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“He elevated his game to another level,” Roberts said.

This came as Trump decided to pause elevated rates on almost all countries for 90 days.

The school requires students in seventh grade and above to get their Tdap booster, which provides elevated immunity against tetanus, diphtheria, and pertussis, or whooping cough.

During a session, which can last up to a few hours depending on the practice, people may experience lightheadedness, dizziness or an elevated heart rate.

The group said it elevated the river on the list to bring greater attention to the waterway’s chronic pollution problems and the lack of action to clean it up.