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Carcinogens Found in Herbal Cigarette Smoke Studies have found that herbal cigarette smoke contains: Polycyclic aromatic hydrocarbons (PAHs) Nitrosamines Tar Carbon monoxide Benzene Acetaldehyde Formaldehyde These chemicals are well-known contributors to: Lung cancer Throat cancer Oral cancer Esophageal cancer Heart disease Chronic respiratory issues The Ultimate Truth Herbal cigarettes are not a safe alternative