* Brush twice daily
* Clean between teeth
* Brush or clean the tongue
* Drink enough fluids
* Attend regular dental appointments
Persistent bad breath can also come from gum disease, reflux, infections, or other conditions.
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## 4. Talking Much Louder Than Necessary
Hearing loss often develops gradually.
A person may begin speaking much louder because they cannot hear their own voice or others as clearly.
The individual may not notice the change at all.
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### What can help
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A hearing test can make a major difference. Hearing aids or other hearing support may improve communication and reduce social frustration.
## 5. Interrupting or Repeating the Same Stories
Repeating stories occasionally is normal.
But hearing loss, memory changes, loneliness, or simply having fewer daily interactions can lead someone to repeat themselves frequently.
### What can help
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