‘Silent Phase’ of Alzheimer’s Begins Decades Before Symptoms

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Gregory Frazer

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Mar 9, 2025

Alzheimer’s disease is the leading cause of dementia in older adults, with symptoms like memory loss and cognitive decline leading to sudden loss of independence and stress for the individual dealing with it. 

A recent study has found that Alzheimer’s features two phases of development – and the first phase is often entirely missed due to the subtle changes to the brain before more outward symptoms are seen. 

With this new research about the “silent phase” of Alzheimer’s, new methods of targeted treatment and earlier detection could be made possible, allowing for less suffering from Alzheimer’s and continued independence for much longer than before. 

The Silent Phase: Subtle and Slow 

This “quiet” phase of Alzheimer’s occurs long before any noticeable memory problems arise.  

During this phase, beta-amyloid plagues and tangles, which are well-known markers of Alzheimer’s, are observed as brain cells subtly change, disturbing communication in the brain region associated with memory, language, and vision.  

The death of somatostatin inhibitory neurons is another marker to be noticed during this phase: this new finding challenges the previously hailed idea that Alzheimer’s primarily affects excitatory neurons, instead.  

This means that because different cells are affected, researchers and medical professionals can investigate these cells instead, potentially leading to earlier detection of Alzheimer’s and more targeted treatment methods. 

The Quick Decline Phase: Symptoms Arise 

The second phase of Alzheimer’s is vastly different to the first. Rapid accumulation of amyloid plaques and tangles, neural damage, and cognitive decline symptoms like memory loss and confusion are hallmarks of the second phase. 

Cells associated with the inflammation that can also come with Alzheimer’s have been shown to counteract initial changes, releasing molecules or altering structures to demonstrate the infamous biological changes of Alzheimer’s. 

These changes to the brain’s chemistry focused on the region vital to memory, language, and visual processing – the area most susceptible to damage due to Alzheimer’s. 

What Does This Mean for Diagnoses and Treatment? 

The results of this study significantly changed how scientists understood Alzheimer’s effects on the brain; by recognizing these two different phases of the disease, researchers and healthcare professionals alike can alter treatment to the specific cellular changes, which could lead to early intervention and better patient outcomes. 

Alzheimer’s long pre-symptomatic period could present a chance for early detection and intervention – which can prevent the onset of dementia symptoms. 

How Does Hearing Care Correlate to Alzheimer’s? 

It’s no secret that untreated hearing loss and dementia go hand in hand – research from Johns Hopkins noted that hearing loss is responsible for 8% of all dementia diagnoses each year.  

With the help of comprehensive hearing care, you can see noticeable differences in your cognitive abilities, including sharpened memory and better cognition, and decrease your risk of Alzheimer’s and dementia significantly as a result.

Your hearing doesn’t just affect your ears – it affects your life! Strong and healthy hearing leads to better balance, stronger memory, and an overall improvement to your quality of life. 

If you’d like to learn more about how to look after your hearing and your health simultaneously, please don’t hesitate to get in touch with us via our website, or give us a call at (310) 909-0180.  


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Our audiology team brings together years of clinical experience, advanced training, and a shared commitment to patient-centered care. We work collaboratively to ensure every patient receives thoughtful guidance, accurate answers, and personalized treatment.

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Explore expert advice, research updates, and practical guidance from our clinical team. These articles are designed to help you better understand hearing health, treatment options, and the latest advancements in audiology.

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convenience should never come at the cost of safety or accuracy.

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We rarely consider how our food choices affect our hearing and cognitive clarity.

Patient Resources

Ask the Experts…

Explore expert advice, research updates, and practical guidance from our clinical team. These articles are designed to help you better understand hearing health, treatment options, and the latest advancements in audiology.

|

|

Feb 25, 2026

You don’t have to wait for total silence to seek help.

|

|

Jan 21, 2026

convenience should never come at the cost of safety or accuracy.

|

|

Dec 19, 2025

We rarely consider how our food choices affect our hearing and cognitive clarity.

Patient Resources

Ask the Experts…

Explore expert advice, research updates, and practical guidance from our clinical team. These articles are designed to help you better understand hearing health, treatment options, and the latest advancements in audiology.

|

|

Feb 25, 2026

You don’t have to wait for total silence to seek help.

|

|

Jan 21, 2026

convenience should never come at the cost of safety or accuracy.

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© 2026 Pacific Hearing Inc. All rights reserved.

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The Team of Doctors of Audiology That is Trusted by Thousands of Patients, State-Wide Physicians, Local Organizations, and National Universities

© 2026 Pacific Hearing Inc. All rights reserved.

Contact Details:

The Team of Doctors of Audiology That is Trusted by Thousands of Patients, State-Wide Physicians, Local Organizations, and National Universities

© 2026 Pacific Hearing Inc. All rights reserved.

Contact Details:

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