The term 'carry with effort' can be expressed in a variety of ways, each with its own unique connotation. The word 'LUG' (3 letters) is a verb meaning to carry something with great effort, often referring to a heavy object. 'SCHLEP' (6 letters) is another verb meaning to carry something with difficulty or effort, usually referring to a large or awkward item. 'HAUL' (4 letters) is also a verb meaning to carry something with effort, but it can also refer to a larger quantity of items. 'SHLEP' (5 letters) is a variation of the word 'SCHLEP' and has the same meaning. Finally, 'TOTE' (4 letters) is a verb meaning to carry something with effort, but it is usually used to refer to a smaller item.