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This biological link is supported by common underlying pathways, such as hepatic and systemic insulin resistance, atherogenic lipid profiles, hypertension, and increased expression of pro-atherogenic, pro-coagulant, and pro-inflammatory factors [75]

For example: In 2018, an employer agreed to reimburse its employees $145,635 for tobacco surcharges after a DOL investigation found that the employer did not provide a reasonable alternative standard for avoiding the surcharge

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Tobacco Retailer Resources The Connecticut Department of Mental Health and Addiction Services' (DMHAS) Tobacco Prevention and Enforcement Program (TPEP) and Connecticut Clearinghouse have developed resources and materials to help retailers follow state and federal Tobacco 21 laws