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Pivot Breathe is a Breath of Fresh Air

Pivot Breathe, the industry's leading tobacco cessation program, provides members with the behavioral change resources needed to successfully track, reduce, and eventually quit tobacco — for good.

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Pivot Breathe is comprised of three pillars of behavioral change

At the core of Pivot Breathe is a comprehensive, clinically-validated behavioral change platform that's designed to support each individual journey. Members are encouraged to track tobacco use, challenge their long-standing habits with new, healthier behaviors, engage with their coach, and celebrate success at every stage of their journey.

Quitting isn’t a destination, but a journey

Created for any and every stage of quit, Pivot Breathe offers tools designed to help members achieve their goals. By combining technology, human coaching, and behavioral science, Pivot Breathe changes the relationship members have with tobacco by first changing their relationship with quitting.

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Those who smoke combustible cigarettes receive access to the Breath Sensor, NRT, mobile app, coaching, and community.

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Those who vape gain access to the mobile app, a dedicated expert coach, and peer-to-peer community.

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Those who use all other forms of tobacco get access to the mobile app, expert coaching, and peer-based community.

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Tobacco use by the numbers

What percentage of individuals who currently smoke want to quit?


One in ___________ people smoke


What is the #1 cause of preventable illness, death, healthcare costs, and lost work productivity?

Discover the modern day solution to an age-old problem
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How does tobacco impact chronic conditions?

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Diabetes and Tobacco

Those who smoke are more likely to develop type 2 diabetes, and it makes a core component of controlling the condition - managing insulin - exponentially more challenging. Additional comorbidities and diabetic complications can develop as a result. 

Insulin sensitivity improves when one with diabetes or prediabetes quits tobacco, making blood sugar much easier to manage.

Individuals who use tobacco are 30-40% more likely to develop type 2 diabetes
Higher risk
The more cigarettes you smoke, the higher the risk for type 2 diabetes
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Cardiovascular Disease and Tobacco

Tobacco use is casually related to all forms of cardiovascular disease. So much so that even less than 5 cigarettes per day can increase the risk of cardiovascular disease. Those who smoke cigarettes aren’t the only ones affected — secondhand smoke accounts for a 20-30% increased risk of stroke. 

When quitting smoking, the risk of a major coronary event is reduced by more than 50% in as little as 1-3 years. 

<5 cigarettes
Even less than 5 cigarettes per day increases the risk of cardiovascular disease
All forms
Tobacco use is related to all forms of cardiovascular disease
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Musculoskeletal and Tobacco

Tobacco reduces the blood supply to the bones and body tissue. It also decreases calcium absorption, which leads to an increased risk of bone fractures. Tobacco use can also impact tissue health and lead to increased lower back pain, sprains, fractures, and more. 

Quitting tobacco allows the body to regain some normal healthy functions and reverses many musculoskeletal risks.

Reduced blood supply
Tobacco use reduces the blood supply to bones and body tissue
Increased risk
Using tobacco means an increased risk of bone fractures, pain, sprains, and more
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Mental Health and Tobacco

Of those who use tobacco, 35% have a behavioral health-related disorder. Those who vape experience 2X the risk of depression than those who do not. Additionally, tobacco use increases feelings of anxiety and tension. 

Successfully quitting tobacco can reduce depression, anxiety, and stress, while at the same time enhancing one’s mood and quality of life.

Of those who use tobacco, 35% have a behavioral health disorder
Those who vape experience 2X the risk of depression
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Cancer and Tobacco

Tobacco use and cancer are closely related. In fact, tobacco is one of the leading causes of cancer and deaths from cancer. It’s also linked to cancer tumor growth and blocks the body from fighting cancer. 

Once someone successfully quits tobacco, their prognosis improves, and their risk of death is lowered, along with the risk of developing 12 types of cancer.

Tobacco use causes about 20% of all cancers
Tobacco use causes about 30% of all cancer-related deaths
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COPD and Tobacco

Tobacco use causes between 80-90% of all chronic obstructive pulmonary disease (COPD) cases and as many as 8 in 10 COPD-related deaths. The number one treatment for COPD? To stop using tobacco.

Tobacco use causes 80-90% of all COPD cases
8 out of 10
Tobacco use causes eight out of every 10 COPD-related deaths
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Gray circlesIllustration of text messages in an appCommunity module in Pivot appNicotine replacement therapy gum and patchPivot Breath Sensor
3 years

In a recent clinical study, at 3-year follow-up, 33% of participants quit smoking


75% reported the sensor increased their motivation to quit


66% of Pivot Breathe members who weren’t ready to quit upon entering the program were able to do so at the same rate as their ready-to-quit peers

Rethink tobacco cessation forever
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Pivot Breathe is for all

Focused on creating happier, healthier, and more fulfilling lives, Pivot Breathe breaks nicotine addiction with effective behavioral change strategies.

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Pivot Breathe helps members quit tobacco - here's how

Every person who uses tobacco deserves to know the triumph and sense of pride that comes with successfully quitting.

But these changes don't happen overnight. We at Pivot understand this, which is exactly why Pivot Breathe was created - to encourage long-lasting behavioral change at scale.

Watch to learn more.

Real-world success stories

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I no longer smell like a walking ash tray. I can breath again. I am proud of myself for quitting.


Not every day is perfect, but having the app, the access to the CO sensor and NRT gives me the confidence that I can [do] this.


I used to go out behind my shop and smoke on my breaks. Now I just go out there and really take a break.


I'm enjoying being a non-smoker way to[o] much to go back now!


Quitting smoking is hard to do on your own. Having all of that support is so helpful.


My coach was with me whenever I needed her. With Pivot I went from 2 packs a day to zero after 37 years of smoking.


I made a pact with myself that I would quit smoking before I quit the program and it worked!


There is proof in the palm of my hand that smoking affects every breath I take.


A few weeks after quitting I realized that I was actually more relaxed and at ease. It occurred to me that smoking actually intensified my stress levels instead of helping.


Real-world success stories

After trying to quit many, many times, this was easy and I didn't realize I was just not thinking about lighting one up. After my quit date, I began to think of myself as a non-smoker and two weeks later am living as one.


I have told my coworkers, that it's not scary at all, it's very informative and very easy to participate.


It has really helped my ability to concentrate on my job because I’m not always thinking about smoking.


Pivot Breathe Blogs

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Coach Corner
You’re Logging Your Tobacco Use. Now What?
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Pivot Breathe
The Connection Between Diabetes and Smoking
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Pivot Breathe
Pivot Breathe
Does Smoking Impact Musculoskeletal Health?
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Coach Corner
Pivot Breathe
Leveraging the Pivot Breathe Community
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Pivot Breathe Beats Control Program in Year-Long Randomized Controlled Trial
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Offer a Customized Smoking Cessation Program to Your Employees
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Tobacco Surcharge 101
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Pivot Breathe
Pivot Breathe
Smoking and Carbon Monoxide: What Are the Risks?
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Pivot Breathe
Pivot Breathe
7 Ways to Track the Success of Your Smoking Cessation Program
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Health Plans
The Crucial Role of Health Insurance Providers in Supporting Smoking Cessation Programs
View all blogs »