19 “Man is also rebuked with pain on his bed
    and with continual strife in his (A)bones,
20 so that his (B)life loathes bread,
    and his appetite (C)the choicest food.
21 His flesh is so wasted away that it cannot be seen,
    and his bones that were not seen (D)stick out.

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19 “Or someone may be chastened(A) on a bed of pain(B)
    with constant distress in their bones,(C)
20 so that their body finds food(D) repulsive
    and their soul loathes the choicest meal.(E)
21 Their flesh wastes away to nothing,
    and their bones,(F) once hidden, now stick out.(G)

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