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What does the last sentence mean? Last but not least, good-quality sleep is a precondition for optimal brain function and health. It gives you the ability to make dietary and lifestyle changes by making sure your hormones are working for you, not against you. And it purifies your brain and backs up your memories. Costco-size gains for dollar store effort, and yet our collective sleep debt is rising.

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Costco is a warehouse that sells things in large quantities. A dollar store sells things cheaply. So the sentence says that we can get LARGE benefit from SMALL effort, but evidently people don’t do this, so they suffer more and more from bad health.

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