The Amyloid Hypothesis Is Failing Its Own Test

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The dominant model of Alzheimer's disease holds that beta-amyloid plaques drive neurodegeneration, yet decades of amyloid-targeting drugs have largely failed in clinical trials. Amyloid burden also correlates poorly with cognitive impairment, suggesting plaques may be a downstream marker rather than the root cause. Whether amyloid is causal or merely correlated remains one of medicine's most consequential unresolved questions.

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