Lecanemab is the first drug to remove damage, but there are questions around its impact, side effects and use.
There is debate among scientists and doctors about the "real world" impact of lecanemab.
Dr Susan Kohlhaas, from Alzheimer's Research UK, said it was a "modest effect... but it gives us a little bit of a foothold" and the next generation of drugs would be better. Dr Elizabeth Coulthard, who treats patients at North Bristol NHS Trust, says that people have, on average, six years of living independently once mild cognitive impairment starts.
The emergence of drugs that do alter the course of the disease asks big questions of whether the health service is ready to use them. "There's an enormous gulf between current service provision and what we need to do, to deliver disease modifying therapies," said Dr Coulthard.
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