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The phrase "only with difficulty" is correct and can be used in written English.
You could use it to describe something that is very difficult to do or accomplish. For example, "Climbing the mountain was only with difficulty."
Exact(59)
A doctor said he was eating only with difficulty.
That was being done only with difficulty as the second half developed.
Because of its reactivity, it is extracted from minerals only with difficulty.
It was only with difficulty that his wife could persuade him to take a holiday.
These could be changed, but only with difficulty and a bitter debate.
These isomers can be separated only with difficulty, but numerous separation methods have been worked out.
Some contestants can't walk or can do so only with difficulty.
It is only with difficulty that I stop myself from singing happy birthday to me.
In 1480 they rebelled, and only with difficulty were they persuaded to remain loyal.
It was only with difficulty that Ned Slaughter '53 persuaded daughter Anne-Marie to choose his alma mater over Yale.
Similar(1)
Only with difficulty if a third new analysis, in the latest issue of the McKinsey Quarterly, is correct.
More suggestions(2)
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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