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Moreover, e-cigarettes offer the psychological and sociocultural aspects of cigarette smoking that traditional NRT does not, which places e-cigarettes in a unique position as a more desirable combustible cigarette substitute.[24] However, the limited data available thus far suggest that e-cigarettes have either no effect or a net detrimental effect on harm reduction at the population level

Hence, they have implemented some changes to their cigarettes over the past few decades, making sure they become less harmful to cigarette users

3 Son Y, Giovenco DP, Delnevo C, Khlystov A, Samburova V, Meng Q

Research also indicates that American Spirit cigarettes contain similar or higher levels of carcinogenic nitrosamines and other harmful substances compared to other commercial brands