He’s been on juice and his skin will likely be stretched from having that inhuman muscle.
Mix that with being on a crash diet/getting old. He now got to deal with the consequences.
The sooner you prioritize health (20s,30s) the better you’ll be later in life. Most people don’t take it seriously until they get older (50s, 60s) but by then the damage is done.
Building muscle is a slow process, if he would have trained naturally his whole life, he might have become that big naturally without the adverse effects.