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Marlboro now controls roughly 40.5% of the total US cigarette category and close to 59.4% of the premium segment, according to Altrias 2025 reporting

What may be particularly insidious about Natural American Spirit is the combined effect of marketing terms that imply harm reduction with imagery that coopts American Indian cultural references

Tobacco control experts say the difference between filtered and unfiltered cigarettes may be somewhat overstated, and that the findings add to the evidence that smoking cigarettes of any type including those marketed as safer is unhealthy.

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