Or entirely separate from the politics he probably was a naturalist )except for the obvious steroid use for which there are lots of tell tail physical signs I observe in that photo) he died from massive, chronic steroid use.
I order and observe ultrasounds every day. In my now three years of observation of thousands of ultrasounds I can tell you we are not seeing increased “clots” and certainly not the massive clots funeral directors who wanted 15 minutes of fame which has long expired in LIVING physiology.
It is very rare for a top bodybuilder to be clean. I haven’t seen a natural bodybuilder win a general competition in decades. And the actors who say they beef up for a role by lifting a lot? They DO lift a lot but also take a mass of pills.
Adding 20 pounds of muscle when one first starts lifting can be done fairly fast if your starting point is American Standard Sloth, but after the first year of lifting? Building more muscle is slow, hard work. Me? I don’t have the genetics of a strongman. More the runner type. I lift regularly and try to push myself but at 5’8” I doubt I could break 165 tops. Without dedicating all my time to it? Probably 150-155 would be my max fit muscle weight.
Many could get bigger than me with good genetics but the folks winning competition in bodybuilding? It takes more.