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I have a pet theory that not having sufficient children is whats fueling the "botox-cougar" syndrome.

I think that at a deep biological level, these 47 y/o botox cougars[1] realize that they don't have enough (or likely any) children. Thus, the biological urge to "appear attractive" in order to attract a mate goes into overdrive and results in them having enough botox and plastic surgery that borders on body dysmorphism disease.

[1] - yes I realize they are past menopause, but probably doesn't matter to the part of brain that is still fueling the 'attract a mate' behaviors

Combined with aspirations of becoming a girl boss and Karen

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one reason in the past for higher birthrates i think was that most societies were more agrarian which means each kid is a free worker on the farm, with less farmers, there's also less benefit to more kids, but far more cost

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This is definitely a plausible variable.

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So... having a large number of children = not having interest in using Botox? Or I didn't understand.

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Essentially yes! (as I said, pet-theory).

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Interesting thought

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