He has been here four or five times altogether.

他前后来过四五次。

《新英汉大辞典》

Shake stop and shake slowly and quickly four times altogether.

摇摇停停，停停摇摇，缓缓急急，前后四次。

youdao

Results 9 patients have been dilated 26 times altogether. 7 of them can eat normally. 2 patients symptoms were improved.

结果9例病人共扩张26次，7例病人能正常饮食，2例病人症状改善，术后随访病人6个月到2年，症状未再复发。

youdao

Critics faulted McCain for seeming to ignore his rival's presence altogether at times.

NPR: Great Expectations As Candidates Debate Again

At times, we need to stop altogether and cut an entirely new, sharp strategy edge.

FORBES: When To Pivot: Is it Time to Retool Your Business?

What if instead of cutting out your favorite foods altogether, you allow yourself times to give in to your cravings guilt-free?

FORBES: Can Cheating On Your Diet Actually Help You To Lose Weight?