Early Stage Alzheimer's
First steps after diagnosis.
First 30 days
- Get second opinion (memory clinic preferred).
- Get blood tests for treatable causes (B12, thyroid, infection).
- Update legal docs while still able — POA, will, advance directive.
- Tell trusted family member.
- Decide who handles finances long-term.
- Allow time to grieve.
Treatment options 2026
- Donanemab (Kisunla) — IV monthly. Slows progression in early stages.
- Lecanemab (Leqembi) — IV every 2 weeks.
- Donepezil (Aricept) — pill. Modest benefit.
- Memantine (Namenda) — for moderate stages.
- Talk to neurologist about clinical trials.
- Medicare covers approved treatments with diagnosis.
Slow it with lifestyle
- Mediterranean / MIND diet (proven 35% slower decline).
- Daily exercise — 30 min walking minimum.
- Social engagement — best brain protection.
- Treat hearing loss — uncorrected = 4x dementia risk.
- Manage BP + diabetes aggressively.
- Quality sleep — 7-8 hrs.
- Stay engaged in hobbies, reading, learning.
Plan ahead while you can
- Driving — when to stop driving discussion.
- Long-term care preferences.
- Medical wishes — write them down.
- Who makes decisions when you can't.
- Funeral / memorial preferences.
- Letters to loved ones.
- Document your stories now.
Support resources
- Alzheimer's Association — alz.org. 24/7 hotline 800-272-3900.
- Local Alzheimer's Association chapter — support groups, classes.
- Dementia Friends USA — free training.
- Memory Cafés — local social events for early-stage.
- SeniorNavigator — virtual support tools.
- Caregiver support — see /tools/caregiver-apps.
Live well now
Many live 10-20 years with Alzheimer's. Early stage = years of meaningful life ahead. Write your bucket list. Travel while able. Reconnect with old friends. Diagnosis is hard but life isn't over. Resources at alz.org/help-support.