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Natural American Spirit cigarettes have been sold in the United States, Canada, Netherlands, Belgium, Luxembourg, United Kingdom, Germany, Switzerland, Austria, Tunisia, Japan, Spain, Italy, France, Greece, Finland and Denmark.

Each pack comes with 10 "cigarettes." Sugar, Corn Syrup, Corn Starch, Tapioca, Gelatin, Artificial Flavors.

Health Risks of Vaping Vaping eliminates combustion but introduces a different set of concerns: Exposure to nicotine Inhalation of aerosolized chemicals Irritation of the lungs and airways Potential inflammation Unknown long-term effects due to the products relative newness Health agencies emphasize that vapes are not harmless especially for youth, non-smokers, and pregnant individuals