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Is Mifepristone Safer Than Viagra? Yes*

Video vocabulary

certify

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US / ˈsɜ:tɪfaɪ /

UK / ˈsɜ:rtɪfaɪ /

B2
  • verb
  • To approve someone as authorized, valid
  • To confirm the truth or reality of something

between

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US / bɪˈtwi:n /

UK / bɪˈtwin /

A1
  • preposition
  • From one person, thing, or place, to another
  • In the space that separates two objects
  • Among two or more people who share something

medication

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US / ˌmedɪˈkeɪʃn /

UK / ˌmɛdɪˈkeʃən /

B2
  • noun
  • Substance to relieve pain or cure sickness

risk

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US / rɪsk /

UK / rɪsk /

A1
  • noun
  • Actions that cause potential problems
  • verb
  • To do something potentially dangerous or foolish

they

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US / ðeɪ /

UK / ðe /

A1
  • pronoun
  • Two or more people, animals, or things

tackle

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US / 'tækl /

UK / ˈtækəl /

B1
  • noun
  • Equipment used in fishing
  • Arrangement of ropes and wheels used for lifting
  • Attempt to force a person to the ground
  • verb
  • To start working on a difficult problem
  • To grab and throw a person to the ground

change

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US / tʃeɪndʒ /

UK / tʃendʒ /

A1
  • noun
  • Exchange of one set of clothes for another
  • Money in the form of coins instead of paper
  • Money returned after giving too much
  • Act of making or becoming something else
  • verb
  • To exchange one set of clothes for another
  • To exchange one kind of money for another
  • To replace something with another thing
  • To make or become something else
  • To go from one train, bus, etc. and go to another

simple

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US / 'sɪmpl /

UK / ˈsɪmpəl /

A1
  • adjecitve
  • Not hard to understand or do; not complex
  • Having only a few parts; not complex
  • Being ordinary or normal
  • Being plain; without a lot added for style

severe

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US / sɪ'vɪə(r) /

UK / səˈvɪr /

A2
  • adjecitve
  • Very bad; harsh
  • Being very serious or extremely bad
  • (Of clothes, etc.) plain; simple; not decorated

supreme

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US / su:ˈpri:m /

UK / sʊˈprim /

B1
  • adjecitve
  • Greatest in degree/nature/quality; absolute best
  • Holding the highest power, status or authority

appointment

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US / əˈpɔɪntmənt /

UK / əˈpɔɪntmənt /

A2
  • noun
  • Job, position or duty that is offered to a person
  • Time you arranged to meet someone or do something

china

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US / ˈtʃaɪnə /

UK / ˈtʃaɪnə /

A1
  • noun
  • A communist nation that covers a vast territory in eastern Asia; the most populous country in the wo
  • other
  • High quality porcelain originally made only in China

dispense

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US / dɪ'spens /

UK / dɪˈspɛns /

B2
  • verb
  • To distribute, prepare and give out

due

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US / dju: /

UK / du, dju /

A1
  • adjecitve
  • When something is required or expected
  • Owed to a person as a right
  • noun
  • Something you deserve; something you can expect

design

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US / dɪˈzaɪn /

UK / dɪˈzaɪn /

A1
  • noun
  • The way something is planned, to fulfill a purpose
  • verb
  • To plan in a particular way to fulfill a purpose
  • To think of a plan

death

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US / deθ /

UK / dɛθ /

A2
  • noun
  • When someone dies; the end of life

heart

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US / hɑ:t /

UK / hɑrt /

A1
  • noun
  • A feeling of care for others; compassion
  • Courage, confidence, and emotional strength
  • Be cheerfully encouraging
  • Most essential, important, or central part
  • Referring to a promise or something important
  • State or feelings of affection or deep love
  • Core part of a vegetable, e.g. a lettuce
  • The part of the body that pumps blood
  • Place where emotions are believed to be felt
  • A shape that represents love

management

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US / 'mænɪdʒmənt /

UK / ˈmænɪdʒmənt /

A2
  • noun
  • People who are in control of a business or group
  • The process of running an organization

their

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US / ðɛː /

UK / ðer /

A1
  • determiner
  • Belonging to them

way

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US / weɪ /

UK / we /

A1
  • adverb
  • Used to emphasize the amount of something
  • noun
  • Particular aspect of something being thought about
  • One of various choices that could be made
  • Particular existing condition or state
  • (Often long) distance or length of time
  • How something is done
  • Route to go to a place
  • Small street
  • Usual behavior, emotions or habits of someone

discover

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US / dɪˈskʌvə(r) /

UK / dɪˈskʌvɚ /

A2
  • verb
  • To find something new that was not known before

take

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US / teɪk /

UK / tek /

A1
  • noun
  • Filming of a single scene for TV or the movies
  • verb
  • To accept something that is offered
  • To use a method of traveling, e.g. a bus or train
  • To use a camera to make (a photo)
  • To pick up something and go away with it
  • To study a subject in school
  • To attempt to pass (an exam)
  • To require a certain amount of time, money, space

account

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US / ə'kaʊnt /

UK / əˈkaʊnt /

A1
  • noun
  • An advantage
  • Arrangement with a bank to keep your money for you
  • An invoice for things bought
  • Arrangement whereby you can use online services
  • A description, often written, of events; report

evidence

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US / 'evɪdəns /

UK / ˈɛvɪdəns /

A1
  • noun
  • Factual proof that helps to establish the truth

pretty

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US / 'prɪtɪ /

UK / ˈprɪti /

A1
  • adjecitve
  • Being attractive to the eye in a simple way
  • adverb
  • Very; to a great degree

possible

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US / ˈpɒsəbl /

UK / ˈpɑsəbəl /

A1
  • adjecitve
  • Being able or appropriate for a task or purpose
  • Having a chance of happening, or being true

mail

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US / meɪl /

UK / mel /

A1
  • noun
  • Soldier's coat of linked chains, worn long ago
  • Sending, collecting, and delivering letters
  • A letter, package or email
  • verb
  • To send a letter or email

several

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US / ˈsevrəl /

UK / ˈsɛvərəl,ˈsɛvrəl /

A1
  • adjecitve
  • Many of
  • pronoun
  • More than two but not a large amount

naturally

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US / ˈnætʃrəli /

UK / ˈnætʃərəli, ˈnætʃrə- /

A2
  • adverb
  • In the expected or usual way
  • Without the aid of someone or something

miscarriage

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US / ˈmɪskærɪdʒ /

UK / ˈmɪsˌkærɪdʒ, mɪsˈkær- /

C1
  • noun
  • When an unborn child dies while still in the womb
  • Failure of a plan; failure of justice

option

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US / 'ɒpʃn /

UK / ˈɑpʃən /

A2
  • noun
  • A choice
  • Right to buy or sell at a certain price and time

work

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US / wɜ:k /

UK / wɚk /

A1
  • adjecitve
  • Activity completed in order to make money
  • noun
  • The product of some artistic or literary endeavor
  • Everything created by an author, artist, musician
  • Activity you do in order to make money
  • Place of employment
  • Final product or result of a some labor or effort
  • verb
  • To bring into a specific state of success
  • To be functioning properly, e.g. a car
  • To do your job in your company or workplace
  • To make an effort to do something
  • To operate a machine or device

approve

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US / əˈpru:v /

UK / əˈpruv /

A2
  • verb
  • To formally accept something or grant permission
  • To have a positive opinion of someone or something

country

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US / ˈkʌntri /

UK / ˈkʌntri /

A1
  • noun
  • An area of land that is controlled by a government
  • Open land that is away from towns and cities

human

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US / 'hju:mən /

UK / ˈhjumən /

A1
  • adjecitve
  • Concerning or characteristic of people
  • noun
  • A person; a man, woman or child

look

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US / lʊk /

UK / lʊk /

A1
  • noun
  • Person's beauty or physical attractiveness
  • Particular style of dress, clothes, or appearance
  • The way someone, something appears to be
  • Act of searching for or examining something
  • verb
  • To appear to be; seem

regular

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US / ˈregjələ(r) /

UK / ˈrɛɡjəlɚ /

A2
  • adjecitve
  • Having an equal amount of space or time in between
  • Occurring or being done frequently
  • Being normal, usual, or average
  • noun
  • Customers who frequently visit a place
  • Soldier who has a permanent job in the army

miss

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US / mɪs /

UK / mɪs /

A1
  • noun
  • Action of not hitting something or someone
  • Form of address to unmarried girl or woman
  • verb
  • To be absent
  • To fail to hit something e.g. a ball
  • To do without something
  • To fail to see or sense something
  • To fail to understand someone's message
  • To be too late to ride on something e.g. train
  • To feel you want to see someone who is not there

thank

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US / θæŋk /

UK / θæŋk /

A1
  • verb
  • To tell someone you are grateful to them

scishow

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US / /

UK / /

A1

accessible

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US / əkˈsesəbl /

UK / ækˈsɛsəbəl /

A2
  • adjecitve
  • Able to be entered, reached or used

all

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US / ɔ:l /

UK / ɔl /

A1
  • adverb
  • Completely; totally
  • determiner
  • Being every one of something
  • pronoun
  • 100% of something; the complete amount

court

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US / kɔ:t /

UK / kɔrt, kort /

A2
  • noun
  • Place king or queen meet people, makes laws etc.
  • Place where legal cases are decided
  • Large, flat area, to play tennis or basketball
  • verb
  • To act in a way to shows you wish to marry someone
  • To encourage dangerous behavior
  • To pay attention to someone to get their support

its

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US / ɪts /

UK / ɪts /

A1
  • adjecitve
  • Referring to or belonging to ‘it’
  • determiner
  • Of something; belonging or related to something
  • other
  • Possessive form of “it”

outcome

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US / ˈaʊtkʌm /

UK / ˈaʊtˌkʌm /

A2
  • noun
  • Something that happens as a result, consequence

who

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US / hu: /

UK / hu /

A1
  • pronoun
  • Which person
  • Used to introduce information about people

anything

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US / ˈeniθɪŋ /

UK / ˈɛniˌθɪŋ /

A1
  • pronoun
  • A thing of any kind

form

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US / fɔ:m /

UK / fɔrm /

A1
  • noun
  • Sports team or person's current winning record
  • Document you complete when making an application
  • Visible shape or style; type; kind
  • verb
  • To organize something such as a club or group
  • To develop; to come into a shape or substance
  • To make something into a particular shape

from

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US / frəm /

UK / frʌm, frɑm,frəm /

A1
  • preposition
  • Starting at a particular place, time or level

plenty

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US / 'plentɪ /

UK / ˈplɛnti /

A2
  • pronoun
  • When there is not too little of something; a lot

out

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US / aʊt /

UK / aʊt /

A1
  • adverb
  • No longer stylish (e.g. fashion)
  • Away from home, business, or the usual place
  • In a direction/movement away from inside or center
  • noun
  • Act when a batter cannot continue playing
  • verb
  • To tell people a secret

over

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US / 'əʊvə(r) /

UK / ˈovɚ /

A1
  • adverb
  • Finished; no longer happening
  • Towards the ground/away from a standing position
  • noun
  • A set of six consecutive balls bowled in cricket
  • other
  • Finished
  • preposition
  • Showing the relation when a thing is above another
  • On or covering something
  • Above or across something
  • More than you need
  • From one side to the other
  • In the direction of; toward

ban

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US / bæn /

UK / bæn /

B1
  • noun
  • Official action preventing something happening
  • verb
  • To make something illegal or not allowed

early

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US / ˈɜ:li /

UK / ˈɜ:rli /

A1
  • adjecitve
  • Happening or appearing before
  • adverb
  • Coming/happening before others in a time sequence
  • Happening sooner than expected

most

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US / məʊst /

UK / most /

A1
  • adverb
  • Very; extremely
  • Greatest possible degree
  • pronoun
  • Nearly all of something

indirect

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US / ˌɪndəˈrekt /

UK / ˌɪndɪˈrɛkt, -daɪ- /

B1
  • adjecitve
  • Being not directly connected to or caused by
  • Having a path that is not straight or direct
  • Said in a way that is not direct or clear

regulatory

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US / ˈregjələtəri /

UK / ˈreɡjələtɔːri /

A2
  • adjecitve
  • Having the ability or authority to make rules

stack

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US / stæk /

UK / stæk /

B1
  • noun
  • A large number or amount of something
  • Large tube through which smoke exits a building
  • verb
  • To arrange cards in a certain order, to cheat
  • To put one thing on top of another, e.g. boxes

and

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US / ənd /

UK / ənd, ən,ænd /

A1
  • conjunction
  • Used to refer to two or more things
  • Plus; in addition; on top of that
  • Used to introduce an action that follows another

base

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US / beɪs /

UK / bes /

A2
  • noun
  • Place military personnel live, train, and operate
  • Bottom part of an object that touches a surface
  • Unit of counting, e.g. 10 for counting
  • Most important idea or ingredient to add others
  • Origin or start from which something came
  • Main place where an organization or a person works
  • verb
  • To use as the starting point or origin for
  • To have as the main location for (company, etc.)

hope

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US / həʊp /

UK / hop /

A1
  • noun
  • When you wish something will happen; what you wish
  • verb
  • To expect and want something to happen

intro

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US / ˈɪntrəʊ /

UK / ˈɪntroʊ /

A1
  • noun
  • Opening part of a text or piece of music

healthcare

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US / 'helθkeə /

UK / 'helθker /

B1
  • noun
  • Nursing care to prevent illness or recover from it

lot

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US / lɒt /

UK / lɑt /

A1
  • noun
  • What happens to a person in life from chance; fate
  • A group of people seen together
  • Item for sale at an auction
  • Small area of land used for a purpose e.g. parking

money

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US / 'mʌnɪ /

UK / ˈmʌni /

A1
  • noun
  • Coins or notes we use to pay for things

variety

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US / və'raɪətɪ /

UK / vəˈraɪɪti /

A2
  • noun
  • Particular type of thing or person

brand

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US / brænd /

UK / brænd /

A2
  • noun
  • A mark burned on an animal to show who owns it
  • Product made or designed by a named company
  • verb
  • To burn a mark on an animal to show who owns it
  • To describe someone as a liar, coward, etc.
  • To give a famous name to a product or service

completely

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US / kəmˈpli:tli /

UK / kəmˈpliːtli /

A1
  • adverb
  • In every way or as much as possible

join

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US / dʒɔɪn /

UK / dʒɔɪn /

A1
  • verb
  • To bring something close to another, to become one
  • To become a member of
  • To participate in an activity with others

only

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US / ˈəunli /

UK / ˈonli /

A1
  • adverb
  • Just one; just that amount or thing; not more than
  • Not very important or serious
  • Just that type of thing, person
  • Short time ago; not before a certain time
  • conjunction
  • Except; but

retail

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US / 'ri:teɪl /

UK / ˈriˌtel /

C1
  • adjecitve
  • Concerning the selling of goods to the public
  • adverb
  • Bought or sold in a store or shop
  • noun
  • Business of selling products to the public
  • verb
  • To sell at a particular price

put

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US / pʊt /

UK / pʊt /

A1
  • phrasal verb
  • to make a light stop shining by pressing or moving a switch
  • verb
  • To move or place a thing in a particular position
  • To rate something in importance or value
  • To write or say something in a certain manner

two

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US / tu: /

UK / tu /

A1
  • number
  • 2

agency

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US / 'eɪdʒənsɪ /

UK / ˈedʒənsi /

B1
  • noun
  • Business that provides some service for others

altogether

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US / ˌɔ:ltəˈgeðə(r) /

UK / ˌɔltəˈɡɛðɚ /

A2
  • adverb
  • All things considered
  • Completely and entirely, fully
  • With all included and counted

call

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US / kɔ:l /

UK / kɔl /

A1
  • noun
  • A order or request for action
  • The sound an animal makes, often when in danger
  • A correct prediction, e.g. a decision in a game
  • A short visit to a place or person
  • A decision by a referee or umpire in a game
  • verb
  • To make a request or order for action
  • (Animal) to make sounds to warn of danger
  • To announce the date of an election
  • To make a judgment about something
  • To give someone or something a name
  • To guess in advance the result or outcome
  • To visit a place or person for a short time
  • To phone someone
  • To speak, announce or shout in a loud voice

far

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US / fɑ:(r) /

UK / fɑr /

A1
  • adjecitve
  • A long way away
  • Being a long way away
  • adverb
  • To a large degree or extent

tight

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US / taɪt /

UK / taɪt /

A2
  • adjecitve
  • Showing anxiety or anger; tense
  • Positioned physically close together
  • Managed or controlled in a strict and careful way
  • (Of road, bend) curving sharply
  • Drunk
  • Being equally matched in ability or score
  • Lacking extra space
  • Having limited time available
  • Being very limited in supply
  • Not generous; mean with money; stingy
  • (Rope or tie) pulled strongly
  • Being in a good solid relationship
  • adverb
  • Firmly; so it can't move

thesis

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US / ˈθi:sɪs /

UK / ˈθisɪs /

B1
  • noun
  • Long paper presenting original research and ideas

where

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US / hwɛə /

UK / hwɛr, wɛr /

A1
  • conjunction
  • At or in the place which
  • In whatever place
  • pronoun
  • Word you use to ask the location of something

another

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US / əˈnʌðə(r) /

UK / əˈnʌðɚ /

A1
  • adjecitve
  • One more, but not this
  • determiner
  • One more added
  • pronoun
  • One more (thing)

emphasize

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US / 'emfəsaɪz /

UK / ˈɛmfəˌsaɪz /

B2
  • verb
  • To stress the items that are important

ton

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US / tʌn /

UK / tʌn /

A2
  • noun
  • Unit of weight; 907 kilograms (US); 1016 (UK)

sometimes

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US / ˈsʌmtaɪmz /

UK / ˈsʌmˌtaɪmz /

A1
  • adverb
  • Only at certain times; occasionally

surgical

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US / ˈsɜ:dʒɪkl /

UK / ˈsɜ:rdʒɪkl /

B2
  • adjecitve
  • Of or relating to surgery or operations

doctor

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US / ˈdɒktə(r) /

UK / ˈdɑːktɚ /

A1
  • noun
  • Person paid to help people become or stay healthy
  • Person awarded the highest university degree
  • verb
  • To treat someone's illness
  • To change something in order to trick someone

keep

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US / ki:p /

UK / kip /

A1
  • noun
  • Large, strong tower in the middle of a castle
  • Money spent on you so you can live in a place
  • verb
  • To continue doing something; not to stop
  • To stop balls going in a goal in sports
  • To not give back or return something
  • (Of food) to not spoil or not rot
  • To take possession of something to own, e.g. a pet
  • To have and continue to hold something
  • To do something that you have promised or agreed
  • To stay in a certain place or condition
  • To maintain the rules

monitor

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US / ˈmɒnɪtə(r) /

UK / ˈmɑ:nɪtə(r) /

A2
  • noun
  • A senior student at school
  • Electronic screen on which you can see images
  • verb
  • To observe and keep a record of something

name

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US / neɪm /

UK / nem /

A1
  • noun
  • What something or someone is called
  • verb
  • To state what someone is called, e.g. John

slash

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US / slæʃ /

UK / slæʃ /

B2
  • noun
  • Line ( / ) used in writing
  • Long, deep cut, caused by a sharp object
  • verb
  • To cut violently with a sharp object
  • To decrease something by a large amount

typically

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US / ˈtɪpɪkli /

UK / ˈtɪpɪklɪ /

B1
  • adverb
  • In a normal or usual way

something

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US / ˈsʌmθɪŋ /

UK / ˈsʌmθɪŋ /

A1
  • adverb
  • In some degree or measure
  • noun
  • a person or thing of some value or consequence
  • pronoun
  • Thing that is not yet known or named
  • Approximately

any

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US / 'enɪ /

UK / ˈɛni /

A1
  • adjecitve
  • One, or some, no matter which
  • pronoun
  • One (thing) of many; some

come

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US / kʌm /

UK / kʌm /

A1
  • verb
  • To arrive at a place
  • (Of mail) to be delivered
  • To move toward someone; go with someone
  • To reach a certain point or state

effort

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US / ˈefət /

UK / ˈɛfət /

A2
  • noun
  • Amount of work used trying to do something

company

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US / 'kʌmpənɪ /

UK / ˈkʌmpəni /

A1
  • noun
  • Good feeling from being with someone else
  • A business that sells things or provides services
  • Guests, especially in your home
  • Being with another person rather than alone

decide

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US / dɪ'saɪd /

UK / dɪˈsaɪd /

A2
  • verb
  • To make a choice or choose after thinking about it
  • To make a legal judgment in court
  • to affect the result of something

help

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US / help /

UK / hɛlp /

A1
  • noun
  • Something given to enable a person to do something
  • Assistance given to someone in need
  • Someone who makes something easier or possible
  • verb
  • To act to enable a person to do something; assist
  • To make something better or less difficult

particular

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US / pəˈtɪkjələ(r) /

UK / pɚˈtɪkjəlɚ, pəˈtɪk- /

B2
  • adjecitve
  • One specific (one)
  • Having firm ideas about what is desirable
  • Being special or more than is typical

policy

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US / 'pɒləsɪ /

UK / ˈpɑlɪsi /

A2
  • noun
  • Document stating terms of an insurance agreement
  • Course of action proposed by an organization, etc.

pose

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US / pəʊz /

UK / poʊz /

B1
  • noun
  • False behavior to gain respect or liking
  • verb
  • To be or exist as (a problem, threat etc.)
  • To suggest an idea, question or solution
  • To sit or stand while being painted or drawn
  • To put someone in a position to be photographed

prescribe

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US / prɪ'skraɪb /

UK / prɪˈskraɪb /

B2
  • verb
  • (Of doctors) to say what medicine should be taken
  • To set down rules or guidelines

risky

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US / ˈrɪski /

UK / ˈrɪski /

A2
  • adjecitve
  • With the chance it may be dangerous, unsuccessful

think

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US / θɪŋk /

UK / θɪŋk /

A1
  • verb
  • To have an idea about something without certainty
  • To have an idea, opinion or belief about something

follow

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US / ˈfɔləu /

UK / ˈfɑlo /

A1
  • verb
  • To come after someone; be guided by someone
  • To support someone, e.g. singer or comedian
  • To be the logical result of something
  • To happen after something else happens
  • To believe a set of values or a moral teacher
  • To understand something happening or being said

patient

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US / 'peɪʃnt /

UK / ˈpeʃənt /

A2
  • adjecitve
  • Not getting annoyed when things take a long time
  • noun
  • Person who receives medical treatment or care

less

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US / les /

UK / lɛs /

A1
  • adjecitve
  • Smaller in amount or degree
  • adverb
  • To a smaller degree
  • noun
  • A smaller amount
  • preposition
  • With the subtraction of

misoprostol

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US / /

UK / /

A1
  • noun
  • A synthetic analogue of prostaglandin E1, used to treat peptic ulcer disease and to induce labour; (

france

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US / ˈfrɑːns /

UK / fræns /

A1
  • noun
  • A republic in western Europe; the largest country wholly in Europe

into

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US / 'ɪntə /

UK / ˈɪntu /

A1
  • preposition
  • Moving or going inside something
  • In the same direction as; in the direction of
  • So as to become; taking the state of

fair

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US / feə(r) /

UK / fɛr /

A1
  • adjecitve
  • Neither very good nor very bad; average
  • (Of skin) light colored; not dark
  • Quite good; quite a lot
  • Treating all people the same way
  • (Of hair) light colored; blonde
  • (Of weather) sunny; not raining
  • noun
  • Event for companies to show their products
  • Event to sell things to help a charity

one

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US / wʌn /

UK / wʌn /

A1
  • pronoun
  • You; we; people in general; someone
  • The thing or person previously referred to
  • adjecitve
  • Used to refer to people generally
  • Being a strong example of (something mentioned)
  • number
  • Number 1

perfect

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US / 'pɜ:fɪkt /

UK / ˈpɚfɪkt /

A1
  • adjecitve
  • So good it cannot be improved
  • verb
  • To do something so well, it cannot be done better

other

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US / 'ʌðə(r) /

UK / ˈʌðər /

A1
  • adjecitve
  • A thing different from that mentioned
  • determiner
  • (Something) else; not the first (one)
  • pronoun
  • Being the one and only thing of that category

pull

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US / pʊl /

UK / pʊl /

A1
  • noun
  • Act of breathing in smoke, as from a pipe
  • Force something has that draws other things to it
  • Using your hands to move something to you
  • verb
  • To breathe in smoke, as from a pipe
  • To hold something and move it toward you
  • To remove something by force

than

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US / ðən /

UK / ðən /

A1
  • conjunction
  • Used to compare two things that are not equal

abroad

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US / əˈbrɔ:d /

UK / əˈbrɔd /

A2
  • adverb
  • In or to a foreign country

also

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US / 'ɔ:lsəʊ /

UK / ˈɔlso /

A1
  • adverb
  • In addition; too; in a similar way

detach

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US / dɪˈtætʃ /

UK / dɪˈtætʃ /

B1
  • verb
  • To send away a military unit on a special mission
  • To separate something from something larger

hormone

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US / 'hɔ:məʊn /

UK / ˈhɔrˌmon /

B2
  • noun
  • Chemical produced by the body to control functions

how

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US / haʊ /

UK / haʊ /

A1
  • adjecitve
  • To what degree? in what amount?
  • adverb
  • (Used to explain the way to do something)
  • exclamation
  • For what purpose or reason?
  • (Used to ask someone or something's condition)

kind

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US / kaɪnd /

UK / kaɪnd /

A1
  • adjecitve
  • In a caring and helpful manner
  • friendly and considerate
  • noun
  • One type of thing

simply

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US / ˈsɪmpli /

UK / ˈsɪmpli /

A1
  • adverb
  • In an easy or clear manner

transparent

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US / trænsˈpærənt /

UK / trænsˈpærənt /

B2
  • adjecitve
  • Being open to see and to public criticism
  • Able to be seen through
  • Being simple and easily understood

year

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US / jə: /

UK / jɪr /

A1
  • noun
  • Unit of time equal to 12 months or 365 or 366 days
  • Used to refer to the age of a person

you

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US / jʊ /

UK / ju /

A1
  • pronoun
  • Person someone is speaking or writing to
  • Person or people in general

body

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US / ˈbɒd.i /

UK / ˈbɑdi /

A1
  • noun
  • An object distinct from other objects
  • A group of people involved in an activity together
  • Main part of something
  • A person's physical self

flawed

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US / flɔ:d /

UK / flɔd /

B1
  • adjecitve
  • Having a quality that makes something not perfect

ones

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US / wʌnz /

UK / wʌnz /

A1
  • number
  • Number 1, a single person or thing

safely

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US / ˈseɪfli /

UK / ˈseflɪ /

A1
  • adverb
  • Out of danger

make

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US / meɪk /

UK / mek /

A1
  • noun
  • Product made by a particular company; brand
  • verb
  • To arrange or prepare something e.g. dinner
  • To get to (a place) on time
  • To gain the status of (teacher, lawyer, etc.)
  • To create something by putting things together
  • To earn a certain amount of money at a job
  • To cause or force a person to do something
  • To cause something to happen or be formed

treat

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US / tri:t /

UK / trit /

A1
  • noun
  • Something you buy for others as a surprise present
  • something that tastes good and that is not eaten often
  • verb
  • To pay for the food or enjoyment of someone else
  • To use medical methods to try to cure an illness
  • To act in a certain way toward someone

effective

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US / ɪˈfektɪv /

UK / ɪˈfɛktɪv /

A1
  • adjecitve
  • Working efficiently to produce a desired result

half

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US / hɑ:f /

UK / hæf, hɑf /

A1
  • adjecitve
  • Not complete
  • adverb
  • Partly; somewhat
  • noun
  • One of two equal periods of game time in a sport
  • The part you get when one is divided into two;

legal

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US / 'li:ɡl /

UK / ˈliɡəl /

A1
  • adjecitve
  • Concerning the law; allowed by law

physical

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US / ˈfɪzɪkl /

UK / ˈfɪzɪkəl /

A2
  • adjecitve
  • Concerning the body of a person
  • Concerning things that can be seen or touched
  • noun
  • Health check at the doctors' or hospital

live

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US / lɪv /

UK / liv /

A1
  • adjecitve
  • Being broadcast as events happen, not recorded
  • Carrying electric current; able to give a shock
  • Glowing because burning; hot
  • Not yet killed (for food)
  • adverb
  • (Music, drama) as it is performed
  • verb
  • To be alive
  • To experience a particular type of life
  • To make your home in a house or town

may

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US / meɪ /

UK / me /

A1
  • noun
  • 5th month of the year
  • other
  • Used to express a desire
  • Expresses permission, possibility or probability
  • Used to show that a thing could be true

program

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US / 'prəʊɡræm /

UK / ˈproˌɡræm, -ɡrəm /

A1
  • noun
  • Small book of events in a play, concert or movie
  • A plan or schedule of events
  • Series of classes at a college or university
  • A computer application
  • TV show
  • verb
  • To make someone act or think in a certain way
  • To write computer code for a piece of software

this

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US / ðɪs /

UK / ðɪs /

A1
  • adjecitve
  • Used to indicate something already been discussed
  • Used to indicate something happening around now
  • adverb
  • An indication by a physical motion or gesture
  • A specific amount of
  • determiner
  • Person, thing, or idea near you
  • pronoun
  • Person, thing that has already been discussed

bad

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US / bæd /

UK / bæd /

A1
  • adjecitve
  • Not good; wrong
  • Lacking in good morals; evil
  • No longer fresh; spoiled

endeavour

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US / ɪn'devə(r) /

UK / ɛnˈdɛvɚ /

B2
  • noun
  • Attempt or effort to do something
  • verb
  • To attempt or make effort to do something

three

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US / θri: /

UK / θri /

A1
  • number
  • Number 3

let

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US / let /

UK / lɛt /

A1
  • verb
  • To allow someone to do something
  • Introducing a suggestion to do something together
  • To rent a house, etc. to others

might

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US / maɪt /

UK / maɪt /

A1
  • other
  • Used to politely request an action
  • Used to express that something could happen
  • Power, strength, force or influence

person

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US / 'pɜ:sn /

UK / 'pɜ:rsn /

A1
  • noun
  • Man, woman or child

little

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US / 'lɪtl /

UK / ˈlɪtl /

A1
  • adjecitve
  • Being short in length of time
  • Not great in size, amount, or degree; small
  • Being very young or younger than others
  • adverb
  • By an amount or degree that is not very much
  • Not often; rarely
  • noun
  • A person's name

rate

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US / reɪt /

UK / ret /

A1
  • noun
  • Current price or cost of something
  • Speed or frequency of events over time
  • verb
  • To assess something or consider its qualities

receive

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US / rɪ'si:v /

UK / rɪˈsiv /

A1
  • verb
  • To get something someone has given or sent to you
  • To allow someone to become a member (of a club)
  • To welcome someone as a guest into your home
  • To respond to (e.g. news) in a particular way

the

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US / ðə /

UK / ðə /

A1
  • article
  • Used to refer to something already mentioned
  • Used to show there is only one of something
  • determiner
  • Used to describe all of a family

wall

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US / wɔ:l /

UK / wɔl /

A1
  • noun
  • High, flat side of a room or building

about

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US / ə'baʊt /

UK / əˈbaʊt /

A1
  • adverb
  • To be ready to; going to
  • Nearly; approximately; roughly
  • Near; next to; close to
  • In every direction; in the area of
  • preposition
  • Concerning or of (a topic)

again

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US / ə'ɡen /

UK / əˈɡɛn /

A1
  • adverb
  • One more time, once more

even

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US / 'i:vn /

UK / ˈivən /

A1
  • adjecitve
  • Being equal in influence, power, possibility etc.
  • Being divided equally or fairly
  • (Of teams/contest) with similar chances of success
  • Smooth, level, or regular
  • Can be divided by 2; ending in 2, 4, 6, 8, or 0
  • At a regular, equally steady manner
  • Remaining steady and unchanging
  • adverb
  • (When this is surprising) as well; too
  • (Used to compare two things/stress the difference)
  • verb
  • To make something level; to flatten
  • To make something equal

care

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US / keə(r) /

UK / kɛr /

A1
  • noun
  • Treatment you receive for your health or safety
  • Something that a person worries about
  • verb
  • To feel interest, concern, or worry
  • To look after someone or something

different

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US / ˈdɪfrənt /

UK / ˈdɪfrənt /

A1
  • adjecitve
  • Not of the same kind; unlike other things

like

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US / laɪk /

UK / laɪk /

A1
  • adjecitve
  • Being equal in status or kind to something else
  • Similar; the same
  • adverb
  • For example
  • preposition
  • Used as a filler; used to ad emphasis
  • In a way similar to the way something is done
  • Such as; for example
  • verb
  • To want to
  • To find something pleasing; to prefer something

people

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US / 'pi:pl /

UK / ˈpipəl /

A1
  • noun
  • Persons sharing culture, country, background, etc.
  • Men, Women, Children

that

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US / ðæt /

UK / ðæt, ðət /

A1
  • adjecitve
  • The person or thing being talked about
  • Used to identify something both the speakers know
  • adverb
  • Used to reinforce adjectives and adverbs
  • To such a degree
  • conjunction
  • Used to connect a noun clause
  • Used to introduce an adverbial clause
  • Used to introduce a noun clause
  • determiner
  • Used as a noun to refer to something
  • pronoun
  • Referring an object far away
  • Used to refer to the relative pronoun ‘which’

what

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US / wɒt /

UK / hwɑt, hwʌt, wɔt, wʌt,hwət, wət /

A1
  • pronoun
  • Thing or things that; the same kind as
  • Used to emphasize something you are about to say
  • adjecitve
  • Used to refer to a particular amount, or number
  • Used to place emphasis on a particular quality
  • adverb
  • To a certain degree
  • determiner
  • Question words used for asking for information
  • exclamation
  • Used to express excitement, shock, or surprise
  • Used to ask people to repeat something they said

despite

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US / dɪˈspaɪt /

UK / dɪˈspaɪt /

A2
  • preposition
  • Without being affected by something; in spite of

fatal

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US / ˈfeɪtl /

UK / ˈfetl /

B1
  • adjecitve
  • Causing death; having very bad consequences
  • Causing negative results

right

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US / raɪt /

UK / raɪt /

A1
  • adjecitve
  • Correct or true
  • The south side of you looking at the rising sun
  • adverb
  • Exactly in a place or time
  • Being appropriate for a particular event
  • In a straight or direct manner
  • noun
  • Something you are legally or morally allowed to do
  • Ideal of what is just and good
  • Political view based on conservatism
  • verb
  • To fix something previously wrong or unjust
  • To make upright, as a boat that has turned over

select

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US / sɪ'lekt /

UK / sɪˈlɛkt /

A2
  • verb
  • To choose a suitable thing from a group

blooper

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US / ˈblu:pə(r) /

UK / ˈblupɚ /

A1
  • noun
  • Embarrassing mistake

cause

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US / kɔ:z /

UK / kɔz /

A2
  • noun
  • Belief, goal or organization that people support
  • Reason for
  • verb
  • To make something happen; create effect or result

place

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US / pleɪs /

UK / ples /

A1
  • noun
  • Particular location, area or region
  • verb
  • To put someone in a particular type of situation
  • To put something in a certain location or position

regulator

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US / ˈregjuleɪtə(r) /

UK / ˈrɛɡjəˌletɚ /

A2
  • noun
  • Device controlling the amount, speed, or level
  • Official who makes sure rules are followed

similar

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US / ˈsɪmələ(r) /

UK / ˈsɪməlɚ /

A1
  • adjecitve
  • Nearly the same; alike

tricky

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US / 'trɪkɪ /

UK / ˈtrɪki /

A2
  • adjecitve
  • Difficult, so needing skill to do or deal with
  • Likely to use tricks; dishonest or deceptive

argue

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US / ˈɑ:gju: /

UK / ˈɑ:rgju: /

A1
  • verb
  • To fight or disagree over something
  • To state your reasons for or against an idea

bottom

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US / 'bɒtəm /

UK / ˈbɑtəm /

A2
  • adjecitve
  • Concerning the part under something, e.g. a vase
  • noun
  • The part of your body you sit on
  • Lowest position, often in a company or contest
  • Lowest part of something; part on which it rests
  • Lowest level, part or point of an object
  • The part under something, e.g. a vase
  • verb
  • To hit the lowest part of something

birth

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US / bɜ:θ /

UK / bɜ:rθ /

A2
  • noun
  • Time when a baby or young animal is born
  • Beginning of something
  • Social position based on the family you come from

cell

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US / sel /

UK / sɛl /

A2
  • noun
  • Smallest unit of living things in biology
  • Group of people - often from a secret organization
  • Prisoner's room in a jail
  • Shortened form of 'cellphone'

each

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US / i:tʃ /

UK / itʃ /

A1
  • determiner
  • Every one of two or more things
  • pronoun
  • Per one person or thing

fight

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US / faɪt /

UK / faɪt /

A1
  • noun
  • An argument or quarrel
  • Act of trying to hurt someone by hitting them
  • A struggle to do a difficult task
  • verb
  • To argue or quarrel with someone about something
  • To try to hurt someone by hitting them
  • To struggle to do a difficult task

complication

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US / ˌkɒmplɪˈkeɪʃn /

UK / ˌkɑ:mplɪˈkeɪʃn /

A2
  • noun
  • Action making something harder to do something

example

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US / ɪgˈzɑ:mpl /

UK / ɪɡˈzæmpəl /

A1
  • noun
  • Thing, person which represents a category

happen

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US / 'hæpən /

UK / ˈhæpən /

A1
  • verb
  • To take place or occur

method

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US / 'meθəd /

UK / ˈmɛθəd /

A2
  • noun
  • (Organized and planned) way of doing something

track

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US / træk /

UK / træk /

A2
  • noun
  • A circular course for running
  • Course or way someone takes, e.g. in education
  • Path in a field or a forest made by walkers
  • Often circular course laid out for car racing
  • One of multiple musical recordings on an album
  • Band surrounding the wheels of a tank
  • Metal lines that trains ride on
  • verb
  • To use marks to follow a wild animal
  • To move a certain way/follow a particular course
  • To record and examine the progress of something

dose

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US / dəʊs /

UK / doʊs /

B1
  • noun
  • An amount of medicine to be taken at any one time
  • verb
  • To give a certain amount of something to someone

hit

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US / hɪt /

UK / hɪt /

A1
  • noun
  • A planned killing, usually for money
  • Song, movie etc. that is successful
  • When someone strikes someone or something
  • Time when a player makes contact with the ball
  • Time when a website is accessed
  • verb
  • To have a negative impact on a person/place/thing
  • To press something, such as a button or switch
  • To suddenly realize the importance of something
  • To move your hand, a bat, etc. against with force
  • To fight, attack or damage something or someone
  • To arrive at a specific place, level, or goal
  • To make contact with the ball in a game or sport

number

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US / ˈnʌmbə(r) /

UK / ˈnʌmbɚ /

A1
  • noun
  • Symbols such as 1, 2, 56, 793
  • Particular song or dance performed during a show
  • Total quantity or amount of things
  • verb
  • To put numbers on things
  • To assign a sequence within a group, series, set
  • To claim to be part of a larger group, series, set

requirement

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US / rɪ'kwaɪəmənt /

UK / rɪˈkwaɪrmənt /

A2
  • noun
  • A demand that someone does something
  • Something that is a necessity

tell

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US / tel /

UK / tɛl /

A1
  • verb
  • To (strongly) advise a person to do something
  • To be able to guess
  • To say or communicate information to someone
  • To inform, but without speaking; indicate
  • To have a negative effect on someone
  • To order someone to do something; command
  • To recognize something based on certain signs
  • To report something to an authority
  • To explain something or teach someone something

access

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US / 'ækses /

UK / ˈæksɛs /

A2
  • noun
  • Way to enter a place, e.g. a station or stadium
  • verb
  • To be able to use or have permission to use

block

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US / blɒk /

UK / blɑk /

A2
  • noun
  • Solid piece of material used for building
  • A piece of wood, chocolate etc.
  • Hard piece of wood, stone etc. with straight edges
  • Building made up of offices or apartments
  • Area of a city divided by four streets
  • verb
  • To stop from going forward or making progress

during

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US / ˈdjʊərɪŋ /

UK / ˈdʊrɪŋ, ˈdjʊr- /

A1
  • preposition
  • At some point in the course of an event or thing

include

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US / ɪnˈklu:d /

UK / ɪnˈklud /

A1
  • verb
  • To make someone, something part of a group

must

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US / məst /

UK / mʌst /

A1
  • noun
  • Something that is necessary or required
  • other
  • (Used to state that something ought to be true)
  • Used to say something is required or necessary

pharmaceutical

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US / ˌfɑ:məˈsu:tɪkl /

UK / ˌfɑ:rməˈsu:tɪkl /

B2
  • adjecitve
  • Concerning the science of drugs and medicines

rems

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US / /

UK / /

A1
  • abbreviation
  • REMS is an acronym for rapid eye movements

then

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US / ðen /

UK / ðɛn /

A1
  • adverb
  • A time that is not now
  • Following another thing in time or arrangement
  • Following on reasonably from what was just stated
  • At that time, not now

step

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US / step /

UK / stɛp /

A1
  • noun
  • Movement done as part of a particular dance
  • Distance covered by one movement of a leg; stride
  • One part or stage in a process
  • Sound made by the feet while walking; footstep
  • Flat horizontal piece that forms stairs
  • verb
  • To raise and moving the foot to put it down

apple

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US / ˈæpl /

UK / ˈæpəl /

A1
  • noun
  • Hard round red or green fruit with a white center

case

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US / keɪs /

UK / kes /

A1
  • noun
  • Container used to carry things, e.g. clothes
  • Set of facts about a crime
  • Set of facts about an event
  • Example or instance of something
  • verb
  • To find out about a place, as in planning to steal

clozapine

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US / ˈkləʊzəˌpiːn /

UK / ˈkloʊzəˌpiːn /

A1
  • other
  • An antipsychotic drug (trade name Clozaril) used as a sedative and for treatment-resistant schizophr

find

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US / faɪnd /

UK / faɪnd /

A1
  • noun
  • Object discovered by chance
  • Things that have been discovered from searching
  • verb
  • To become aware of something that is happening
  • To discover or meet by chance
  • To decide if someone is guilty of a crime, or not
  • To learn through study, research, or effort
  • To discover something by looking for it

enough

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US / ɪˈnʌf /

UK / ɪˈnʌf /

A1
  • adjecitve
  • Sufficient to answer the need
  • adverb
  • To a satisfactory degree
  • pronoun
  • Equal to what is needed; as much as required
  • Adequate number or amount

mean

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US / mi:n /

UK / min /

A1
  • adjecitve
  • Being good at
  • Nasty; unkind
  • Not liking to spend money; cheap; stingy
  • noun
  • Average of a set of numbers
  • verb
  • To express a particular idea or thought
  • To intend to do something in particular
  • To have a particular meaning or value

require

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US / rɪ'kwaɪə(r) /

UK / rɪˈkwaɪr /

A2
  • verb
  • To demand that someone does something
  • To need to do something, to make it necessary

proper

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US / 'prɒpə(r) /

UK / ˈprɑpɚ /

A2
  • adjecitve
  • Correct according to social or moral rules

tend

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US / tend /

UK / tɛnd /

A2
  • verb
  • To move or act in a certain manner
  • To take care of
  • To regularly behave in a certain way

type

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US / taɪp /

UK / taɪp /

A1
  • noun
  • Printed letters or blocks used for printing them
  • Group of things or people sharing common features
  • verb
  • To identify something belonging to a group
  • To write by touching keys on a keyboard

advocate

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US / 'ædvəkeɪt /

UK / ˈædvəˌket /

B1
  • noun
  • A lawyer who protects a clients interests
  • Person who supports a movement for changes
  • verb
  • To request change
  • To publicly support a belief

aware

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US / əˈwɛə /

UK / əˈwɛr /

A2
  • adjecitve
  • Knowing or feeling that something exists

first

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US / fɜ:st /

UK / fɚst /

A1
  • adjecitve
  • 1st; Coming before all others in time or place
  • noun
  • Something that has not happened before
  • Position of the winner of a competition

directly

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US / dəˈrektli /

UK / dɪˈrɛktli, daɪ- /

A2
  • adverb
  • In a frank and honest way
  • Right away; immediately

get

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US / ɡet /

UK / ɡɛt /

A1
  • verb
  • To become affected by illness or disease
  • To begin to feel or understand an emotion or idea
  • To send or bring someone or something home, etc.
  • To go somewhere to obtain something
  • To (cause to) do a particular thing
  • To obtain, receive or be given something
  • To currently have
  • To prepare for use
  • To understand something being said or read

second

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US / 'sekənd /

UK / ˈsɛkənd /

A1
  • adjecitve
  • 2nd; the one following first
  • noun
  • Unit of time; one sixtieth of a minute
  • Short period of time that you wait for someone
  • (Do) soon
  • verb
  • To agree to support a proposal at a meeting

abortion

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US / əˈbɔ:ʃn /

UK / əˈbɔ:rʃn /

B1
  • noun
  • A medical operation to stop having a baby

certification

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US / ˌsɜ:təfɪˈkeɪʃən /

UK / ˌsə:təfɪˈkeʃən /

B2
  • noun
  • Official or legal permission to do something

database

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US / 'deɪtəbeɪs /

UK / ˈdetəˌbes, ˈdætə- /

A2
  • noun
  • Data stored in logical order to aid retrieval

medical

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US / ˈmedɪkl /

UK / ˈmɛdɪkəl /

A2
  • adjecitve
  • Of or relating to physical health or medicine
  • noun
  • A health check or test

series

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US / ˈsɪəri:z /

UK / ˈsɪriz /

A1
  • noun
  • Set of stories or articles on a particular subject
  • other
  • Number of things that happen one after another

should

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US / ʃʊd /

UK / ʃʊd /

A1
  • other
  • Used to indicate what is proper or reasonable

science

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US / 'saɪəns /

UK / ˈsaɪəns /

A2
  • noun
  • Study of the physical world, based on facts

white

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US / waɪt /

UK / hwaɪt, waɪt /

A1
  • adjecitve
  • Belonging to a race of people with light skin
  • Of the color of fresh snow and milk
  • noun
  • Person's name
  • Lightest color; The color of fresh snow.

consider

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US / kən'sɪdə(r) /

UK / kənˈsɪdər /

A1
  • verb
  • To think carefully about something

minor

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US / 'maɪnə(r) /

UK / ˈmaɪnɚ /

B1
  • adjecitve
  • Not so large in size; not important or valuable
  • An interval a half tone smaller than its major
  • noun
  • Subject studied in college, but not the main one
  • Someone too young to be legally responsible

story

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US / 'stɔ:rɪ /

UK / ˈstɔri, ˈstori /

A1
  • noun
  • One of many floors or levels in a building
  • Account or description of how something happened

someone

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US / ˈsʌmwʌn /

UK / ˈsʌmˌwʌn, -wən /

A1
  • pronoun
  • Person who is not known or named

certain

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US / ˈsə:tn /

UK / ˈsɚtn /

A1
  • adjecitve
  • Definite, fixed
  • Referring to an unspecified amount or quantity
  • Being sure about something; without doubt

develop

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US / dɪ'veləp /

UK / dɪˈvɛləp /

A1
  • verb
  • To explain something in steps and in detail
  • To create or think of something
  • To grow bigger, more complex, or more advanced
  • To make a photograph from film

day

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US / deɪ /

UK / de /

A1
  • noun
  • A period of 24 hours beginning at midnight
  • The period of time when it is light outside
  • Person's name

hoop

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US / hu:p /

UK / hup /

B2
  • noun
  • Round or circular shape or object

point

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US / pɔɪnt /

UK / pɔɪnt /

A1
  • noun
  • An item to be discussed
  • Small spot or dot
  • Fact or detail
  • Feature of something
  • The size of the text on a page or screen
  • A certain time or stage in a process
  • Certain position in time or space
  • Idea or fact you try to convince people about
  • Measurement of scores in a game, sport
  • Sharp end of something, e.g. a pen or pin
  • verb
  • To face a certain direction, e.g. north
  • To indicate something with your finger to others

sure

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US / ʃʊə(r) /

UK / ʃʊr /

A1
  • adjecitve
  • Having no doubts about something
  • Have confidence in your own words or actions
  • Firmly established or held; being firm or stable
  • Being correct or true
  • adverb
  • What you say to agree willingly

corner

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US / 'kɔ:nə(r) /

UK / ˈkɔrnɚ /

A2
  • noun
  • Place where two lines, sides, corners etc. meet
  • Edges of something, e.g. eyes, boxing ring
  • verb
  • To force into a position impossible to escape from
  • To go around a bend in the road (often by driving)

restriction

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US / rɪˈstrɪkʃn /

UK / rɪˈstrɪkʃən /

A2
  • noun
  • Law or rule that controls or limits something

probably

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US / ˈprɒbəbli /

UK / ˈprɑbəbli /

A1
  • adverb
  • That is likely to happen or be true

profile

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US / 'prəʊfaɪl /

UK / ˈproˌfaɪl /

B1
  • noun
  • A short description of a person or group
  • Shape of someone's head when viewed from the side
  • verb
  • To write a short description of a person or group

safe

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US / seɪf /

UK / sef /

A2
  • noun
  • Metal box with a lock to keep valuable things in
  • adjecitve
  • Highly likely
  • Being out of danger

while

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US / waɪl /

UK / hwaɪl, waɪl /

A1
  • conjunction
  • In spite of the fact that; although
  • During the time that; at the same time
  • noun
  • Short amount of time

wait

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US / weɪt /

UK / wet /

A1
  • verb
  • To delay or not do something until later
  • To spend time until an expected thing happens
  • To remain in a place until a thing happens

after

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US / 'ɑ:ftə(r) /

UK / ˈæftɚ /

A1
  • adverb
  • Later than another time, or behind something
  • conjunction
  • Following something before
  • preposition
  • When an event happened or time has passed

drug

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US / drʌɡ /

UK / drʌɡ /

A2
  • noun
  • Illegal substance taken for effect on the mind
  • Chemical used as a medicine
  • verb
  • To give drugs to someone to make them sleep

homicide

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US / 'hɒmɪsaɪd /

UK / ˈhɒmɪsaɪd /

B2
  • noun
  • A murder

many

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US / 'menɪ /

UK / ˈmɛni /

A1
  • determiner
  • Used to refer a large number of things

itself

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US / ɪtˈself /

UK / ɪtˈsɛlf /

A1
  • pronoun
  • Referring to it

regulate

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US / ˈregjuleɪt /

UK / ˈrɛɡjəˌlet /

A2
  • verb
  • To control something with rules or laws
  • To set/adjust (a clock, etc.); restrict motion in

relate

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US / rɪ'leɪt /

UK / rɪˈlet /

A2
  • verb
  • To demonstrate a logical relationship between
  • To understand or sympathize with, e.g. a problem
  • To tell a story, or tell about a particular event

specially

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US / ˈspeʃəli /

UK / ˈspeʃəli /

A2
  • adverb
  • Very; noticeably; greatly

tease

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US / ti:z /

UK / tiz /

B1
  • noun
  • Something said or done as a joke
  • verb
  • To purposefully bother an animal
  • To playfully embarrass or make fun of

will

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US / wɪl /

UK / wɪl /

A1
  • noun
  • Desire or choice of someone
  • Document saying who gets your money when you die
  • Strong desire to do something; determination
  • Desire to do something; strong wish to do
  • other
  • Used with verbs to express the future
  • verb
  • To leave property to someone after your death
  • To use mental effort to make something happen
  • Am (is, are) likely to do
  • To influence someone to do something
  • To make something happen by strongly wanting it

thousand

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US / ˈθaʊznd /

UK / ˈθaʊzənd /

A1
  • number
  • Number 1,000

available

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US / əˈveɪləbl /

UK / əˈveləbəl /

A1
  • adjecitve
  • Present and able to be used
  • Able to be used at a scheduled time

either

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US / ˈaɪðə(r) /

UK / ˈiðɚ, ˈaɪðɚ /

A1
  • adjecitve
  • One of two (used when there is a choice of two)
  • adverb
  • (After negative statements) likewise, in addition
  • conjunction
  • Used as the first of two connected things
  • determiner
  • Used as the first of two connected things
  • pronoun
  • The one or the other

here

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US / hɪə(r) /

UK / hɪr /

A1
  • adverb
  • In this place; at this location, position or time

perk

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US / pɜ:k /

UK / pɜ:rk /

B2
  • noun
  • An advantage or something extra, such as money or goods, that you are given because of your job
  • verb
  • To suddenly get more energy

strategy

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US / 'strætədʒɪ /

UK / ˈstrætədʒi /

A2
  • noun
  • Careful plan or method for achieving a goal
  • other
  • Branch of military dealing with command

try

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US / traɪ /

UK / traɪ /

A1
  • noun
  • Act of putting the ball over the rugby goal line
  • verb
  • To make an effort, to attempt to do something
  • To examine someone or something in a court of law
  • To test to see if it is good or you like it
  • To make a person go through hardship; test
  • To examine something to see if it works

supply

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US / sə'plaɪ /

UK / səˈplaɪ /

A2
  • noun
  • Availability of products and services for use
  • Specific things needed to perform a certain task
  • verb
  • To give or sell goods to others for their use

actually

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US / ˈæktʃuəli /

UK / ˈæktʃuəli /

A1
  • adverb
  • Used to add new (often different) information

attack

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US / ə'tæk /

UK / əˈtæk /

A2
  • noun
  • Act intended to hurt someone physically, mentally
  • verb
  • To try to destroy, beat, or injure

folk

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US / fəʊk /

UK / fok /

A2
  • adjecitve
  • (Of ordinary people) not sophisticated
  • noun
  • Ordinary common people

immediately

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US / ɪˈmi:diətli /

UK / ɪˈmidiɪtli /

A1
  • adverb
  • Without any delay; straight away

sell

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US / sel /

UK / sɛl /

A1
  • verb
  • To exchange something for money
  • To persuade people to do, like or agree

route

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US / ru:t /

UK / rut, raʊt /

A2
  • noun
  • Way to get from one place to another place; path
  • Path or way that people often use
  • Method of achieving a certain result
  • verb
  • To send along a particular path or way

painkiller

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US / 'peɪnkɪlə(r) /

UK / ˈpenˌkɪlɚ /

C2
  • noun
  • Medicine used to relieve pain

use

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US / ju:s /

UK / ju:s /

A1
  • noun
  • Ability to employ something
  • Need to enable it to work
  • Permission to do something with something
  • Act of spending money
  • Operation of a machine for its function
  • verb
  • To have; to eat, drink, consume etc.
  • To need to operate or work
  • To operate a machine, e.g. a computer
  • To treat a person badly
  • To do something with, for a task or purpose

market

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US / ˈmɑ:kɪt /

UK / ˈmɑ:rkɪt /

A1
  • noun
  • Need or demand for a particular product or service
  • Area or region where a certain product is sold
  • Public event where people sell goods on tables
  • Institution where stocks are bought and sold
  • verb
  • To publicize products to get you to buy; advertise

procedure

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US / prəˈsi:dʒə(r) /

UK / prəˈsidʒɚ /

B1
  • noun
  • A medical operation
  • Usual or standard steps taken to do something

too

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US / tu: /

UK / tu /

A1
  • adverb
  • In addition, also; with emphasis
  • Say that something is more than you want

totally

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US / ˈtəʊtəli /

UK / ˈtotl:ɪ /

A1
  • adverb
  • In a complete way; completely; absolutely

for

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US / fə(r) /

UK / fɔr,fə /

A1
  • preposition
  • Used to show the purpose, or need of something

necessarily

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US / ˌnesəˈserəli /

UK / ˌnɛsɪˈsɛrəli, -ˈsɛr- /

A2
  • adverb
  • In a way that is needed/required/is unavoidable

short

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US / ʃɔ:t /

UK / ʃɔrt /

A1
  • adverb
  • Less than what is needed
  • Suddenly stopping what you are saying or doing
  • verb
  • (Of electric circuit) to spark because faulty
  • adjecitve
  • Measuring a small distance
  • Happening for a small amount of time
  • Unfriendly or rude

time

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US / taɪm /

UK / taɪm /

A1
  • noun
  • Speed at which music is played; tempo
  • Point as shown on a clock, e.g. 3 p.m
  • Number of hours, minutes needed to do something
  • Occasion when something happens
  • Period or occasion that something occurred
  • Period in history or the past
  • Something measured in minutes, hours, days, etc.
  • How long an event takes; duration
  • verb
  • To check speed at which music is performed
  • To choose a specific moment to do something
  • To measure how long an event takes, e.g. a race
  • To schedule something to occur at a specific moment

through

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US / θru: /

UK / θru /

A2
  • adjecitve
  • having finished using or doing something
  • adverb
  • From the beginning of something until the end
  • preposition
  • Over, in, across an entire thing or place
  • Allowing you to pass between, or to
  • By a particular way or process; by the use of

why

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US / waɪ /

UK / hwaɪ, waɪ /

A1
  • adverb
  • Question word to ask for a reason
  • exclamation
  • (Used to express surprise or approval)

nation

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US / 'neɪʃn /

UK / ˈneʃən /

A1
  • noun
  • Area or region controlled by a government and army

just

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US / dʒʌst /

UK / dʒʌst /

A1
  • adjecitve
  • Proper or appropriate; as is deserved
  • Doing or being what is right or fair
  • Legally correct; having enough evidence
  • adverb
  • Almost; nearly
  • Exactly at the time of
  • Exactly (the same as, like)

report

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US / rɪ'pɔ:t /

UK / rɪˈpɔrt, ˈport /

A1
  • noun
  • Account of the necessary facts and information
  • The telling of news in the media
  • Official statement about something
  • verb
  • To submit a report or bill to the government
  • To write in a newspaper or speak on a news program
  • To state something officially
  • To officially present yourself to an authority
  • To describe something by telling it to others

purpose

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US / 'pɜ:pəs /

UK / ˈpɚpəs /

A2
  • noun
  • Reason for which something is done; aim; goal

talk

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US / tɔ:k /

UK / tɔk /

A1
  • noun
  • Style of speaking
  • Discussion between two countries
  • Giving information in front of people; lecture
  • Saying things or ideas to someone with words
  • verb
  • To make a formal speech about something
  • To say things or ideas to someone with words

stroke

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US / strəʊk /

UK / strok /

B1
  • noun
  • When blood cannot get to brain, causing damage
  • Mark made by a pen, pencil or brush
  • One movement of oars on a boat
  • verb
  • To rub your hand in a caring way on something

somewhere

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US / 'sʌmweə(r) /

UK / ˈsʌmˌhwɛr, -ˌwɛr /

A1
  • adverb
  • At or to an unknown or unnamed place

few

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US / fju: /

UK / fju /

A1
  • pronoun
  • Not many, a small number

much

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US / mʌtʃ /

UK / mʌtʃ /

A1
  • adjecitve
  • Very; to a high level or degree
  • adverb
  • A lot; large amount; a high degree of
  • Nearly; basically
  • On many occasions; often
  • noun
  • A large amount; a great quantity

messy

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US / 'mesɪ /

UK / ˈmɛsi /

A2
  • adjecitve
  • Being complex or difficult to fix
  • Being untidy or dirty

terminate

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US / 'tɜ:mɪneɪt /

UK / ˈtɚməˌnet /

B1
  • verb
  • To bring something to and end or finish
  • To (cause to) finish in a particular way or place

standard

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US / 'stændəd /

UK / ˈstændəd /

A2
  • adjecitve
  • Being the accepted normal level of quality
  • (Of a language) being the most accepted in a place
  • noun
  • Official unit of measuring something
  • Principle of behaving in a moral way

under

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US / ˈʌndə(r) /

UK / ˈʌndɚ /

A1
  • adjecitve
  • In the same place as another thing, but lower
  • adverb
  • In a lower quantity or price than expected
  • preposition
  • According to the terms of an agreement or law
  • Managed or controlled by the authority of
  • Being of a lesser quality or amount than expected
  • Influenced or affected by something or someone
  • Less or lower in age, amount, size or number

system

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US / 'sɪstəm /

UK / ˈsɪstəm /

A1
  • adjecitve
  • Working in an organized, logical way
  • noun
  • Set of organized, planned ideas that work together

hour

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US / 'aʊə(r) /

UK / aʊr /

A1
  • noun
  • 60 minutes
  • Particular time of the day
  • Fixed, regularly occurring time

regularly

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US / ˈregjələli /

UK / ˈregjələrli /

B1
  • adverb
  • At the usual time each day, week, or month

those

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US / ðəʊz /

UK / ðoz /

A1
  • determiner
  • The people or things we are talking about
  • pronoun
  • The objects far from the speaker

though

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US / ðəu /

UK / ðo /

A1
  • adverb
  • Although, despite the fact that

check

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US / tʃek /

UK / tʃɛk /

A1
  • adjecitve
  • Decorated with squares made up of lines
  • noun
  • Paper showing how much you owe at a restaurant
  • Printed piece of paper you sign to pay for things
  • A mark on a form, equivalent to 'yes'; tick
  • Mark used to show that something is correct
  • Procedure to prevent errors or control something
  • verb
  • To confirm the details of something are correct
  • To leave your things with staff who look after it
  • To examine something to see if something is wrong
  • To examine in order to prevent errors/a problem

depend

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US / dɪˈpend /

UK / dɪˈpend /

B1
  • verb
  • Be controlled or determined by (someone/something)

situation

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US / ˌsɪtʃuˈeɪʃn /

UK / ˌsɪtʃuˈeʃən /

A1
  • noun
  • Place, position or area that something is in
  • Circumstance or condition surrounding an event
  • An unexpected problem or difficulty

everybody

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US / ˈevribɒdi /

UK / ˈɛvriˌbɑdi, -ˌbʌdi /

A1
  • pronoun
  • Every person; everyone

harm

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US / hɑ:m /

UK / hɑrm /

A2
  • noun
  • Damage or injury
  • verb
  • To damage, injure, or hurt someone or something

rigorous

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US / ˈrɪgərəs /

UK / ˈrɪɡərəs /

B1
  • adjecitve
  • Very strict and often difficult; thorough
  • Being exact, precise, and carefully done

lower

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US / 'ləʊə(r) /

UK / ˈlaʊɚ, laʊr /

A2
  • adjecitve
  • In a position more near the bottom
  • verb
  • To move something downward to the ground

since

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US / sɪns /

UK / sɪns /

A1
  • adverb
  • At a point before the present time
  • conjunction
  • For this reason; because
  • preposition
  • From the time in the past that

test

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US / test /

UK / test /

A1
  • noun
  • A medical examination
  • Action to establish the truth or nature of
  • Examination; questions to measure knowledge
  • verb
  • To be given a medical examination
  • To try to establish the truth or nature of
  • To ask a series of questions to measure knowledge

start

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US / stɑ:t /

UK / stɑrt /

A1
  • noun
  • First time or place that a thing exists; beginning
  • First opportunity to achieve something, e.g. a job
  • Sudden action or movement because you are scared
  • other
  • Beginning of something in place or time
  • verb
  • To do, be or happen for the first time; begin
  • To turn something on

well

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US / wel /

UK / wɛl /

A1
  • adjecitve
  • Being in a fortunate, good condition or state
  • Healthy and in good condition
  • adverb
  • In an acceptable, proper, or successful manner
  • In a complete, total, or full manner
  • A great and considerable degree
  • In a successful way, in a good or satisfactory way
  • exclamation
  • Used to begin or continue a particular statement
  • Used to show you want to start saying something
  • Used to express that you are waiting for a reply
  • You say this to change the topic of a conversation
  • Used to indicate you are making a final remark
  • noun
  • Long deep hole in the ground to get water
  • verb
  • To cause your eyes to fill with tears

basis

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US / ˈbeɪsɪs /

UK / ˈbesɪs /

A2
  • noun
  • Main ingredient or part of something
  • Starting situation, fact, idea to develop from

objective

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US / əbˈdʒektɪv /

UK / əbˈdʒɛktɪv /

A2
  • adjecitve
  • Being real, rather than simply being an idea
  • noun
  • Something you decide you want to do; goal

pregnancy

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US / ˈpregnənsi /

UK / ˈprɛɡnənsi /

B1
  • noun
  • When a woman carries her unborn baby inside her

definitely

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US / ˈdefɪnətli /

UK / ˈdefɪnətli /

A2
  • adverb
  • Without question; beyond doubt

eight

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US / eɪt /

UK / et /

A1
  • number
  • 8

limited

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US / ˈlɪmɪtɪd /

UK / ˈlɪmɪtɪd /

B1
  • adjecitve
  • (Of a company) with a limit of financial liability
  • With restrictions; not broad in scope
  • verb
  • To stop or prevent an increase past a point

per

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US / pə(r) /

UK / pɚ /

A2
  • preposition
  • In the manner directed or suggested
  • For each; during each

pharmacy

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US / ˈfɑ:məsi /

UK / ˈfɑ:rməsi /

B1
  • noun
  • Shop where medicines are prepared and sold

overall

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US / ˌəʊvər'ɔ:l /

UK / ˈovɚˌrɔl /

A2
  • adjecitve
  • Viewed as a whole; in general, not as details

sound

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US / saʊnd /

UK / saʊnd /

A1
  • adjecitve
  • Sensible, dependable and reliable
  • Unbroken or undisturbed, as of sleep
  • Firm or solid in structure
  • Sane; not mentally ill
  • Clearly reasoned; involving sense, good judgment
  • noun
  • Unique quality that characterizes a style of music
  • Waves traveling in air or water that can be heard
  • verb
  • To seem or appear to be, from what was said
  • To say in a clear deliberate manner
  • To make a noise, e.g. to ring a bell

pair

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US / peə(r) /

UK / per /

A2
  • noun
  • Two of the same thing, e.g. socks
  • Two people viewed together for some reason; couple
  • verb
  • To put two things or people together

uterine

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US / 'ju:təraɪn /

UK / ˈjutərɪn, -təˌraɪn /

A1
  • adjecitve
  • Concerning or involving the uterus (womb)

subject

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US / 'sʌbdʒɪkt /

UK / ˈsʌbdʒekt /

A1
  • noun
  • Citizen of an area or country
  • The person or thing that does the action of a verb
  • People who take part in experiments or tests
  • An area of study at school, e.g. math, history
  • What a book, article etc. is about; theme
  • verb
  • To cause to suffer or experience something

carry

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US / ˈkæri /

UK / ˈkæri /

A1
  • verb
  • To have a child, be pregnant
  • To have a disease you might give to others
  • (Of stores) to sell a particular product
  • To hold something and move it to another place
  • To travel a long distance (sound)
  • To support the weight or burden of something

become

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US / bɪ'kʌm /

UK / bɪˈkʌm /

A1
  • verb
  • To begin to be; grow to be; develop into
  • To be suitable for a particular job or role

fda

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US / ˌef diː ˈeɪ /

UK / ˌef diː ˈeɪ /

A1
  • abbreviation
  • FDA is an acronym

liver

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US / ˈlɪvə(r) /

UK / ˈlɪvɚ /

B1
  • noun
  • Organ from animals served as food
  • Organ that absorbs food and cleans the blood

opportunity

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US / ˌɒpə'tju:nətɪ /

UK / ˌɑpɚˈtunɪti, -ˈtju- /

A2
  • noun
  • Time, situation when a thing might be done; chance

same

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US / seɪm /

UK / sem /

A1
  • adjecitve
  • Being equal in quality and amount
  • Identical; not different
  • Not changing; constant

role

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US / rəʊl /

UK / rol /

A2
  • noun
  • Character played by an actor
  • Part you play in an activity; job; responsibility

decision

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US / dɪ'sɪʒn /

UK / dɪˈsɪʒən /

A1
  • noun
  • Choice made after thinking; final judgment
  • Ability to make quick and confident choices

potentially

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US / pə'tenʃəlɪ /

UK / pəˈtɛnʃəlɪ /

B1
  • adverb
  • That could happen or become reality

pandemic

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US / pæn'demɪk /

UK / pænˈdɛmɪk /

C2
  • adjecitve
  • (of a disease) existing in almost all of an area or in almost all of a group of people, animals, or
  • noun
  • a pandemic disease

against

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US / əˈgenst /

UK / əˈɡenst /

A1
  • preposition
  • In physical contact with, as for support; next to
  • In opposition to; disagreeing with

fetus

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US / 'fi:təs /

UK / ˈfitəs /

C1
  • noun
  • An unborn baby, at a later stage than an embryo

frequent

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US / ˈfri:kwənt /

UK / ˈfrikwənt /

A2
  • adjecitve
  • Happening often
  • verb
  • To go to a place regularly

now

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US / naʊ /

UK / naʊ /

A1
  • adverb
  • At the present time or moment
  • Right away or in the next possible moment
  • Used to refer to something that just happened
  • Time between the present and a moment in the past
  • conjunction
  • Resulting from or because of something

neat

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US / ni:t /

UK / nit /

A2
  • adjecitve
  • That you approve of; cool
  • (Of alcohol) not weakened with water or a mixer
  • Not messy; clean and orderly; simple and effective

law

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US / lɔ: /

UK / lɔ /

A1
  • noun
  • Field of study that relates to the legal profession
  • A rule made and enforced by a government
  • System or rules made by the government

trial

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US / ˈtraɪəl /

UK / ˈtraɪəl, traɪl /

A2
  • adjecitve
  • Being made or done as a test or experiment
  • noun
  • Hearing and judgment of a case in court
  • Act or process of testing or experimenting
  • verb
  • To be made or done as a test or experiment

ability

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US / ə'bɪlətɪ /

UK / əˈbɪlɪti /

A2
  • noun
  • The power, resources or skill to do something

but

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US / bət /

UK / bʌt,bət /

A1
  • conjunction
  • Used before you say something different, opposite

especially

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US / ɪˈspeʃəli /

UK / ɛˈspɛʃəli, ɪˈspɛʃ- /

A1
  • adverb
  • More than usual; extremely

good

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US / ɡʊd /

UK / ɡʊd /

A1
  • adjecitve
  • Proper, appropriate or right
  • (Of an amount) enough; plenty
  • Excellent; high quality
  • Acting well or properly; of moral character
  • In a positive or happy emotional state
  • noun
  • Advantage or benefit

generally

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US / /

UK / /

A2
  • adverb
  • Usually; as a rule; by, to or for most people

give

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US / ɡɪv /

UK / ɡɪv /

A1
  • noun
  • Degree of flexibility in something, a material
  • verb
  • To hand over or present something to someone
  • To cause someone to have or experience something

patron

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US / 'peɪtrən /

UK / ˈpetrən /

B2
  • noun
  • Person buying products or services of a business
  • Someone who donates to an organization or activity

research

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US / rɪ'sɜ:tʃ /

UK / rɪˈsɚtʃ, ˈriˌsɚtʃ /

A2
  • noun
  • Study done to discover new ideas and facts
  • Work done to find or discover knowledge
  • verb
  • To study in order to discover new ideas and facts

technically

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US / ˈteknɪkli /

UK / ˈtɛknɪkl:ɪ /

A2
  • adverb
  • In an exact and particular manner

undercount

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US / /

UK / /

A1
  • verb
  • To record fewer than the actual number of (persons in a census, for example)

currently

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US / ˈkʌrəntli /

UK / ˈkʌrənt(ə)li /

A2
  • adverb
  • Happening or being in the present time

safety

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US / ˈseɪfti /

UK / ˈsefti /

A1
  • noun
  • Device on a gun to prevent accidental shooting
  • State of being free from harm or danger

testing

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US / ˈtestɪŋ /

UK / ˈtestɪŋ /

A1
  • verb
  • To be given a medical examination
  • To try to establish the truth or nature of
  • To ask a series of questions to measure knowledge

video

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US / 'vɪdɪəʊ /

UK / ˈvɪdiˌo /

A2
  • adjecitve
  • Of a moving film, with sound
  • noun
  • Recording capturing action with sound
  • verb
  • To make a moving film of, with sound

want

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US / wɔnt /

UK / wɑnt, wɔnt /

A1
  • noun
  • Something you desire or wish for
  • State or condition of poverty
  • verb
  • To desire or wish for something; hope for a thing

not

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US / nɒt /

UK / nɑt /

A1
  • adverb
  • Word indicating the negative
  • (Used to form the negative of verbs)

quite

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US / kwaɪt /

UK / kwaɪt /

A1
  • adverb
  • Not very; fairly
  • Very; In a complete or total manner

our

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US / 'aʊə(r) /

UK / aʊr /

A1
  • determiner
  • Belonging to us

compare

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US / kəm'peə(r) /

UK / kəmˈpɛr /

A1
  • verb
  • To consider how similar and different things are

study

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US / 'stʌdɪ /

UK / ˈstʌdi /

A1
  • noun
  • Room that a person studies or reads in
  • Piece of research
  • Topic or subject you research or learn about
  • verb
  • To focus on learning something usually at school

would

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US / wʊd /

UK / wʊd /

A1
  • other
  • Used to indicate something imagined
  • Used to ask or request something politely
  • Verb used to indicate possibility, request etc.
  • Used to indicate a preference
  • Used to indicate a reaction
  • Indicates something that occurred repeatedly
  • Used to indicate willingness or ability to do

understand

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US / ˌʌndə'stænd /

UK / ˌʌndɚˈstænd /

A1
  • verb
  • To know the meaning of language, what someone says

collect

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US / kəˈlekt /

UK / kəˈlɛkt /

A2
  • adverb
  • By asking the receiver of a call to pay for it
  • verb
  • To ask for money, e.g. for a charity
  • To gather things, people together in one place
  • To get and keep one type of things as a hobby
  • To take things and bring them together
  • To go and receive, e.g. a prize or an award
  • To take control of your own feelings or thoughts

effect

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US / ɪ'fekt /

UK / ɪˈfɛkt /

A1
  • noun
  • An advantage, benefit
  • Change brought about by a cause; result

comparison

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US / kəmˈpærɪsn /

UK / kəmˈpærɪsən /

A2
  • noun
  • Act of comparing things

can

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US / kæn /

UK / kən,kæn /

A1
  • noun
  • A metal container for storing food
  • other
  • Able to; have the skill to; have the time to
  • verb
  • To have permission to
  • To be possible to do
  • To preserve food by sealing it in a metal container

mifepristone

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US / mɪˈfeprɪˌstəʊn /

UK / mɪˈfeprɪˌston /

A1
  • noun

loosen

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US / 'lu:sn /

UK / ˈlusən /

B1
  • verb
  • To make something less tight

splashy

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US / ˈsplæʃi /

UK / ˈsplæʃi /

A1
  • other
  • Characterized by water flying about haphazardly
  • Covered with patches of bright color

whether

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US / ˈweðə(r) /

UK / ˈhwɛðɚ, ˈwɛð- /

A1
  • conjunction
  • If something will happen or not

support

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US / səˈpɔ:t /

UK / səˈpɔrt, -ˈport /

A1
  • noun
  • Assistance or advice given to someone
  • Evidence that helps prove something is true
  • A thing to hold up or prevent from falling down
  • verb
  • To give assistance or advice to someone
  • To help prove or show that something is true
  • To hold up or prevent from falling down

clear

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US / klɪə(r) /

UK / klɪr /

A1
  • adjecitve
  • Empty; without anything in it or on it
  • Being certain and without doubt
  • Being without any streaks, spots, or cracks
  • Easy to understand; well-explained; obvious
  • adverb
  • Completely; entirely; through the whole of
  • Away from; free from
  • verb
  • To recover from or remove a problem
  • To get rid of the entire contents of
  • To give permission for something to happen
  • To make a place or surface empty by removing
  • To prove that someone is not guilty or to blame

hand

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US / hænd /

UK / hænd /

A1
  • noun
  • Cards given to a player in a card game
  • Piece of a clock that points to the time
  • Someone who performs physical tasks or work
  • Body part at the end of a person's arm
  • Help for someone performing a particular action
  • Condition of having power or influence
  • Member of the crew of a ship
  • verb
  • To give something to someone personally

next

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US / nekst /

UK / nɛkst /

A1
  • adverb
  • The one that follows another in time or order
  • At a time or place directly after the present one
  • noun
  • The one that follows after
  • adjecitve
  • Immediately after the previous one
  • First occurrence after the present one

review

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US / rɪˈvju: /

UK / rɪˈvju /

A2
  • noun
  • Examination of soldiers and supplies
  • Opinion, as in a paper, about movie, book, or play
  • Studying again to remind yourself about something
  • verb
  • To carefully look at the quality of something
  • To formally examine something in the military
  • To write an opinion about movie, book, or play
  • To study again to remind yourself about something

scientist

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US / ˈsaɪəntɪst /

UK / ˈsaɪəntɪst /

A2
  • noun
  • Person who is trained in a science

worldwide

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US / ˈwɜ:ldwaɪd /

UK / ˈwɚldˈwaɪd /

B1
  • adjecitve
  • Spanning or extending throughout the entire world
  • adverb

behind

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US / bɪˈhaɪnd /

UK / bɪˈhaɪnd /

A1
  • adjecitve
  • Concerning a later or slower time than expected
  • Being in a losing position in a sporting event
  • Being in the past; old fashioned
  • adverb
  • Remaining
  • noun
  • The part of the body that one sits on
  • preposition
  • At or toward the back of someone or something
  • Supporting or helping someone

could

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US / kəd /

UK / kʊd /

A1
  • other
  • Past form of 'can' to mean have ability
  • Used to ask for something politely, or to offer

enjoy

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US / ɪnˈdʒɔɪ /

UK / ɛnˈdʒɔɪ /

A1
  • verb
  • To take pleasure in something

know

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US / nəʊ /

UK / noʊ /

A1
  • verb
  • To be familiar with a person or place, thing
  • To feel sure or be convinced about something
  • To discover or be aware of something
  • To be able to distinguish
  • To have knowledge of things

headline

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US / ˈhedlaɪn /

UK / ˈhedlaɪn /

B2
  • noun
  • Title summarizing a news story
  • verb
  • To be the main performer at a show

often

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US / ˈɔfən /

UK / ˈɔfən,ˈɑfən,ˈɔftən,ˈɑf- /

A1
  • adverb
  • Many times; frequently; on many occasions

public

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US / 'pʌblɪk /

UK / ˈpʌblɪk /

A1
  • adjecitve
  • Owned by the government
  • Concerning society in general
  • Being available or accessible to people in general
  • Known or able to be known by all people

tank

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US / tæŋk /

UK / tæŋk /

B1
  • noun
  • Container for holding liquid or gas
  • Military vehicle that can go over rough areas
  • verb
  • To fail completely or badly
  • To deliberately lose a game or contest

slightly

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US / ˈslaɪtli /

UK / ˈslaɪtli /

B1
  • adverb
  • Only a little

evaluation

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US / ɪˌvæljʊ'eɪʃn /

UK / ɪˌvæljʊˈeʃən /

B1
  • noun
  • Judgment about the value or condition of something

dangerous

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US / ˈdeɪndʒərəs /

UK / ˈdendʒərəs /

A1
  • adjecitve
  • Involving the chance of hurt or damage; risky

datum

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US / ˈdeɪtəm /

UK / ˈdetəm, ˈdætəm, ˈdɑtəm /

B1
  • noun
  • Item of factual information

process

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US / prə'ses /

UK / ˈprɑsˌɛs, ˈproˌsɛs /

A2
  • noun
  • Dealing with official forms in the way required
  • Set of changes that occur slowly and naturally
  • verb
  • To organize and use data in a computer
  • To deal with official forms in the way required
  • To prepare by treating something in a certain way
  • To adopt a set of actions that produce a result
  • To convert by putting something through a machine

with

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US / wɪð /

UK / wɪð, wɪθ /

A1
  • preposition
  • As an employee of a certain company
  • Against something or someone
  • By using something as a means
  • Due to; because of
  • Including
  • Possessing as a feature
  • Related to
  • (Of the manner/attitude by which you do something)
  • Used to express that people or things are together

center

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US / 'sentə /

UK / ˈsɛntɚ /

A1
  • noun
  • Community place people go health or social reasons
  • Place in the middle of something
  • Person or thing that is attracting attention
  • verb
  • To direct focus toward something

count

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US / kaʊnt /

UK / kaʊnt /

A2
  • noun
  • Number of things added together, e.g. votes
  • With the number of crimes, knockouts, as stated
  • verb
  • To add things together to find the total number
  • To matter or be important
  • To include someone or something in a final number

focus

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US / 'fəʊkəs /

UK / ˈfokəs /

A2
  • noun
  • Main purpose or center of interest or activity
  • verb
  • To see clearly by adjusting your eyes or a camera
  • To keep your attention, concentration on one thing

mitigation

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US / ˌmɪtɪˈgeɪʃn /

UK / ˌmɪtɪˈɡeɪʃn /

B2
  • noun
  • Act of making less severe or serious

manage

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US / ˈmænɪdʒ /

UK / ˈmænɪdʒ /

A1
  • verb
  • To survive hardships and difficulties; to cope
  • To run or operate a business by directing others

viagra

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US / vaɪ'æɡrə /

UK / vaɪ'æɡrə /

A1
  • noun
  • A drug taken to increase blood flow to the penis and improve erectile function.

community

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US / kə'mju:nətɪ /

UK / kəˈmjunɪti /

A2
  • noun
  • Group of people who share a common idea or area

see

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US / si: /

UK / si /

A1
  • verb
  • To go on a date with someone
  • To predict whether something is, or will be true
  • To understand what someone says
  • To use your eyes to look at something
  • To visit a place often for sightseeing or pleasure
  • To visit or meet with someone
  • To find out by waiting or looking
  • To watch (a game, movie or TV show)

have

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US / həv /

UK / hæv /

A1
  • verb
  • To drink, smoke, eat or use something
  • To experience the effects of something
  • To organize an event, or join in an activity
  • To own, possess, or hold something
  • To cause to happen or produce a particular effect

last

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US / lɑ:st /

UK / læst /

A1
  • adjecitve
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  • Subtitles section
  • Over the last few months, a drug has found its way into the headlines in the U.S. on a regular basis.
  • Mifepristone has been the subject of laws and court cases centering on its role in medication abortion.
  • Some people are calling for the drug to be banned altogether, with one argument being that it poses safety risk to patients.
  • That argument has made it all the way to the U.S. Supreme Court.
  • However, some abortion rights advocates and patients say that, if anything, the drug should be easier to get.
  • After all, they argue, why should Mifepristone be tightly regulated when it's actually safer to take than many other drugs on the market?
  • And the talking point they're using is Mifepristone is safer than Viagra.
  • So today, we're going to try and get to the bottom of this particular talking point.
  • But we're also going to look at the science behind why we know Mifepristone, or any drug, is safe.
  • [♪
  • INTRO ♪ Mifepristone is sold under the brand name Mifeprex, and it's the first pharmaceutical in a pair typically used for medication abortion.
  • It has other uses, too, but this is the one we'll focus on.
  • It blocks the effects of progesterone, a hormone that is important in pregnancy.
  • Without progesterone, the fetus detaches from the uterine wall, and the pregnancy is terminated.
  • A patient will typically take Mifepristone and then follow it up immediately or up to 48 hours later with a series of doses of misoprostol, which causes contractions.
  • Taking Mifepristone and misoprostol together can be up to 98% effective if taken early enough in a pregnancy.
  • A second dose, as needed, makes that number more like 99% overall.
  • This combo is also used for managing early miscarriages.
  • When a miscarriage happens in the first trimester, a patient has three options—medication management, a physical procedure, or just waiting for it to pass naturally from the body.
  • Doctors used to only use misoprostol if a patient selected the medication route, but in about 30% of cases, the patients would need further doses or a physical procedure to pass their miscarriage.
  • So now, doctors prescribe the Mifepristone and Misoprostol combo as the standard of care, and it's much more effective, even though this technically isn't an FDA-approved way to treat miscarriage.
  • So Mifepristone definitely works and is used to provide care to a variety of people who need it.
  • But that is only half of what scientists and regulators want to know when deciding if a drug should be made available to folks.
  • The other half is whether it's safe to use, and regulatory processes are designed to find that out.
  • Mifepristone was developed in the 1980s and first approved in China and France in 1988.
  • After reviewing studies conducted here and abroad, the FDA approved Mifepristone in the US in the year 2000, and it's currently approved in more than 90 countries.
  • And in the US, medication abortions account for over half of all abortions.
  • Which creates a ton of opportunity to collect data on the safety of Mifepristone, which should make it easy to know if it is actually safer than, our thesis here, taking Viagra.
  • Except it's not quite that simple.
  • Because no one does clinical trials or even indirect comparisons between two totally different drugs used for two different purposes.
  • Comparing drug A for use A to drug B for use B would cost a lot of effort and money, and wouldn't tell doctors anything that would help patients.
  • Instead, clinical studies often compare whatever intervention is being tested to the standard of care.
  • Standard of care can mean a lot of things.
  • But in the case of abortion medications, we're generally looking at the other things that may happen to patients who are pregnant—surgical abortions and live birth.
  • And what shakes out from that research is that medication abortion has a slightly higher rate of complications than surgical abortion, and a much lower rate of complications than giving birth.
  • In case it is not clear here, I should emphasize that no one is saying that one of these outcomes is better than the others.
  • It's simply a way of looking at the risk to patients who are in similar situations to one another.
  • So compared to the other options for pregnancy, we know that mifepristone is safe.
  • So where does Viagra come in?
  • The FDA keeps track of adverse events after taking a drug.
  • That is, the times and ways people were harmed.
  • This database is available to the public.
  • It's called the FDA Adverse Event Reporting System, or FAERS.
  • And it is not a perfect system.
  • For one thing, while drug companies have to report any adverse effects that they know about, like ones that happened during clinical trials, there's no rule that doctors or patients have to report events.
  • So it's likely that FAERS undercounts adverse events, especially minor ones.
  • It also doesn't have any way of teasing apart whether the adverse event was caused by the drug.
  • It simply says that someone was taking a drug, and then a bad thing happened.
  • But if you actually want to compare the safety of two totally different types of drugs, FAERS is probably the most objective way to do so.
  • So as of June 2022, the FAERS database reports 28 deaths in patients in the U.S. who had taken mifepristone in the more than 20 years since it's been approved.
  • However, about half of those were due to things that were not directly related to the drug itself, including several homicides.
  • The deaths that seem more likely to have potentially been related to the drug were from things like infection.
  • So that shakes out to a death rate of somewhere between 0.35 and 0.65 per 100,000, depending on which cases you count.
  • Drugs in the group that includes Viagra, on the other hand, have a death rate of around 4 per 100,000 users, eight times higher than mifepristone.
  • Again, though, comparing the safety of two drugs used for completely different purposes is kind of comparing apples and oranges.
  • But the FAERS database is the best we have when it comes to thinking about how the risks of the drugs we're prescribing every day stack up against each other.
  • And it is a transparent way to look up the risks of any drug on the market.
  • So if you want to use the mifepristone is safer than Viagra talking point, just know that that is where it comes from.
  • Mifepristone is definitely safe when evaluated in the proper context, though.
  • And its safety profile is tight enough that some healthcare advocates want to loosen its restrictions.
  • See, in the US, mifepristone is currently more regulated than most other drugs.
  • It's under what the FDA calls a Risk Evaluation and Mitigation Strategy, or REMS.
  • That program is meant to make sure that providers are prescribing the most dangerous drugs safely and properly monitoring the patients on them.
  • Let's consider clozapine, an antipsychotic.
  • That's a needed treatment for some patients, but it can totally tank your ability to fight certain infections, which could put those patients at risk.
  • So the REMS requires that a prescriber be certified, the patient be made aware of the risks, the patient's white blood cell count be regularly checked and reported to the REMS program, and any pharmacies that prescribe it must also be certified.
  • FAERS reports more than 23,000 clozapine-related deaths since 1989.
  • REMS medications also include Toraleo, an anti-tumor medication that can cause severe and potentially fatal liver complications in around 2% of patients.
  • In addition to prescriber and pharmacy certification, it requires frequent liver testing and that a patient initially be given a limited supply.
  • Under the REMS requirements, it used to be that only specially certified doctors could prescribe mifepristone.
  • And it had to be given directly to the patient by that doctor in person.
  • In the wake of the pandemic, the FDA has made some changes that make mifepristone easier to get, if it remains legal.
  • Patients can now get a prescription through a telehealth appointment and receive the drug by mail.
  • And retail pharmacies can choose to become certified to dispense mifepristone.
  • While that doesn't mean every corner pharmacy now has it, these changes have made medication abortions more accessible to many patients.
  • Some hoops remain.
  • You have to find the right pharmacy if you don't want to go the mail-order route, and only certain healthcare providers may prescribe mifepristone.
  • Patients also have to sign a form saying that they understand all the possible risks.
  • None of which are necessarily bad things, but they are things that we don't do for most other drugs.
  • And the drugs we do do them with tend to be much riskier than mifepristone, carrying a risk of addiction, for example.
  • At this point, mifepristone has been studied for more than 30 years in hundreds of thousands of people worldwide.
  • This video has been pretty America-centric because we're the ones currently arguing about it, but mifepristone is being used safely in plenty of other nations, too.
  • So if it was an especially dangerous drug, we would know, and either a regulatory agency or the manufacturer would likely have pulled it from the market.
  • It does happen.
  • Sometimes, despite our best efforts, clinical trials will miss something important that comes out after a drug hits the market.
  • For example, look at Vioxx, a painkiller that was approved by the FDA in 1999 based on clinical trials of about 5,000 people.
  • After it was approved, the manufacturer conducted a few studies to learn even more about the drug.
  • Long story short, they discovered an increased risk of heart attack and stroke, and the manufacturer pulled Vioxx from the market in 2004.
  • But in the case of mifepristone, all the available evidence points to the same place.
  • It's safe.
  • Saying that it's safer than Viagra is a splashy but messy way to make that point.
  • But we know that there is rigorous evidence that the FDA and medical providers are tracking to support their policy and prescribing decisions.
  • Basically, the methods we use to approve and prescribe drugs are based on science.
  • Science is a human endeavor, and that means it is sometimes flawed.
  • But it's the best thing we got going to make sure things are safe for everybody.
  • The next step is to make sure they're fair, too.
  • We hope you enjoyed this video.
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