 The main findings of this paper is that exposure to greater number of adverse childhood experiences or ACEs was associated with accelerated epigenetic age, which we measured using DNA methylation grimage. And so these findings basically suggest that exposure to ACEs may induce DNA methylation changes that may be persistent across the life course, especially in the absence of health interventions and behavioral interventions. And these results also suggest knowing that epigenetic accelerated epigenetic age is associated with poor health outcomes, that we have strategies in place that increase awareness of ACEs, that promote healthy child development, and that clinicians consider implementing trauma in front of care to support the health needs of individuals who have experienced ACEs so that we can prevent cascade of negative poor health outcomes in these individuals.