Crossword Genius

It's terribly sore, doctor, swallowing: worse than before (4,2)

Ross

I believe the answer is:

more so

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'worse than before' is the definition.
I can't tell whether this definition defines the answer.

'it's terribly sore doctor swallowing' is the wordplay.
'it's terribly' indicates an anagram.
'doctor' becomes 'mo' (medical officer).
'swallowing' indicates putting letters inside.
'sore' with letters rearranged gives 'ores'.
'ores' going inside 'mo' is 'MORE SO'.

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