hy·pox·e·mi·a
/ˌhīpäkˈsēmēə/
Learn to pronounce
noun
MEDICINE
an abnormally low concentration of oxygen in the blood.
ECOLOGY
oxygen deficiency in a biotic environment.
Strech until it starts burning then ease up
Remember who you are don't try to be someone your not your beautiful the way you are
Since trouble communicating can lead to difficulty in creating rapport, I would say true.