Pitch accent + clarification when needed. Subtitles are extremely common here. See my response to a response of this comment for more details. The tl;dr is t

Pitch accent + clarification when needed. Subtitles are extremely common here. See my response to a response of this comment for more details. The tl;dr is that the language is harder in speech than in writing. If you stick to well-worn paths people will know what you're saying, but I often have to discuss the written form of the more obscure words I say or just write it down and show it to my conversational partner.