neurons and synapses are lost with age
some brain regions begin to shrink
plasticity within neurons decreases
less flexibility in modulating synaptic strength
less reliable transmission of signals
size and density of dendritic spines decreases
synthesis of neurotransmitters declines or becomes more erratic
dopamine, serotonin, glutamate all decrease
remaining synapse become more sensitive (denervation supersensitivity)
huge inter-individual variable