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There are so many factors, health and condition f.i. and the lost of energy is also not proven equal for everybody.
Do you mean old in getting 111 years of age or looking old staying 36 and look likes 63, also you cant say that all elderly did 'it' to often because there looking old?
So to answer your question isn't that easy, to many loose ends. If someone of the age of 80 got a heart attack by having an orgasm he/she could still survive and looking old. I don't think someone get an orgasm if he/she is asking there self this kind of questions in stead of enjoining there self.
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