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“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.

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