Meaning of (अति दुःख से) ati duhkh se in english

As adverb :
agonizingly Ex:  the progress was agonizingly slow
Exampleअति दुःख से का हिन्दी मे अर्थ

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(अति दुःख से) ati duhkh se can be used as verb or adverbNo of characters: 11 including vowels consonants matras. Transliteration : ati duHkha se

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