I have issues with speaking but i wouldnt call it a losp and i dont have certain words that are bad, it would be a period of time tht my speech would be slurred with a lower volume. Its the one thing that i cant get completely over with all the medicine and ivig and all tht. its almost like when im exhaling to speak, whatever is in your throat tht controls airflow to your mouth or nose gets weak and I cant keep all of my air coming out of my mouth, some of it goes out my nose. It keeps me from making very much sense for at least half an hour so i can get a little bit of rest. This mainly only happens when having a long conversation or a speech.