 11.2 with no scent.

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Clinical trial 1994

Inhalation of Vapor from Black Pepper Extract Reduces Smoking Withdrawal Symptoms

Drug and Alcohol Dependence

48 smokers after overnight abstinence. Drawing on black pepper vapour reduced craving compared with menthol or an empty inhaler, and eased anxiety symptoms.

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Clinical trial 1995

Airway Sensory Replacement Combined with Nicotine Replacement for Smoking Cessation

Chest

Double-blind trial of 100 smokers on nicotine patches. Adding an inhaler that recreates the throat sensation lifted 10-week abstinence to 19.5%, versus 6.8% on placebo.

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Clinical trial 1993

Clinical Evaluation of a Citric Acid Inhaler for Smoking Cessation

Drug and Alcohol Dependence

74 smokers used a throat-sensation inhaler whenever an urge hit. It eased craving and low mood, and improved abstinence among heavier smokers.

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Throat hit 1990

Development of a Citric Acid Aerosol as a Smoking Cessation Aid

Drug and Alcohol Dependence

How satisfying smokers found a nicotine-free aerosol was highly correlated with how strong its throat sensation was. The catch in the throat is part of the reward.

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Throat hit 1985

Sensory Blockade of Smoking Satisfaction

Pharmacology Biochemistry and Behavior

With the airway numbed by a local anaesthetic, smoke stopped relieving craving in the moment. The throat sensation itself delivers the immediate relief.

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Lab study 2000

Dissociating Nicotine and Nonnicotine Components of Cigarette Smoking

Pharmacology Biochemistry and Behavior

Nicotine-free cigarettes reduced craving and were rated satisfying. Nicotine given by IV, without the ritual, gave no satisfaction at all.

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Lab study 2005

Tobacco Abstinence Symptom Suppression: The Role Played by Smoking-Related Stimuli Delivered by Denicotinized Cigarettes

Addiction

Nicotine-free cigarettes, all ritual and no drug, suppressed several withdrawal symptoms including urges to smoke.

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Pilot trial 2022

The Effects of Black Pepper and Angelica Oil on Nicotine Craving of Students: A Randomized Controlled Pilot Trial

Journal of Substance Use

58 students randomised to black pepper oil, angelica oil or a sunflower-oil placebo. Craving scores fell after inhaling either plant oil.

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Pilot study 2013

The Effects of Aromatherapy on Nicotine Craving on a U.S. Campus

Journal of Alternative and Complementary Medicine

Small campus comparison study: smokers who inhaled black pepper or angelica oil when a craving hit reported lower craving afterwards.

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Mechanism 2002

Identification of a Cold Receptor Reveals a General Role for TRP Channels in Thermosensation

Nature

Identified TRPM8, the receptor menthol switches on. It is why mint feels icy in the throat, and how a plant can deliver a catch without nicotine.

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Mechanism 2004

Noxious Cold Ion Channel TRPA1 Is Activated by Pungent Compounds and Bradykinin

Neuron

Showed that cinnamon's cinnamaldehyde and other pungent plant compounds activate TRPA1, the receptor behind a warm, prickly bite.

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Review 2026

The Carcinogenicity of E-Cigarettes: A Qualitative Risk Assessment

Carcinogenesis

Australian review of 116 papers across human, animal and cell studies. Conclusion: nicotine e-cigarettes are likely to cause lung and oral cancer in people who use them.

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Cohort study 2022

Association of Electronic Cigarette Use with Respiratory Symptom Development among U.S. Young Adults

American Journal of Respiratory and Critical Care Medicine

Young adults aged 18 to 24 who vaped had 51% higher odds of developing wheezing and 32% higher odds of any respiratory symptom, independent of cigarette smoking.

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Cohort study 2020

Association of E-Cigarette Use with Respiratory Disease among Adults: A Longitudinal Analysis

American Journal of Preventive Medicine

National longitudinal data: vaping was linked to higher odds of later COPD, chronic bronchitis, emphysema or asthma, even after accounting for smoking.

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Animal study 2019

Electronic-Cigarette Smoke Induces Lung Adenocarcinoma and Bladder Urothelial Hyperplasia in Mice

PNAS

After 54 weeks of nicotine vapour, 9 of 40 mice (22.5%) developed lung adenocarcinomas. None of the 20 mice given nicotine-free vapour did.

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Review 2019

What Are the Respiratory Effects of E-Cigarettes?

BMJ

Review of human, animal and cell research: vaping causes measurable harm to airway cells and lung defences, and removing combustion alone does not make a product safe.

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Expert report 2018

Public Health Consequences of E-Cigarettes

National Academies of Sciences, Engineering, and Medicine

The US National Academies found conclusive evidence that e-cigarettes emit potentially toxic substances, and substantial evidence that using them leads to nicotine dependence.

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Clinical study 2017

Increased Cardiac Sympathetic Activity and Oxidative Stress in Habitual Electronic Cigarette Users

JAMA Cardiology

Habitual vapers showed heart-rate patterns of heightened sympathetic (stress) activity and more oxidative stress than non-users, both markers tied to cardiovascular risk.

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Outbreak report 2020

Hospitalizations and Deaths Associated with EVALI

New England Journal of Medicine

CDC analysis of the 2019 to 2020 vaping lung-injury outbreak: more than 2,500 people hospitalised and dozens of deaths, many of them young adults.

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Case series 2020

Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin: Final Report

New England Journal of Medicine

Detailed report of previously healthy young people hospitalised with severe lung injury after vaping. Many needed intensive care.

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These studies cover the mechanisms and ingredients Harb is built around, and the ones it leaves out. They are not trials of Harb itself.