"Very Reverend" is an honorific title used to address a high-ranking member of the clergy. However, when writing, it is always helpful to have a variety of synonyms at your disposal to avoid repetition. Some suitable alternates for "very reverend" include "Most Reverend," which denotes even further respect; "Eminence," which is the title for cardinals in the Catholic Church; and "Venerable," which typically refers to old or long-standing institutions. Other possibilities include "Respected," "Esteemed," and "Honorable." However, it is always essential to check the specific guidelines and traditions of the religious denomination or institution that the individual belongs to before using a synonym.