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in this case it means "it must be". But with this particular sentence you'll need to know what kind of text it was taken from. Otherwise it can be translated in many ways. And that's why you should never use online dictionaires but ask someone who speaks the language so they can translate it correctly
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I have all the characteristics of a human being: blood, flesh, skin, hair; but not a single, clear, identifiable emotion, except for greed and disgust. Something horrible is happening inside of me and I don't know why. My nightly bloodlust has overflown into my days. I feel lethal, on the verge of frenzy.
I think my mask of sanity is about to slip.
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