For me the combination of Meniere’s and MAV give me major cognitive problems. I would say that’s what I struggle with the most…memory problems, reading problems, understanding directions, etc. Well, because of the cognitive problems it’s really affected my communication. It’s soooo hard just to have a small conversation. Especially the dizzier and more fatigued I am. The brain fog gets worse. It’s very taxing on my brain to try to understand what the person is saying to me. I also slur words and forget words. Has any one tried speech therapy? Do y’all think that would help?