Crossword Genius

How sick one is of having to be exuberant? (8)

Ross

I believe the answer is:

heartily

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'how' is the definition.
Both the definition and answer are adverbs. Maybe you can see a link between them that I don't see?

I don't understand the rest of the clue.

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(Other definitions for heartily that I've seen before include "Enthusiastically" , "To a great degree" , "With gusto and without reservation" , "thoroughly" , "With vigour" .)

I've seen this clue in the Evening Standard.
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