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The American Spirit brand is promoted as a natural and additive-free alternative to traditional cigarette tobacco, with the company emphasizing the use of organic and additive-free tobacco.

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They analyzed some of these toxic components, ran a mutagenicity test on smoke condensates, and compared the results to the corresponding values of a standard cigarette with the same tar content, which when measured was higher than that stated on the package

A major reason for the decline is that cigarette smoking has plummeted among young adults, who typically had been the most likely age group to smoke