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Download the factsheet: Text version of the factsheet Text Version of the Factsheet Health Risks of Secondhand Smoke and Aerosols Factsheet Smoking tobacco and marijuana and vaping with e-cigarettes and other devices can release harmful chemicals into the air

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Daily energy expenditure is determined by resting metabolic rate, physical activity and the thermic effects of food

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

The pleasant aroma creates a false sense of safety while the health risks remain unchanged