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Citing several studies on menthol's adverse effects, acting FDA commissioner Janet Woodcock said outlawing the flavour could "help save lives" and "address health disparities experienced by communities of colour, low-income populations, and LGBTQ+ individuals, all of whom are far more likely to use these tobacco products"

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Natural American Spirit cigarettes typically contain more tobacco filler, resulting in more puffs per cigarette and increased exposure to tobacco chemicals