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painfully

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painfully
painfully /ˈpeɪnfəli/ adverb
 Word Family: adjective: pained, painfulpainless; verb: pain; noun: pain; adverb: painfullypainlessly
1. very – used to emphasize a bad or harmful quality that someone or something has:
    painfully thin arms
    As a teenager, I was painfully shy.
    The road to peace is a painfully slow process.
    We are only too painfully aware of the damage his actions have caused.
    painfully obvious/clear/evident/apparent
    It was painfully obvious he’d rather not see her again.
2. with pain or causing pain:
    Robyn swallowed painfully.
3. needing a lot of effort:
    all the knowledge that he had so painfully acquired