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Philip Morris Internationals IQOS heated tobacco system recorded 28% global shipment growth in 2025, converting 7 million traditional smokers across 70 markets

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Natural American Spirit prints warnings about its products like all other cigarette companies, and in January of last year, the company reached an agreement with the Food and Drug Administration that requires the brand to stop using the terms additive-free and natural in its advertising

The authors, who are staff members at Swedish Match, found only a few harmful constituents, and they were at low levels