Etymology
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utmost (adj.)
Old English utmest (Anglian) "outermost," double superlative of ut "out" (see out (adv.)) + -most. Meaning "being of the greatest or highest degree" is from early 14c.
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uttermost (adj.)

late 14c., from utter (adj.) + -most. More recent than utmost. Compare utmost. Middle English had also uttermore (late 14c.), now, alas, no longer with us.

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out-and-out 

c. 1300 as an adverbial phrase, "completely, thoroughly, to the utmost degree," from out (adv.). Adjective usage is attested by 1813.

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optimize (v.)

1844, "to act as an optimist, take the most hopeful view of a matter," a back-formation from optimist. Meaning "to make the most of, develop to the utmost" is attested by 1857. Related: Optimized; optimizing.

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dead-lift (n.)

1550s, "a pull exerting the utmost effort (of a horse), from dead (adj.) + lift (n.). From 1560s in figurative sense of "a position in which one can do no more;" by 1882 as "an effort involving the whole strength."

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extreme (n.)
1540s, "utmost point of a thing," from extreme (adj.); originally of the end of life (compare Latin in extremis in reference to the "last stages of life"). Phrase in the extreme "in an extreme degree" attested from c. 1600. Hence extremes "extremities, opposite ends of anything" (1550s); also "extreme measures" (1709).
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tip (n.1)
c. 1400, "extreme end of something, top of something round or pointed, metal attachment to the end of something," from Middle Low German or Middle Dutch tip "utmost point, extremity, tip" (compare German zipfel, a diminutive formation); or from a Scandinavian source (compare Old Norse typpi).
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consummate (adj.)

c. 1500, "complete, perfect, carried to the utmost extent or degree," from Latin consummatus "perfected, complete," past participle of consummare "sum up, complete," from assimilated form of com "together, with" (see con-) + summa "sum, total," from summus "highest" (see sum (n.)). Of persons, "accomplished, very qualified," from 1640s. Related: Consummately.

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utter (adj.)
Old English utera, uterra, "outer, exterior, external," from Proto-Germanic *utizon (source also of Old Norse utar, Old Frisian uttra, Middle Dutch utere, Dutch uiter-, Old High German uzar, German äußer "outer"), comparative adjective from ut (see out (adv.)). Meaning "complete, total" (i.e. "going to the utmost point") is from early 15c.
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extremity (n.)
late 14c., "one of two things at the extreme ends of a scale," from Old French estremite (13c.), from Latin extremitatem (nominative extremitas) "the end of a thing," from extremus "outermost;" see extreme (adj.), the etymological sense of which is better preserved in this word. Meaning "utmost point or end" is from c. 1400; meaning "limb or organ of locomotion, appendage" is from early 15c. (compare extremities). Meaning "highest degree" of anything is early 15c. Related: Extremital.
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