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The act of burning tobacco at high temperatures (over 900C in the tip) causes a complex series of chemical reactions, synthesising a multitude of new toxicants from the original components

[2] Centers for Disease Control and Prevention (CDC)

Laboratory analysis of such blends for smoke chemistry and toxicology publications describe how such blends also contain measurable amounts of tar. Research-focused reviews note that tar output depends on multiple physical factors , including the density of the botanical mix, moisture level, airflow through the roll, and the porosity of the paper used

They work by giving you nicotine without the use of tobacco