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This is sometimes referred to as casual smuggling, because individuals are evading taxes only on cigarettes for their own personal consumption.[32] The authors find that nationwide about 4% of non-Native American cigarette smokers report buying from Native American reservations

This has sparked pushback from the industry, with manufacturers launching court cases to challenge its decisions, some of which were successful

Six months out, between 15% and 19% had stopped smoking, the study found

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As a result, smokers often experience shortness of breath, reduced stamina, and decreased athletic performance