To combine like terms in the expression \( 6a + 4 + 4b - 5a + 10b - 8 \), we first group the like terms (terms with \( a \), \( b \), and the constant terms):
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Combine the \( a \) terms: \[ 6a - 5a = 1a \quad \text{or just } a \]
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Combine the \( b \) terms: \[ 4b + 10b = 14b \]
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Combine the constant terms: \[ 4 - 8 = -4 \]
Now, we can express the entire expression with the combined terms: \[ a + 14b - 4 \]
Thus, the equivalent expression with the fewest possible terms is: \[ \boxed{a + 14b - 4} \]