What you’ve got is a dearth of kids.

No physicals? You’re old enough, they’re usually done along with some no-fun procedures at your age. Never a need for antibiotics? No moles checked? Wow, you a manly specimen of a man!

Kids would do it for you. In my case I do get a yearly physical, plus at the moment I have a couple of medical issues that are helped with some prescription medications. I’m hoping the continuing loss of extra poundage will do away with that need.