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Three main things from my personal experience.
Sleep is shit. I remember when I was a teen or in my early 20s. I could sleep like a baby for 10 hours straight and wake up like tigger, raring to to, full of vim and vigour. Now I sleep in half hour bites. Each time I wake, I have to change position because some bit or other feels like it's going to sleep (the irony!) or just hurts. At least once in the night I need to pee. My dreams, at this point, inevitably become some variation of me looking for a toilet and they're always dirty or broken or something is wrong with them. I wake feeling tired, even if I get 10 hours in bed.
Chronic arthritis. I'm not that old (late 50s) but my hips are utterly fucked. I can't walk for more than a couple of miles before the pain starts. I can't have steroids because (apparently) my hips might just fall apart. I can't have hip replacement surgery (Fuck! That's something old people have done!) because the arthritis isn't currently sufficiently debilitating.
People no longer notice you. When I was younger I was a good looking guy. I had girlfriends who made everyone's head turn. Women fancied me, men were envious of me. Now, I'm just some old guy. It's pretty fucking rare that anyone gives me a second glance. I'm just some old guy.
I have noticed this as well. I joke with the students that us old guys all look the same so they'll have trouble telling us apart for awhile. But it's true.
Until like 5-10 years ago, I've been traveling a lot, and in the evening, I'd take the tram or go on foot, sometimes 30-60 minutes, and go to bars, restaurants, no problem. In some city that's completely unknown to me. After pretty heavy drinking and with just a few hours of sleep, I'd get up in the morning and travel on.
Nowadays, when checking in after, let's say, a 2 hours journey, all I want to do is watch TV in my suite, end of story.
As to 3.: That can still happen, and it's quite rewarding when it does. Just a few months ago, I've been turning heads again because I started dating a cover model for dentist's office magazines. All eyes were glued to them wherever we went.
Then one day, you're sitting all sobered up in some hotel room with what suddenly appears to be the phoniest person on the planet, and you start to realize beauty isn't all there is.