4)) Add a comma or semicolon if needed. Otherwise, submit the text without any additional punctuation. ()) Since the Maya of Central America began eating a Western diet high in sugar in the 1950s their rate of diabetes has surged.

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Since the Maya of Central America began eating a Western diet high in sugar in the 1950s, their rate of diabetes has surged.

4)) Add a comma or semicolon if needed. Otherwise, submit the text without any additional punctuation. ()) Since the Maya of Central America began eating a Western diet high in sugar in the 1950s their rate of diabetes has surged.

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4)) Add a comma or semicolon if needed. Otherwise, submit the text without any additional punctuation. ()) Since the Maya of Central America began eating a Western diet high in sugar in the 1950s their rate of diabetes has surged.

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