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Fertility isuues, definitely weight loss too!
Explanation:
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There were many such things, for example, systematic racism. African-Americans were still living in poverty or didn't have civil rights and segregation was strong. They could only join white communities if they were musicians or things like that where they would have to play for white guests of parlors. It wasn't until the 60s that the African-American people were given their civil rights.
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The formation of a mutual aid society created a different avenue to have these needs fulfilled. In addition, orphans and widows related to members of the societies were often offered support. The mutual aid societies also served an important cultural function in many black communities.