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At its most extreme this can lead to entrenched attitudes of homophobia and racism that prove extremely difficult to shift.
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"It's difficult to shift fundamental thinking.
Such entrenched attitudes are difficult to shift.
It's pretty difficult to shift them.
Once entrenched, an interest group is extremely hard to shift.
Consumer advocates, insurers and health care providers said it was extremely difficult to keep track of the shifting federal policies.
The shifting materials, thick textures and often virtuosic demands of the music surely make it extremely difficult to perform.
I found that extremely difficult to overcome".
It is extremely difficult to manufacture.
It is extremely difficult to tell.
While extremely beautiful, they are also extremely difficult to read.
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