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High on Health: A New Early Warning Sign for Alzheimer’s

There’s much more to the disease than just memory loss.

Kelli Ballard
Kelli Ballard
Oct 3, 2026
High on Health: A New Early Warning Sign for Alzheimer’s

(Photo By Paul Chinn/The San Francisco Chronicle via Getty Images)

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According to the National Institutes of Health (NIH), more than 7 million Americans are currently estimated to be living with Alzheimer’s disease. Many others live with related dementia. When we think about this debilitating disease, the first symptom that usually comes to mind is memory loss. A new study, however, suggests that may not be the first indication of developing Alzheimer’s.

“In 1906, German physician Dr. Alois Alzheimer first described ‘a peculiar disease’ — one of profound memory loss and microscopic brain changes — a disease we now know as Alzheimer's,” the Alzheimer’s Association wrote. We know much more about it today. Yet it remains the fifth leading cause of death among Americans 65 and older. Deaths attributed to Alzheimer’s increased 134% between 2000 and 2024.

The Alzheimer’s Study

Diagnosing the illness can be tricky, and memory loss is usually the first sign associated with Alzheimer’s. A new study published in June in Nature Communications, however, found another early warning sign. Cognitive flexibility, or the ability to adjust when circumstances change, appeared months before memory problems in their experiments. Someone might still remember how to perform a familiar task perfectly well but have increasing difficulty changing the way they do it when circumstances change.

For example, if the usual route on the way to the grocery store is blocked by a road closure, someone with early Alzheimer's might have difficulty trying to figure out what to do. The person hasn’t necessarily forgotten the original task of driving to the store; the difficulty happens when they have to recognize that the old and familiar approach doesn’t work and something new must be done.

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Researchers used mice that were genetically engineered to rapidly develop amyloid-beta buildup and other brain changes, essentially giving them Alzheimer’s. The subjects were taught that pressing one lever produced one type of food pellet and pressing another lever produced a different one. Then they switched the rules so that the levers produced the opposite rewards.

They found that healthy mice adjusted their behavior, but the Alzheimer’s subjects had more difficulty learning the new rules. The unhealthy mice were only three months old at this point of the experiment, which is considered an early stage of disease development. They also tested the animals’ spatial learning by using mazes and found that both sets of mice performed about the same. At six months, though, the Alzheimer’s mice started showing difficulties here as well.

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People tend to think that the brain slows down for people with dementia or Alzheimer’s, but the study showed that a part of the brain actually speeds up and causes issues. Scientists studied a brain pathway in the Alzheimer's mice, areas that help us make decisions, pursue goals, and change our behavior when circumstances change. They found that this area became too active, not less active. The neurons in the prefrontal cortex were firing more than normal and receiving stronger excitatory signals.

Researchers wanted to know what would happen if they were able to slow down this part of the brain. They discovered doing so reduced amyloid accumulation, brought some of the abnormal brain signaling closer to normal, increased acetylcholine levels, and improved the mice’s ability to learn when rules changed.

What Could This Mean for Humans?

The study suggested two findings that may help detect and treat Alzheimer’s disease in humans. First, memory loss may not be the first symptom, and instead signs of changes in executive functions, such as adapting to changing circumstances, may be noticed before other indicators. Second, slowing certain areas of the brain during the early stages of the disease may help preserve cognitive function or slow the disease’s progression.

It is important to note that this study was conducted with mice and doesn’t establish that humans who show signs of difficulty adapting to change have Alzheimer’s disease. But it is one more step on the road to understanding and treating this horrible disease that affects millions every year.

4 Questions

The story, in brief

1What early Alzheimer’s warning sign did the new study identify?

The study found that problems with cognitive flexibility may appear before memory loss. That means a person might still remember how to do a familiar task but struggle to adjust when circumstances change and a new approach is needed.

2How did researchers test early Alzheimer’s changes in the mice?

Researchers used genetically engineered mice that rapidly developed amyloid-beta buildup and other brain changes linked to Alzheimer’s. The mice learned which lever delivered which food pellet, then the rules were switched. Healthy mice adapted, but the Alzheimer’s mice had more trouble learning the new rules.

3Why do scientists think brain overactivity may matter in Alzheimer’s?

The study found that a brain pathway involved in decision-making, goal pursuit, and changing behavior became too active in the affected mice. Neurons in the prefrontal cortex fired more than normal and received stronger excitatory signals. This suggests some early Alzheimer’s problems may be tied to abnormal overactivity rather than simple slowing.

4What could the Alzheimer’s mouse study mean for humans next?

The findings suggest memory loss may not be the earliest sign of Alzheimer’s, and trouble adapting to change could appear sooner. The research also indicates that slowing certain overactive brain areas early might help preserve cognitive function or slow disease progression. However, the study does not show that humans with difficulty adapting to change have Alzheimer’s.

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About the Author

Kelli Ballard

Kelli Ballard

National Correspondent

National Correspondent at LibertyNation.com. Kelli is an author, editor, and publisher. Her writing interests span many genres including a former crime/government reporter, fiction novelist, and playwright. Originally a Central California girl, Kelli now resides in the Seattle area.
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