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I don't think you do. There's a base line strength that comes through. You may feel sick and old, but you don't look it.
Also...accepting that there are degrees of decline, there's something kind of sexy about a strong man softened some by age. It's all very well these young turks (yes I know that's not very pc ;p) waving their dicks about and showing off their mad skillz, but tempered strength and a lived in face are so much more attractive.
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