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The phrase 'with very few exceptions' is correct and can be used in written English.
It normally refers to a general statement that may not hold true in all cases, but is usually accurate with some exemptions. For example, "Most people like chocolate, with very few exceptions."
Exact(60)
A: With very few exceptions, yes.
With very few exceptions, I start patients on metformin first.
So, with very few exceptions, you do nothing for cancer.
"Men with very few exceptions, won't read books about women".
"With very few exceptions," he writes, "nobody uses them anymore.
With very few exceptions, committees are a joke.
With very few exceptions, the shots now all look good.
With very few exceptions, clinical trials evaluating novel potential therapies have provided disappointing results.
With very few exceptions, higher tracer concentrations correlated with lower elevations.
With very few exceptions, only disjointed plates are preserved and those very rarely.
When awarding aid, we require parental financial information for all students, with very few exceptions.
More suggestions(15)
with very few exemptions
with very few instances
with few exceptions
with very limited exceptions
with very small exceptions
with only a few exceptions
with extremely few exceptions
with some exceptions
for a few exceptions
with exceptions
with very exceptions
with certain exceptions
with a few exceptions
from a few exceptions
with very very few exceptions
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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