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Anecdotal reports suggest sleep improvements may occur within days, but systemic cellular changes (like telomere maintenance) would theoretically require months or years of cyclic use, and even then, they are not outwardly felt

A hospital that receives a 35 percent reduction in a civil monetary penalty under this paragraph is not eligible to receive a 35 percent reduction for any subsequent civil monetary penalties imposed pursuant to continuing violations according to 180.90(f) and also waives its right to appeal under 180.100 any subsequent civil monetary penalties imposed for such continuing violations

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