Used and loved by millions
Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com
at onset
Grammar usage guide and real-world examplesUSAGE SUMMARY
The phrase "at onset" is not commonly used in written English and may be considered awkward or unclear.
It can be used to refer to the beginning or initial stage of something, but it is more often expressed in other ways. Example: "At onset, the symptoms were mild and easily manageable."
✓ Grammatically correct
Science
News & Media
Formal & Business
Table of contents
Usage summary
Human-verified examples
Expert writing tips
Linguistic context
Ludwig's wrap-up
Alternative expressions
FAQs
Human-verified examples from authoritative sources
Exact Expressions
60 human-written examples
All symptoms were maximal at onset.
Age at onset correlated negatively with negative symptoms.
Science
Peak age at onset of MIG varies between countries.
The average age at onset of BD was 19.2 ± 8.3.
The mean age at onset was 44 (range 21 59).
There was no documentation of migraine-specific treatment at onset.
BD type 1. BD type 2. age at onset.
In terms of age at onset, GAD preceded episodic migraines.
The age at onset was divided into 5 categories.
Age at onset of the whole anxiety disorders group was calculated using the youngest age at onset for those with multiple anxiety disorders.
All participants suffered from migraine at onset, with a mean age at onset ± SD was 15.0 ± 7.1 years, and a chronification age of 36.0 ± 9.5 years (Table 1).
Expert writing Tips
Best practice
Consider using synonyms like "initially" or "at the beginning" for clearer and more concise writing.
Common error
While grammatically correct, "at onset" can sound overly formal in casual conversation or writing. Opt for more natural alternatives like "when it started" or "at first" to maintain a conversational tone.
Source & Trust
83%
Authority and reliability
4.1/5
Expert rating
Real-world application tested
Linguistic Context
The phrase "at onset" functions as a prepositional phrase, typically modifying a noun or verb to indicate the starting point or initial stage of an event, process, or condition. Ludwig showcases its role in specifying when certain symptoms or treatments become relevant.
Frequent in
Science
64%
News & Media
19%
Formal & Business
17%
Less common in
Academia
0%
Encyclopedias
0%
Wiki
0%
Ludwig's WRAP-UP
The phrase "at onset" is a prepositional phrase used to indicate the beginning or initial stage of something. It is grammatically correct and very common, especially in scientific and medical contexts. While acceptable in various settings, "at onset" can sometimes sound overly formal in casual conversations. Consider synonyms such as "at the beginning" or "initially" for a more natural tone. Ludwig's analysis, based on a multitude of real-world examples, confirms that "at onset" is a useful and appropriate phrase when aiming for precision in your writing.
More alternative expressions(6)
Phrases that express similar concepts, ordered by semantic similarity:
at the beginning
This alternative is a direct and simple substitution, emphasizing the initial stage.
at the start
This alternative is very similar, simply replacing 'onset' with 'start'.
from the outset
This emphasizes the situation from the very beginning and continuously thereafter.
initially
This single-word adverb conveys the same temporal meaning.
in the initial phase
This alternative focuses on the early stages or period of something.
in the opening stages
Focuses on the very first part of a process or event.
at inception
This suggests the very moment something begins or is created.
at the commencement
This is a more formal alternative, implying a deliberate beginning.
in its early stages
This emphasizes the developmental period following the start.
at the dawning
This provides a more figurative, evocative sense of beginning.
FAQs
How can I use "at onset" in a sentence?
Use "at onset" to indicate the beginning stage of something, such as a disease, project, or event. For example, "At onset of the study, participants were given a questionnaire."
What can I say instead of "at onset"?
You can use alternatives like "at the beginning", "initially", or "from the outset" depending on the context.
Is "at onset" formal or informal?
"At onset" is generally considered more formal. In informal contexts, phrases like "at the start" or "in the beginning" may be more appropriate.
What's the difference between "at onset" and "initially"?
"At onset" refers specifically to the moment something begins, while "initially" suggests the first phase or stage of something. The phrase "at onset" is used in more formal context when you are referring to a specific situation.
Editing plus AI, all in one place.
Stop switching between tools. Your AI writing partner for everything—polishing proposals, crafting emails, finding the right tone.
Table of contents
Usage summary
Human-verified examples
Expert writing tips
Linguistic context
Ludwig's wrap-up
Alternative expressions
FAQs
Source & Trust
83%
Authority and reliability
4.1/5
Expert rating
Real-world application tested