stand. As the original ruling against the FDA images was not actually reversed, the FDA will again need to go through the process of developing the new warning labels, and the timetable and final product remain unknown. Also, rulings of the 6th Circuit are precedential only in the states comprising the 6th Circuit, i.e., Michigan, Ohio, Kentucky, and Tennessee. In March 2020, the FDA approved a set of 11 new graphic warning labels with images for cigaratte packaging, with a deadline of compliance being set to June 18, 2021. The mandate would have required packaging to cover the top 50% of the front and rear panels of packages, as well as at least 20% of the top. Tobacco manufacturers R.J. Reynolds Tobacco Co., Philip Morris USA, ITG Brands LLC and Liggett Group LLC filed a joint motion requesting a preliminary injunction on implementing the labels and a ruling to prohibit enforcement in April 2020. They argued that the new packaging would have been a violation of the First Amendment. In December 2022, U.S. district judge J. Campbell Barker of the Eastern District of Texas ordered the new guidelines to be vacated, arguing the multiple interpretation of images cannot prove neutrality. The deadline was pushed to November 6, 2023. Cigars SURGEON GENERAL WARNING: Cigar Smoking Can Cause Cancers of the Mouth And Throat, Even If You Do Not Inhale. SURGEON GENERAL WARNING: Cigars Are Not A Safe Alternative To Cigarettes. SURGEON GENERAL WARNING: Tobacco Smoke Increases The Risk of Lung Cancer And Heart Disease, Even in Nonsmokers. SURGEON GENERAL WARNING: Cigar Smoking Can Cause Lung Cancer And Heart Disease. SURGEON GENERAL WARNING: Tobacco Use Increases The Risk of Infertility, Stillbirth, And Low Birth Weight. SURGEON GENERAL WARNING: This Product Contains/Produces Chemicals Known to the State of California To Cause Cancer, And Birth Defects Or Other Reproductive Harm. Stronger warning labels started to appear in May 2010. Smokeless tobacco Effective June 2010, the following labels began to appear on smokeless tobacco products (also known as chewing tobacco) and their advertisements. WARNING: This product can cause mouth cancer. WARNING: This product can cause gum disease and tooth loss. WARNING: This product is not a safe alternative to cigarettes. WARNING: Smokeless tobacco is addictive. The new warnings are required to comprise 30 percent of two principal display panels on the packaging; on advertisements, the health warnings must constitute 20 percent of the total area.