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Smoking is also associated with adverse effects on serum lipids 9,10 , insulin resistance 11 , and activation of the sympathetic nervous system 12

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Archived from the original on January 21, 2012

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Throughout the years, marketing and advertising claims by the defendants regarding its product have included natural, additive free, 100% additive free, organic, unadulterated tobacco product, certified organic tobacco, and 100% natural. While the companies would never acknowledge why they use these terms and make these claims in advertising, the intention is obvious: to give consumers the impression that Natural American Spirit cigarettes pose fewer health risks than the regular cigarette