What to do when you can't remember your security questions and the backup email is old and does not work

Please help me I don't know what to do about this. Can anyone help me?

Alternatives for Help Resetting Security Questions and Rescue Mail
     1. Apple ID- All about Apple ID security questions.
     2. Rescue email address and how to reset Apple ID security questions
     3. Apple ID- Contacting Apple for help with Apple ID account security.
     4. Fill out and submit this form. Select the topic, Account Security.
     5.  Call Apple Customer Service: Contacting Apple for support in your
          country and ask to speak to Account Security.
How to Manage your Apple ID: Manage My Apple ID

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