A lot of younger people have no idea what aging actually looks and feels like, and the reasons behind it. That ignorance is so dangerous. If you don’t want to “be old,” you aren’t talking about a number of years. I have patients in their late 80s who could still handily beat me in a race—one couple still runs marathons together, in their late 80s—and I lost someone who was in her early 60s to COPD last year. What you want is not youth, it is health.
If you want to still be able to enjoy doing things in your 60s and 70s and 80s and even 90s, what you want to do, right now, is quit smoking, get some activity on a regular basis (a couple of walks a week is WAY better for you than nothing; increasing from 1 hour a day of cardio to 1.5 will buy you very little), and eat some plants. That’s it. No magic to it. No secret weird tricks. Don’t poison yourself, move around so your body doesn’t forget how, and eat plants.
If you have trouble moving around now because of mobility limitations, bad news: you still need to move around, not because it’s immoral not to, but because that’s still the best advice we have. I highly recommend looking up the Sit and Be Fit series; it is freely available and has exercises that can be done in a chair, which are suitable for people with limited mobility or poor balance. POTS sufferers, I’m looking at you.
If you have trouble eating plants because of dietary issues (they cause gas, etc.) or just because they’re bitter (super taster with texture issues here!), bad news. You still want to find a way to get some plants into your body on a regular basis. I know. It sucks. The only way I can do it is restaurants—they can make salads taste like food. I can also tolerate some bagged salads. On bad weeks, the OCD with contamination focus gets so bad I just can’t. However, canned beans always seem “safe,” and they taste a bit like candy, so they’re a good fallback.
If you smoke and you have tried quitting a million times and you’re just not ready to, bad news. You still need to quit. Your body needs you to try and keep trying. Your brain needs it, too. Damaging small blood vessels racks up cumulative damage over time that your body can start trying to reverse as soon as you quit. I know it’s insanely, absurdly addictive. You still need to.
You cannot rules lawyer your way past your body’s basic needs. It needs food, sleep, activity, and the absence of poison. Those are both small things and big asks. You cannot sustain a routine based on punishment, so don’t punish your body. Find ways to include these things that are enjoyable and rewarding instead. Experiment. There is no reason not to experiment—you don’t have to know instantly what’s going to work for you and what won’t, you just need to be willing to try things and make changes when things aren’t working for you.
You will still age. Your body will stop making collagen and elastin. Tissues you can see and tissues you can’t see will both sag. Cushioning tissues under your skin will get thinner. You’ll bruise more easily. Skin will tear more easily. Accumulated sun damage will start to show more and more. Joints will begin to show arthritis. Tendons and ligaments will get weaker and get injured more easily, as will muscles. Bones will lose mass and get easier to break. You’ll get tired more easily.
But you know what makes the difference between being dead, or as good as, in your 60s vs your 90s? Activity, plants, and quitting smoking. And don’t do meth. Saw a 58-year-old guy this week who is going to have a heart attack if he doesn’t quit whatever stimulant he’s on. I pretended to believe it was just the cigarettes, and maybe it is, but meth and cocaine will kill you quicker. Stop poisoning yourself.
Baby steps; take it one step at a time; you don’t need to have everything figured out right now. But you do need to be working on figuring things out.
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You will be unsurprised to learn that someone already accused me of ableism for suggesting that people not smoke, move regularly in ways their body can tolerate, and eat plants.
Do NONE of you eat canned beans with maple and ham? This is at every Safeway on Earth as far as I can tell, and if you hate most vegetables, these are a lot sweeter because of, you know, the added sugar. Eat candied plants—glazed Brussels sprouts, candied yams—if you can’t stand the regular kind.
Oh, this is true, but you aren’t familiar with how lazy I am. I will work 36 hours straight for WORK—I’ve done it before and god willing I will never have to do it again—but cooking or preparing food has never been something I’ve devoted time to. (Partly because of hours and demands of work.) I wasn’t taught to cook because (explanation of my mother) and I didn’t even scramble eggs until I was 19, and then I set them on fire the first time I tried. I gave myself nutritional deficiencies twice during residency. The prospect of having to know what’s in my crisper AND use it before it goes bad despite the attentional difficulties, when my contamination OCD focus is already very bad, and KNOW when it’s gone bad when my only reference point is my also extremely OCD father, is untenable. I don’t enjoy cooking or making salads, and they’re pretty affordable at local places (in the sticks), so for me the math maths. However, it is definitely a good idea to learn to prepare salads and those of you with less baggage than me should definitely give it a shot! Salads can and should taste good! Raspberry vinaigrette and some candied walnuts or pecans plus some blue cheese crumbles = good shit. Who cares what plants you put it on. Except not iceberg lettuce.
I once saw it observed on Tumblr that adding good tasting things you like to a salad you're making does not cancel out the nutrition in the vegetable matter
(might've been OP. sounds like the kind of thing you post)
That wasn’t me, but I co-sign it 100%. I’d rather have patients eating salads that are completely covered in those “high fat!!!!” salad dressings that news programs love to freak out about than not eating plants. Do what you need to do to the plant to make it enjoyable to eat. Caramelize your onions. Put hollandaise sauce on your asparagus. Glaze your Brussels sprouts. Make! Life! Worth! Living! And make it possible to keep living it.
Penitence as a lifestyle is both unnecessary and often actively harmful.
I have some guided movement recommendations!
Julie Hunter’s movement_with_me on Instagram is a great resource for low-energy movement/exercise strategy. Julie was bedbound with ME/CFS following a COVID infection, and she used her experience as an athletic coach to figure out ways to reintroduce tiny doses of movement into her schedule, interspersed with purposeful rest, in such an effective way that she is now effectively cured and has returned to her pre-COVID baseline. She offers paid personalized movement coaching, wherein she creates a flexible multi-week schedule for clients to follow. Her Instagram account is a totally free treasure trove of advice, and if you scroll back a ways you’ll find videos demonstrating very simple starter exercises with a range of adaptations for different levels of ability.
Justin Agustin has an Instagram account and a YouTube channel full of “gentle functional exercises for everyday life,” including lots of workouts for beginners, seniors, and people living very sedentary lives. Many of his videos demonstrate techniques for beginners alongside a more advanced option, and he heavily stresses to only do what you are able to instead of pushing yourself further and potentially getting hurt. There are also paid versions of his work — a website and an app — with monthly challenges and a nutrition guide (and possibly more, but I haven’t used the paid version so idk).
And a guided flexibility recommendation!
David Thurin’s movementbydavid account on Instagram is all about gaining and maintaining flexibility through both active and passive stretching. He is incredibly flexible now, but he frequently mentions that it didn’t come naturally to him: He has consistently put time and effort into becoming more flexible, and you can do it too! Being flexible helps prevent injury, and, like fitness, is something you have to work to maintain and will lose if you don’t put in that work. Also like fitness, it’s something you can get better at, even starting from scratch.
All three of these people emphasize that you can follow their videos without special equipment, using things you probably already have (like a chair, a wall, a counter, and weights like a water bottle or can of food).
If you have access to an oven, I can't recommend enough just cutting whatever veggies you like into bite sized chunks, drizzling some olive oil over them on a sheet pan, adding generous salt and pepper, and chucking it in the oven at 400 for 15-20 minutes. Carrots, potatoes, cauliflower, brussles sprouts, broccoli, asparagus, its all delicious this way and takes zero babying. You can eat it standing up at the stove straight off the sheet pan if you don't wanna do more dishes. Chuck some meat on there too, or pop some beans in the microwave and you've got a full meal, and if you have a big pan you can easily cook enough for four people at a go this way. Leftovers are good cold and can be eaten straight out of the fridge.
