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Rich piana was a well known bodybuilder who took extreme cycles of steroids going from Testosterone to Trenbolone and many other things such as abusing insulin ( you can find his stack on archived instagram posts)
Piana collapsed and passed away from heart issues in Florida 2017 at age 46 after being admitted to a hospital the autopsy was preformed
Notable thing is he had a enlarged heart weighing in at 670g when a normal heart weights around 300g max and there were many things wrong with his lungs and arteries
The photo included of him is the last photo taken/posted of him alive
RIP RICH THE NICEST GUY THE BODYBUILDING SCENE WILL EVER SEE
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OP (sourced from reddit, /u/jboznik) explains: "Yeah sorry didn't mean to bury the lede but it was due to a severe nosebleed. I recently had nasal surgery and this might be from an arterial bleed that became too dry. It was deep enough that despite pinching with a towel it was pouring down the back of my throat. Until it became too much for my stomach and all came up."
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If this is a repost imma kill myself
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Done:
Anterolateral thoracotomy on the right.
Opening the pericardium and suturing the wound of the right appendage. Suturing wounds of the right lung. Sanitation and drainage of the right pleural cavity. Dressing wounds.
(I posted it before I'll provide link later because it's midnight in my place rn, it's continuation of previous post)