This report discusses the financial implications experienced by individuals in the years leading up to a dementia diagnosis. It outlines the findings from a symposium held by MIT AgeLab and AARP, which aimed to explore the financial risks associated with cognitive decline. The report highlights that significant financial losses can occur before a formal diagnosis, driven by factors such as lost income and impaired financial judgment. It details how these financial challenges are often compounded by the lack of awareness among family members regarding cognitive decline. The report also mentions the role of non-household family members who may incur personal losses while managing the finances of those affected. Additionally, it addresses systemic issues within health and financial sectors and emphasizes the importance of collaboration among stakeholders to mitigate these risks. The report concludes by suggesting that early diagnosis and intervention could potentially prevent substantial financial losses for affected families.