Once you get some age on you, mid to late age, you can still look good but then a health issue or great stress can age you greatly in a short time, I've seen it many times first hand.
They throw a plate of pasta at the wall hoping something, anything, will stick, they need sauce but they can't get real sauce, it's all fake, it's all they know. It worked in the past but not anymore. Confused and frustrated they are