11:27a in labor and toil and often without sleep,

I labored and did tiring work, in which many times I ⌊voluntarily⌋ did not sleep,
-or-
I have worked hard and long, enduring many sleepless nights. (New Living Translation (2004))

11:27b in hunger and thirst and often without food,

was hungry and thirsty, ⌊frequently⌋ skipped eating,
-or-
Sometimes I did not have ⌊enough⌋ ⌊food⌋ to eat or ⌊water⌋ to drink, and often I did not take time to eat.

11:27c in cold and exposure.

and was ⌊often⌋ cold and ⌊lacked⌋ warm clothes.
-or-
Sometimes I was cold and had no ⌊more/extra⌋ clothes to wear.

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