Yes, I have Acquired ELD from a stroke. It does affect my ability to code, especially on the days when I'm more mentally or physically fatigued. And I do also get headaches and fatigue both when expressing my thoughts, as well as when listening to others express theirs.

I tend to last longer when discussing technical subjects with clear logic, goals, and answers than I do in a more free-form conversation that can go in any direction without warning. And I do better in a conversation with only a single person than with multiple people.

I just have to pace myself and take breaks as needed. Fortunately, I have flexible work hours and WFH, so this is possible for me to do.