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She attended Bronxville High School and excelled in field hockey and basketball, graduating in 1974. and was a Dean's List student. She worked as a nurse for six months but changed her mind saying there "were a lot of frustrations." Marshall's first competition was the qualifying meet for the 1979 Empire State Games in White Plains, New York. In 1985, Marshall lifted in the clean-and-jerk lift. In 1986 at the inaugural women's world championships in Daytona Beach, she won three gold medals. Marshall won the International Weightlifting Federation (IWF) World Championship. She was described as the "top American finisher" in the 181¾ pound weight class. In 1988, she was listed in the New York Times roster of champions for women's weightlifting in the 82.5 kg category. In 1989, she won the women's heavyweight division by lifting a total of .
She won silver medals in international competitions—Jakarta (1988), Manchester (1989) and Sarajevo (1990). In 1989, Marshall won the women's heavyweight division lifting a total of . In 1999, Marshall won a gold medal in the open division middle heavyweight division (+75 kg or +165¼ pounds). She's an eight‑time United States Weightlifting Federation (USWF) champion and New York State record holder for the United States Powerlifting Federation (USPF). She is the first woman in history to snatch over 200 pounds. A snatch is the other Olympic event in which a barbell is raised from a platform to locked arms overhead in a smooth continuous movement, pulled as high as possible, typically to mid chest height. Marshall holds the IWF World Record for the snatch lift at .
In 1991, in a send-off of the United States team to the Olympics, Marshall set "Festival records for the snatch (198 1/4), clean and jerk (264 1/2) and total (462 3/4) at 181 3/4 pounds." By 1991, she had won a total of one world championship (1987), 63 American records, and 8 world records. She appeared on the Oprah Winfrey Show, the Joan Rivers Show, ESPN, CNN, and various other prime time news and sports broadcasts.
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