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Cigarettes like American Spirit Yellow: Marlboro Gold provides a similarly balanced, medium-bodied smoking experience

49 Harm Reduction and Tobacco Cessation Efficacy of ENDS use for smoking cessation has insufficient evidence due to a limited number of studies, small sample sizes and findings limited to short-term results

[218] A law passed in the Maldives in 2025, as a second amendment to the 2010 Tobacco Control Act

Such as when interviewed in 1997, a group of Natural American Spirit cigarette smokers stated that they were drawn to the brand, partly because the small company that then manufactured them cares more about its customers

Inhaling the smell can cause health effects, particularly for those who are pregnant, young, or elderly