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For further background, we refer readers to our discussions in previous rulemaking, where CMS explains the rationale for this policy (88 FR 78871-78878)

Each pack ensures the consistent quality and rich flavor American Spirit is known for, appealing to smokers seeking a pure tobacco experience

This blend combines the finest Virginia tobaccos with a generous portion of Latakia, resulting in a flavor profile that is smoky, robust, and deeply satisfying

[1] Its Gotham 1400 and Omerta products are manufactured and distributed by Santa Clara, Inc

In contrast, EC use did not alter lung microbiota compared to never-smokers

A single-center retrospective study in China found a reduction in all-cause mortality in patients with COPD who quit smoking compared with those who continued smoking