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Hypertension 40:511515

Any plant material burned at high temperature releases carbon monoxide (CO), fine particulate matter (PM2.5), polycyclic aromatic hydrocarbons (PAHs), and volatile organic compounds (VOCs).1 A comprehensive review published in Foods (2022) confirmed that herbal cigarettes produce tar and carcinogens at levels comparable to conventional tobacco, despite the absence of nicotine.2 The key combustion byproducts present in all herbal smoke include carbon monoxide, which binds hemoglobin and reduces oxygen delivery to tissues