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Over time, these limitations may affect multiple areas of daily life, including the following: Cognitive slowing limits complex problem-solving, planning, and job-related decision-making Memory impairment complicates learning new tasks or following detailed instructions Emotional instability strains family relationships and social interactions Persistent fatigue reduces stamina and limits participation in routine activities Cardiovascular symptoms restrict physical exertion and endurance Sleep disruption and anxiety interfere with rest and recovery These functional limitations often require individuals to change career paths, reduce work hours, or step away from physically or mentally demanding roles

Between 2012 and 2018, 151 municipalities across Massachusetts enacted minimum pricing policies for single and 2-packs of cigars, and subsequently the average price of a single cigar across the state rose from $1.35 in 2014 to $1.64 in 2018, and availability of single cigars decreased from 49% of stores to 21%

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