Background: Absence of a widely agreed upon central paradigm for mammalian
aging. Objective: Detailed elaboration of a proposed mammalian aging paradi
gm. Methods: Elaboration of a new theoretical model, Results: Hormonal imba
lance-growth factor exposure theory (HI-GFE theory) can account for two maj
or aging phenomena: (1) decline in mammalian 'reserve capacity' and consequ
ent rise of diseases of maintenance, and (2) rise then peaking of most age-
associated proliferative diseases. Reserve capacity decline via gradual dec
line in mitochondrial maximal energy production (state 3) accounts for the
gradual redirection of declined maximal energy production toward survival f
unctions like ion pumping to the relative detriment of RNA and protein synt
hesis as seen in lesser synthetic rates and slower turnover with consequent
gradual cellular impairment. Developmental program triggered, and over-amp
le nutritionally driven, growth factor exposure in youth to middle age enco
urages promotional events that lead to proliferative diseases that rise coi
ncident to rapidly declining reserve capacity and cumulative increased muta
tional status of age. Conclusions: Declining mitochondrial state 3 aging en
ergy production status is easily and safely reversible with probable conseq
uences of greatly postponing the decline in overall 'reserve capacity' whic
h may also improve insulin: growth hormone balance and result in lower over
all growth factor exposure and consequent longer healthy life of a potentia
lly greater magnitude increase in life spans than that seen in calorie-rest
ricted animals.