(<240) in order to make a mark to the program directors or their clerks whom are reviewing their application. Passing with a low score is as good as failing as nobody will care about you unless you have connections which can help arrange for an interview in the program.
In high school you may be suspended for a short period of time your grades will decline, health will decline, motivation to do work will decline, there are also chances of being a high school dropout
in college you will most likely get expelled or there are chances of you not getting into college due to your prior consequences of drinking in high school and having terrible grades. you can be kicked off campus.
I do believe it's all of the above. Although, it might not be trouble sleeping. That might be true in some cases, but not in all.
You can wash your hands, get vaccines, and don’t share personal items.