“Steroid abuse changes the body’s cholesterol profile and puts the user at increased risk of heart disease and heart attack. In the case of Rich Piana, he could have had a general weakness of the heart muscle due to his longterm steroid abuse or it could have been a sudden death type of arrhythmia, meaning the heart just stops suddenly,” Internist Dr. Irving Sobel, MD tells EXCLUSIVELY. Rich was getting his hair cut by Chanel when he suddenly collapsed at their Florida home and was rushed to the hospital. Doctors placed him in a medically induced coma but sadly he didn’t make it.
The most commonly used AAS in medicine are testosterone and its various esters (but most commonly testosterone undecanoate , testosterone enanthate , testosterone cypionate , and testosterone propionate ),  nandrolone esters (most commonly nandrolone decanoate and nandrolone phenylpropionate ), stanozolol , and metandienone (methandrostenolone).  Others also available and used commonly but to a lesser extent include methyltestosterone , oxandrolone , mesterolone , and oxymetholone , as well as drostanolone propionate , metenolone (methylandrostenolone), and fluoxymesterone .  Dihydrotestosterone (DHT; androstanolone, stanolone) and its esters are also notable, although they are not widely used in medicine.  Boldenone undecylenate and trenbolone acetate are used in veterinary medicine . 
Shares Share On Facebook Tweet Share Email Share Share Pin It Share Comment Buff actors fighting for major Hollywood roles isn’t breaking news, but how they got those bulging biceps and 6-packs makes for a good tale. Steroid abuse has been around for decades, impacting sports and the big screen in plenty of not-so-positive ways. With technology advancing in the muscle enhancement drug industry, it’s become difficult to determine who’s using ─ and who’s not.