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The phrase "a real difficulty and" is correct and usable in written English.
It can be used when discussing challenges or obstacles that are significant or genuine in nature.
Example: "The project faced a real difficulty and required additional resources to move forward."
Alternatives: "a genuine challenge" or "a significant obstacle".
Exact(1)
"We had some tests for players who have played at the top level for seven or eight years, and we found one player with a real difficulty and that is not acceptable at this level – that is my opinion.
Similar(59)
"This shows a real difficulty in dialogue and cooperation," the commission said.
It was, however, a real difficulty getting the police to take it seriously".
"But there is in the region a real difficulty to identify the way forward".
We can identify lots of ideas for a framework but without adequate resources that causes a real difficulty".
The difficulty with personality disorder is that they have a real difficulty with a core identity or feeling of self.
We agree there is a real difficulty in defining the orthology of cnidarian Hox genes.
Farage could cause him real difficulty and Ed Miliband might do better than expected.
Most other American and international politicians are disingenuous on numerous levels as to the real difficulties and dangers of an intervention.
And that is, how do we help children and young people facing real difficulties and give them involvement in services.
"Well, there is a very real difficulty there," says Captain Europe, sipping his drink, equivocating.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com