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^Yes, "pain" is "itami". You can also use "kurushimi", but that is quite often translated as "suffering".
And if you use "ka", you have to use it with both words, as far as I know. So it would be "KIBOU ka ITAMI ka". I think "ka ... ka" translates to "either... or", but I'm not sure.
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「浜崎あゆみ」であること
”歌う”ということ
それは”生きる”ということ
SCawaii May 2008
矛盾だらけの こんな私でも
許されますか 教えてよ
浜崎あゆみ 「I am...」
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