Electronic Nicotine Delivery Systems (ENDS), including e cigarettes and vapes, are often perceived as a safer alternative to traditional tobacco. But is the evidence really supporting this belief? A recent umbrella review published Vaping could be worse for your health than actual cigarette smoking research claims The Mirror Electronic Cigarettes Induce Mitochondrial DNA Damage and Trigger TLR9 (Toll Like Receptor 9) Mediated Atherosclerosis Arteriosclerosis, Thrombosis, and Vascular Biology Cigarettes or vapes, pick your poison Fred Hutch Vaping creates unique pathway to cancer