This is the 68th most frequent Italian word.
ho
"Ho" means "I have" in English.
The word 'ho' translates to 'I have' and indicates possession in the present tense.
Ho un buon libro da leggere.
I have a good book to read.
In this sentence, 'ho' is the first person singular present tense conjugation of the auxiliary verb used to form the passato prossimo (present perfect) tense.
Ho mangiato la pizza ieri sera.
I ate pizza last night.
The first 'ho' indicates 'I am' in an idiomatic expression meaning 'I am sleepy,' and the second 'ho' is part of the passato prossimo tense indicating 'I have slept.'