Cigarettes with ultralow nicotine levels are now being called the game-changer in the fight against smoking. If you are having trouble in quitting smoking, then, it is for you, that soon the Biden White House is expected to formally propose a plan that will order cigarette nicotine levels to be reduced, reports The Washington Post. For now though, it has been a failure, as these cigarettes, also known as VLN cigarettes that stands for very low nicotine are only available in 5,100 stores in 26 states. This is a very small fraction of the overall market for cigarettes. The company that makes it, 22nd Century, is struggling not because of the low supply, but also from the advocates who have long believed slashing nicotine levels altogether.
Nicotine is a chemical that is produced naturally from tobacco that makes the cigarette and also keeps people hooked. While it is believed that it makes people alert, and get the "hit" to keep them going, it exposes the users to harmful substances, carcinogens, and increases the risk of heart disease, lung cancer, and other illness.
Ultralow-nicotine cigarettes, like the VLN brand, contain about 95% less nicotine than the regular cigarettes. The idea is quite simple: without the addictive grip of nicotine, smokers will find it easier to quit. Research too has shown some promise. For instance, the studies funded by the National Institute on Drug Abuse revealed that very low nicotine cigarettes reduced addiction potential significantly without having users to increase their smoking frequency. However, the problem is, why would anyone choose for a low-nicotine that does not make them feel the same way, when the high-nicotine cigarette is right next to it, making them feel the same way, with the same alertness, sold at the same price.
“It’s very hard to imagine someone actively choosing to continue to use a low-nicotine product for the same price when a high-nicotine product is right next to it,” said Eric Donny, a Wake Forest University School of Medicine nicotine researcher.
No wonder, the experiment with low nicotine product by Philip Morris' Next cigarettes in the 1980s and Vector Tobacco's Quest brand in the early 2000s, flopped.
The Food and Drug Administration (FDA) has supported the development of such products, even allowing VLN cigarettes to be marketed as lower-risk options. However, these products remain a niche market, available in only a fraction of U.S. stores.
Recently, the Biden administration has considered a bold step—mandating a dramatic reduction in nicotine levels for all cigarettes sold in the United States. Supporters believe this move could save millions of lives, while critics, including tobacco companies, warn of potential unintended consequences.
Resistance from Big Tobacco Companies: They could argue that slashing nicotine levels could backfire. Their claim is, smokers will turn to black markets or smoke more to satisfy their cravings, which may lead to greater exposure to harmful substances.
Consumer Reluctance: History is proof to the instances of smokers being hesitant to embrace the low-nicotine products.
Political Hurdle: It may face political roadblocks, as under the Trump administration, plans to cut nicotine were shelved.
Advocates believe that ultralow-nicotine cigarettes could be a game-changer, comparing them to decaf coffee or non-alcoholic beer—products that reduce harm while offering a similar experience.
Some experts warn that a black market for traditional cigarettes could undermine these efforts. They also stress the need for safer alternatives, such as vaping products, to support smokers transitioning away from traditional cigarettes.
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Trump Using Walker: A photograph circulating widely online shows President Donald Trump moving through the White House with the help of a walker. The image has been reposted across social platforms, driven by growing public interest in the president’s health.
Many users sharing it claim the picture was taken shortly after Trump “signed the executive order banning states from regulating AI.” The viral post comes at a time when the president’s health has been under sharp public attention, especially after reports that he recently underwent an MRI. This has raised the question: Did President Trump actually rely on a walker, or is the image artificially created?
The picture in question shows Trump standing in a White House hallway, looking upward and appearing to support himself with a walker. The details, however, do not match reality. Another version of the same image has been shared online with the walker appearing in gold. No major news organisation or official White House photographer has released or confirmed the picture. All available signs point to the photo being edited or made with AI tools.
Several users also spread the image alongside claims that it was taken after he approved an executive order on artificial intelligence. Different versions of the post show the walker in various colours, including gold. These posts have drawn significant engagement, especially as online speculation about Trump’s health has become more frequent over recent months, often fuelled by exaggerated or misleading narratives.
Grok, the fact-checking tool, also reviewed the claims and stated, “The image appears to be digitally altered or AI-generated. No credible news reports confirm Trump using a walker in December 2025, though the executive order on AI regulation is real.”
President Donald Trump has said he recently achieved a perfect score on a third cognitive test as he works to push back against doubts about his age and sharpness. In a post on social media on Tuesday night, he wrote that, along with a set of “long, thorough, and very boring Medical Examinations,” he had taken a cognitive assessment “on three separate occasions, the last one being recently.”
“I ACED all three of them in front of large numbers of doctors and experts, most of whom I do not know,” Trump wrote. “I have been told that few people have been able to ‘ace’ this Examination and, in fact, most do very poorly, which is why many other Presidents have decided not to take it at all.”
Trump, who is 79, said he was sharing this information after what he called inaccurate reporting in The New York Times, which noted his official schedule has appeared lighter than in his first term, and pointed to moments where he closed his eyes for extended periods during meetings.
As previously reported by Health and Me, President Trump has been dealing with a few medical concerns. The White House recently announced that he underwent an MRI as part of his yearly medical evaluation, which Trump described as “standard,” though he acknowledged he was not entirely sure what the doctors were assessing, according to USA Today.
Earlier this year, officials also disclosed that Trump had been diagnosed with a common vein issue that is usually manageable with treatment, after he was observed with swelling around his ankles. Despite these developments, the 79-year-old president continues to insist that his overall health remains strong.
Credits: AP
President Trump posted on his Truth Social platform that the media reports on his physical conditions were "seditious, perhaps even treasonous". He called these reports "fake", and said that "They are true Enemies of the People, and we should do something about it."
He was referring to the media reports by The New York Times and other media platforms that have time and again questioned the "perfectly fit" state of the President. The NYT in response said that it would not be deterred by "false and inflammatory language" that distorts the role of a free press.
Also Read: Inside The 'Flu-Nami' Surge: Why 2025 Is the Worst Flu Year For UK
While the 79-year-old president with an "excellent health" record did not specify which report he was referring to, the newspaper had posted a few handful of reports in recent week. In a November 25 story, 'Shorter Days, Signs of Fatigue: Trump Faces Realities of Aging In Office', reporters noted that Trump's public and travel schedules were now less than how it used to be.
The report also noted that during an Oval Office event on November 6, while other executives talked about weight-loss drugs, President Trump sat behind his desk for about 20 minutes and at one point, his eyelids drooped until his eyes were almost closed. The report notes: "He appeared to doze on and off for several seconds. At another point, he opened his eyes and looked toward a line of journalists watching him. He stood up only after a guest who was standing near him fainted and collapsed."
Another story from December 2 accompanied the video where he "appeared to be fighting sleep" during a cabinet meeting.
A story from December 8 'Trump's Approval Ratings Have Declined. So Has His Vigor', columnist Frank Bruni wrote that Americans "might wat to brace ourselves for some presidential deja vu. He is starting to give President Joe Biden vibes." The comparison with Biden comes from the debate with Trump that raised doubts about the then-President's fitness to run the office.
Despite these reports, Trump says that he is history's hardest-working president with a lengthy list of accomplishments, reported AP. He also said that he went out of his way to get a "long, thorough, and very boring" medical examination, which also included three cognitive tests, which, according to him, he "ACED".
“The New York Times, and some others, like to pretend that I am ‘slowing up,’ and maybe not as sharp as I once was, or am in poor physical health, knowing that it is not true,” the President said.
This is not the first time that health of an American President is being discussed. From a long time, this debate has been a delicate one, and there have been cases of the White House and the press covering it. The instances are Gorver Cleveland's secret tumor surgery, Woodrow Wilson's debilitating stroke, Franklin D Roosevelt's polio, Dwight D Eisenhower's heart attack, and also President Trump questioning cognitive fitness of former President Biden.
Trump has already a $15 billion defamation lawsuit against Times. He is also involved in legal cases with The Associated Press and CBS News, among others, reported AP.
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Flu-Nami hits the UK winters and the National Health Services (NHS) is bracing it as the healthcare system struggles with overwhelming cases. This is a severe "super flu" that has surged across the UK, leading to hospitalization in England in its early-winter levels. NHS leaders have warned for a "worst case scenario" in December.
General practitioner and health communicator, Dr Rob Hicks writes in Medscape that an average of 2660 patients per day were in an NHS hospital bed last week for flu. This is the "highest ever recorded for early December and a 55% increase on the previous week".
When compared to last year, there were 1861 patients on hospital beds with flu, and in 2023, it was only 402.
Also Read: President Trump Says Media Reports On His Health Are All 'Fake, Seditious, Treasonous'
Since the pandemic, flu numbers have peaked at 5408 patients last winter and 5441 between 2022 to 2023. In fact, NHS national medical director Professor Meghna Pandit also said an "unprecedented wave of super flu" meant staff was being "pushed to the limit". She said that with hospitalizations continuing to rise, "the peak is not in sight yet"
“The NHS is in the thick of a storm come early. Flu is hitting hard, and shows no sign of abating,” warned NHS Provider chief executive Daniel Elkeles.

The NHS record of over 2000 beds being occupied by flu patients is what referred to as a 'flu-nami'. A dig at the word tsunami, to explain the wave of flu patients in early winters. All thanks to the mutated flu virus or the subclade K of the "drifted flu H3N2 strain".
This puts Christmas is danger, as the holidays are not far off and in people being gathered, the virus, which is already more contagious in nature, could spread more easily. The respiratory syncytial virus (RSV) mainly affects babies and elderly people. Along with that COVID is already causing problems. Pandit warns that these two could "engulf hospitals".
Also Read: China Reversed Its Air Pollution Problems; What Lessons Can Delhi Learn?
On top of that, thousands of resident doctors in England are also out on strike next week. The British Medical Association has called for strikes over pay and working conditions of the doctors since 2023. It argued that resident doctors' pay is 20% lower in real terms than it was in 2008, even after the 2025 increases.
New figures from the UKHSA show that flu vaccine uptake among people at higher risk is alarmingly low. By 7 December, only 37.4% of under-65s with one or more long-term conditions had received their shot.
The numbers are even lower for some groups. Only 35.6 percent of pregnant women had been vaccinated. Among young children, just 41.5 percent of two-year-olds and 42.3 percent of three-year-olds had received the jab.
The one group doing better is adults over 65, where uptake has reached 71.7 percent.
Doctors are urging people to take every possible step to avoid catching or spreading flu. Ed Hutchinson, professor of molecular and cellular virology at Glasgow University, said that simple measures like masking, social distancing and working from home can make a big difference to how fast influenza spreads.
Shereen Hussein, professor of health policy at the London School of Hygiene & Tropical Medicine, encouraged people to look out for older relatives and neighbors and help them get vaccinated.
“This Christmas, safe connection should be the priority when visiting people. Short but frequent visits, good ventilation, wearing a mask if you have mild symptoms or have recently been unwell, and switching to phone or video calls if an in-person visit isn’t safe,” Hussein said.
Watson from the UKHSA also repeated the agency’s guidance that anyone with symptoms who needs to go out should consider wearing a face covering.
There have been reports of some pharmacies running short of flu vaccines, but pharmacy groups say these are only isolated cases and that overall supply remains strong.
Separate NHS England data released on Thursday showed that the waiting list for planned hospital care rose again in October, climbing slightly to 7.4 million treatments from 7.39 million in September.
Dr Vicky Price, president of the Society for Acute Medicine, said the latest performance figures paint a familiar picture of a health system under constant pressure.
“While the ongoing flu-nami is being blamed for most of the crisis, it has become a convenient excuse. The reality is that the situation comes from years of shrinking capacity and chronic workforce shortages,” she said.
Health secretary Wes Streeting added that hospitals are facing “a tidal wave of flu tearing through our wards.”
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