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"Pulmonary Effects of Herbal Cigarette Smoking." Annals of the American Thoracic Society , 2019 (conference abstract)

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They are made and flavoured with other natural ingredients such as fruit juices and honey. Honeyrose Herbal Cigarettes have been used successfully for more than 40 years and in 15 countries worldwide, and clinical trials have shown that smoking them has no adverse effect on heart rate or blood pressure

And people also use the devices in different ways

There isnt nearly as much money to be made in tobacco as there once was, but holding steadfast to the tradition is something my family values