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[14] In response, Robin Sommers, the CEO and majority owner of Santa Fe Natural Tobacco Company, stated that "Native Americans are not a target market for American Spirit", stating that the use of this imagery was due to the company's goal to bring tobacco usage more in line with a perceived "moderation" by Indigenous peoples in the 15th century and that proceeds from sales support Native communities

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This can lead to a person developing low oxygen levels in their blood, as less oxygen is able to pass through the damaged capillaries and into the bloodstream

And compared to never smokers, those who gave up between the ages of 45- 54 had a 47% higher all-cause mortality rate

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