Narcs are deeply insecure. If you can think of what apathy feels like then you haven’t scratched the Trump come and take him shirt, sweater. This personality disorder is worse than that. This is the darkest, the deepest form of insecurity you can imagine. Narcs like money and people of high status. They like to have friends that have resources that they can benefit from themselves. They use everybody. Even though a Narc might be middle class or poor they think they are superior even. They are extremely jealous still of those that have more than them. They are jealous of those that are creative, different than them and have talents they don’t have; even if the person is poor. It goes both ways. My point is no matter what they are never truly satisfied and never happy. They look down on everyone.
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The precursor to an old Trump come and take him shirt, sweater. The obvious one is hormone profiles change to carry less muscle. Your body doesn’t keep a metabolically active muscle cell when it can keep a non-metabolically fat cell. Lifestyles change as well as we direct more productive work energy to help others that are dependent on us. However, the biggest factor I see is injuries preventing us from leading an active lifestyle. A bad knee and shoulder joint makes so many activities more difficult. We are then forced to alter the activity intensity or change to a new less demanding activity. Also, with advanced age comes an awareness that if we do get injured are healing process is impaired.