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And it accompanies its cigarettes with literature from Americas leading natural foods teacher who claims that the cigarettes are medicinal and that Native Americans smoke such additive free cigarettes without developing cancer. Santa Fe Natural Tobacco has been using the terms natural and additive-free to market American Spirit cigarettes since the company was founded more than three decades ago

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It was also noted that the subjects smoked additive-free cigarettes and bidis differently than their regular cigarette brand: the subjects took more puffs and smoked longer with American Spirit cigarettes and Sher bidis than their regular cigarettes