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Those are symptomatic medications. They don't alter the course Alzheimer's in any way. You won't die any sooner or later from Alzheimer's whether you're on or off those. I'm not saying don't offer them to people who are symptomatic and want them. I just point this out so people don't stress too much about these. Many people don't find them helpful and that's fine. If they do find them helpful, that's fine too. They have side effects, don't alter the disease course, so they may not be right for everyone.

You could argue maybe some of the newer anti amyloid medications theoretically slow progression some, but the evidence on those is very weak at the moment. I'm still surprised either of them were approved. The first one that was approved led to most members of the fda scientific advisory panel resigning (they had recommend against). I personally would have liked to see much better hard evidence before we embark on an epic project of doing amyloid pet scans, frequent monitoring mris, regular infusions, all while adding risks of brain inflammation and brain hemorrhages, for millions of people every year, all at the cost of hundreds of billions of year (if this actually started to be done across the board). I think in our desperation to address some of these devastating diseases we may inadvertently expose people to too many risks and costs for too little benefit.