A member asked:

My fluency has decreased over the last year. it's hard to say the right thing on the spot. it seemed to start after 21 when i began to drink heavily. ?

A doctor has provided 1 answer
Dr. Galina Nikolskaya answered

Specializes in Neurology

Broad differential: you may have answered your own question but if this issue is progressing, there may be other causes of decreased fluency, some of which include endocrine imbalances (ex- hypothyroidism), vitamin deficiencies, auto-immune disease affecting the brain, brain tumor, primary progressive aphasia etc etc. Consider neurology consultation for a thorough evaluation of reversible causes with labs + imaging

Answered 11/16/2016

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