This man obviously led an extremely unhealthy lifestyle. The diet was ridiculously out of control! I think the diet and possibly genetics were the main culprits here. But keep in mind to the extent that steroids MAY have been involved, given how outrageous his food intake was, he may have been eating oral steroids like candy. There is a huge difference in responsible use versus sustained reckless abuse over a period of years. Just my 2 cents.