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Some of these systems display clear sex\u2010specific cytoarchitecture and signaling leading to distinct physiology and behavioral outputs in males and females, while other regions display nominal sex differences. However, the relevance of sex differences in modulating dysfunction of NSSs in Alzheimer's disease (AD) and related dementias is not well understood. This review is a joint effort by the Neuromodulatory Subcortical Systems and Sex and Gender Differences in Alzheimer's Disease Professional Interest Areas of the Alzheimer's Association. We review sex differences in NSSs, both in non\u2010disease states and in AD models and patients. We highlight the possible role of NSSs in driving sex\u2010specific AD susceptibility and potential footholds for sex\u2010based interventions targeting these systems. 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