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Galayn-Sidorczuk M, Brzska MM, Moniuszko-Jakoniuk J (2008) Estimation of Polish cigarettes contamination with cadmium and lead, and exposure to these metals via smoking

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Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies

Furthermore, research indicates that American Spirit cigarettes contain similar or higher levels of carcinogenic nitrosamines and other harmful substances compared to other commercial brands