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Any advice?

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Sudden changes? Always check for a urinary tract infection.
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Has anything happened that might have upset her? Posters have mentioned the shock to elders who see themselves in a mirror suddenly, and are so shocked by the changes that they retreat into themselves. Is she just quiet, or is she getting mixed up verbally? If you can't think of a trigger, yes, check the UTI, and perhaps consider a mini-heart attack.
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My mom isn't aware either,I may be wrong but I don't think there are many that are aware.
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