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E-cigarettes are highly addictive, and the use of e-cigarettes among young people raises concerns about a potential progression to combustible cigarettes, as regular cigarettes also contain nicotine

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Most shocking are the consumer quotes provided in this document: The document explains that imagery reassures consumers about their choice to smoke, with evidence from the following quote from a consumers letter: Since using American Spirit cigarettesmy husband sees that his desire to smoke is as old and natural as humanity itself. Finally, even though the company itself is not owned or operated by Native Americans in any way, the document confirms that Natural American Spirit imagery also creates ties to American Indians, as a consumer is quoted as saying, incorrectly, I think its made by a Native American Company

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