Pinyin/The changes are usually small at first

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The changes are usually small at first, but for people with dementia the severity is enough to affect daily life.

Qǐchū biànhuà tōngcháng hěn xiǎo, dàn duìyú chīdāizhèng huànzhě éryán, yánzhòng chéngdù zúyǐ yǐngxiǎng rìcháng shēnghuó.