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with effort

stresses
gen. с трудом (lexicographer); от натуги (Thus taken hostage, the jacket seemed to take on a life of its own and struggle with the doctor, who had gone red in the face with effort.By this point Chips had gone red in the face with the effort of controlling his bladder.); при старании (With effort, you can become good at (almost) anything.With effort, you can achieve anything you want. Abysslooker)
with great effort
Gruzovik, inf. натужистый (= натужный)
inf. натужистый; натужный; натужливый
with effort
: 78 phrases in 12 subjects
Artificial intelligence6
Bookish / literary1
Figurative8
General22
Informal22
Makarov12
Military1
Politics1
Programming2
Psychology1
Rhetoric1
Transport1