In a healthy manner.

Roget 404: loudly etc. adj.. aloud; at the top of one's voice, at the top of one's lungs, lustily, in full cry.   

Roget 686: laboriously etc. adj.; lustily; pugnis et calcibus [Lat.]; with might and main, with all one's might, with a strong hand, with a sledge hammer, with much ado; to the best of one's abilities, totis viribus [Lat.], vi et armis [Lat.], manibus pedibusque [Lat.], tooth and nail, unguibus et rostro [Lat.], hammer and tongs, heart and soul; through thick and thin etc. (perseverance) 604.1. by the sweat of one's brow, suo Marte.    ... meer laten zien