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If you have a lung problem like chronic obstructive pulmonary disease (COPD) (more common in older adults), you may have fewer reserves to help you fight off VAPI, too, Smith notes

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That the majority of American Spirits users believed these cigarettes were less harmful in spite of disclaimers that state No additives does NOT mean a safer cigarette confirms the findings of focus groups that suggest that these disclaimers are not sufficient to eliminate harm misconceptions