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Natural American Spirit cigarettes typically contain more tobacco filler, resulting in more puffs per cigarette and increased exposure to tobacco chemicals

Menthol cigarettes are slowing the reductions in overall cigarette smoking rates

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[26] [27] [28] Peer-reviewed studies have quantified microfiber shedding from cigarette filters in water over time, reporting average releases of ~5.7892.43 microfiber items per gram of filter after 160 days, and estimating that cigarette filters may release tens of trillions of microfibers annually into aquatic environments