en_tn_lite_do_not_use/psa/038/008.md

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utterly crushed

The writer's illness is so severe that it is as if a huge weight is pressing down on him. (See: rc://en/ta/man/translate/figs-metaphor)

anguish of my heart

Here "my heart" refers to the writer. Alternate translation: "my anguish" (See: rc://en/ta/man/translate/figs-synecdoche)