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also used to make things like antifreeze, paint solvent, and artificial smoke in fog machines Carcinogens- chemicals known to cause cancer, including acetaldehyde and formaldehyde Acrolein a herbicide primarily used to kill weeds, can cause irreversible lung damage Diacetyl a chemical linked to a lung disease called bronchiolitis obliterans aka "popcorn lung" Diethylene glycol a toxic chemical used in antifreeze that is linked to lung disease Heavy metals such as nickel, tin, lead Cadmium a toxic metal found in traditional cigarettes that causes breathing problems and disease Benzene a volatile organic compound (VOC) found in car exhaust Ultrafine particles that can be inhaled deep into the lungs The CDC - Know the risks: Teens Health: Page last updated: June 2, 2026

Besides functional alterations, cigarette smoke causes important structural alterations to the respiratory epithelium

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Amazonian shamans often surround themselves and their ceremonial space with Mapacho smoke to create a shield against negative forces