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However, this study clearly demonstrates that there are no major differences between Natural American Spirit and other brands that could be attributed to natural or organic qualities. While some of the misleading descriptors that have been used in advertisements of Natural American Spirit cigarettes are no longer permitted, the use of words such as organic and tobacco and water, along with the Natural in the name of the brand is still misleading, says Stepanov

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In the United States, the standard cigarette pack contains 20 cigarettes