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I had people doing that to me too all the time. I flat out and tell them that they are making it worst for me to understand them. Seriously, it is very hard for me when someone shout or speak slowly. I can only understand them when they look at me and don't mumble. There are times I need them to speak up because I depend on sounds to make out the words but that's because they mumble in the begin with. My young (and cute) dentist mumbles... I tell him to quit mumbling all the time LOL