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Used with verbs:
"
His opinion is very extreme."
(be: is/am/are, appears, seems, sounds)
"
They consider skydiving too extreme."
(consider)
"
She became an extreme vegetarian after watching the documentary on meat."
(became)
Used with adverbs:
"
This policy is really extreme."
(really, too, very)
"
The changes aren't particularly extreme."
(particularly)
"
Some of her opinions are rather extreme."
(rather, a bit, fairly, a little, quite, somewhat)
Used with nouns:
"
She was in extreme pain before her surgery."
(pain, agony, discomfort)
"
He managed to escape the extreme poverty of his youth."
(poverty, circumstances, repression, hunger, conditions, hardship)
"
Extreme cold isn't good for your body."
(cold, heat)
"
He is suffering from extreme stress right now."
(stress, exhaustion, fatigue, hunger, paranoia, distress, emotions)
"
They called for an end to the extreme violence."
(violence, cruelty, hostility, brutality)
"
The doctor said it was an extreme case."
(case, emergency, example)
"
She expressed her extreme disappointment."
(disappointment, displeasure, envy, excitement, jealousy)
"
The extreme weather is not good for farmers."
(weather, climate)
"
They placed extreme importance on the issue."
(importance, relevance)
"
That was an extreme reaction."
(reaction)
"
They expressed their extreme views."
(views, positions)
"
He pushed the project to an extreme degree."
(degree, limit)