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JAMA 2021;325:26579

The complaint seeks damages on behalf of Sproule and others who smoke American Spirits because they have been deceived by claims, labels and advertising into regarding them as safer than other cigarettes. Descriptions such as additive-free, natural and organic, the lawsuit says, are patently deceptive, especially in todays market, where these terms have a potent meaning for the health-and-environmentally-conscious consumer. The company also exploits its marketing message in other ways, the complaint says, by selling its cigarettes in health food stores

In fact, a pack of cigarettes includes a warning label that says smoking can increase irritability, impatience, hostility, anxiety, depression, difficulty concentrating, restlessness, decreased heart rate, appetite or weight gain

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