Nowadays it is extremely difficult, almost impossible to be yourself.
Reviews negative, for example, it is extremely difficult to find.
With proper breathing it is extremely difficult to sustain an injury.
Some are so well done that it is extremely difficult to tell the difference.
Living this way, it is extremely difficult to get health care.
However, it is extremely difficult to measure good governance and institutions.
In some countries it is extremely difficult to separate earned from unearned benefits.
En algunos países es sumamente difícil distinguir los beneficios merecidos de los inmerecidos.
Therefore, it is extremely difficult to find a suit in the store.
Por lo tanto, es extremadamente difícil encontrar un traje en la tienda.
It has increased impact resistance and it is extremely difficult to break it.
Tiene una mayor resistencia al impacto y es extremadamente difícil romperlo.
When and how it started, it is extremely difficult to understand.
Cuando y como empezó, es extremadamente difícil de entender.
I love being a missionary, even though it is extremely difficult.
Yo amo ser misionero, aún que es sumamente difícil.
Unfortunately, it is extremely difficult to tell the difference between these cases.
Desafortunadamente, es extremadamente difícil determinar la diferencia entre estos casos.
Though it may sound simple, it is extremely difficult to prove.
Aunque puede aparecer simple, es sumamente difícil probar.