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Cultivation of a commercialised tobacco crop paved the way for the proliferation of manufactured tobacco.10 At the same time, the extermination and assimilation policies of the US federal government during the 19th and 20th centuries further marginalised cultural practices for Native people.11 12 Using traditional tobacco was forbidden by the US government until 1978 when the American Indian Religious Freedom Act extended protections to preserve for American Indians their inherent right to freedom to believe, express, and exercise the traditional religions.13 Despite these challenges and the high prevalence of commercial tobacco use among American Indians relative to the general population,14 traditional tobacco continues to play a central role in the life of many Native people, and efforts to address commercial tobaccos harms should acknowledge the history and value of traditional tobacco.8 The tobacco industrys influence in shaping tobacco disparities among racial and ethnic minority populations is well documented.15 Marketing strategically targets consumers values, attitudes and beliefs,16 17 and tobacco advertising and promotions are directly linked to increased tobacco initiation and consumption.18 Prior research has also documented the use of cultural attributes and ethnic identities to market tobacco products and create brand identity.19 For example, tobacco industry documents detail how R.J

Another important point to consider is that the flavors dampen somewhat when you've had around 150 puffs, sometimes leaving you yearning for a new cartridge to get the flavor back before youve even worked through it

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It is hard to demonize something that means you little or no harm