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Time dilation. Does time dilatation affect physiological processes?

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Time dilation. Does time dilatation affect physiological processes

In time dilation, does the "aging" referenced include biological/ physiological aging? for example, in the identical twin concept, is it possible for the twin who travels to space and back to have actually aged so much that by the time he returns his brother is dead of old age? in other words, does time dilation affect physiological processes?