People with an advanced stage of Parkinson’s may have a difficult time speaking due to tremors or facial masking.
However, this symptom can also show up in the early stages of the illness in the form of a softer tone or having an unusual fluctuation in volume (speaking very loud, then very softly unintentionally).
The opposite effect is also possible: some people with early Parkinson’s can lose the ability to change their vocal tone and volume, thus speaking monotonously without any intonation.
Luckily, this is one of the few symptoms that’s immediately noticeable both by the affected person and those around them.
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