What Actually Killed Rich Piana, An Expert’s Opinion

“In my view, he took a pre-workout substance, too much to create this pump and his heart’s gone crazy” - Matt Fiddes

Rich Piana's Cause of Death

The tragic death of Rich Piana has rocked the bodybuilding world in a way that no one could have anticipated. For many Rich Piana have been a controversial figure but he was loved by friends, family, and thousands of fans around the world.

“How Rich Piana died is still under investigation.”

And while mystery still surrounds what actually killed social media star, people are weighing in with their own opinions.

Recently In an interview with UK’s Daily Star Online fitness & martial arts expert, Matt Fiddes shares his opinion that Piana might not have eaten enough sugars to balance insulin he may have taken before a photo-shoot.

On the day of the incident, Piana and his girlfriend Chanel Jansen were on a photoshoot. And to get into the perfect shape for this shoot, Rich would have most likely got a pump on.

Fiddes said:

“He would naturally take a pre-workout and then get to the photo shoot, do some press ups, some curls, get his body in condition and then come home.”

Fiddes believes Piana would have combined the pre-workout substance with insulin to perfect his appearance.

It’s common for athletes to take insulin and Rich Piana himself posted a YouTube video four years ago, in which he talked about the perils of taking insulin for novices but praised its effectiveness.

He said: “The thing is insulin works.

“It definitely works and does what is supposed to do.

“And it is dangerous but as long as you know what you are doing, everything can be fine.

“If you know what you are doing it is not dangerous, as long as you are taking the sugar which is necessary to match up the insulin you are taken.”

But this is where things likely went wrong for Piana according to Fiddes.

He said: “They have to eat enough sugar to balance the insulin just like a diabetic would, otherwise they will go into a coma and die.

“If the photoshoot dragged on a little bit he may not have eaten enough sugars to balance what insulin he would have taken?”

“He would have to keep an eye on his sugars every three or four hours.”

A member of the British Pharmacological Society, Julien Baker speaking with Daily Star also warned of the danger of insulin:

“If you don’t take the right diet or eat the right foods when you inject insulin you must take a high sugar diet, otherwise you can slip into a coma.”

“Insulin users who are bodybuilders normally inject about three times a day.”

“This guy was on his way into a diabetic coma, there may also be some kind vascular even taking place as a result of a long-term use of steroids.”

Fiddes says he believes Piana may have made a fatal mistake and simply got the balance wrong.

He added: “In my view, he took a pre-workout substance, too much to create this pump and his heart’s gone crazy.

“He’s effectively had a workout by getting a pump for the photo shoot and he’s on insulin so he’s not taken the right sugars.

He’s got home, he’s exhausted and he just simply fell into a diabetic coma which is extremely common in athletes.”

That ultimately lead him to slip into a diabetic coma.

TMZ Sports reported: It appears that paramedics found crushed white powder on his table along with a credit card and a straw upon entering his home.

Fiddes believes it would have also contained ECA, a powerful pre-workout drug cocktail that may also have endangered his health.

Fiddes added: “It will give a crazy rush of energy, an insane amount of power and it will make the workout 20 to 30 times more powerful.”

It consists of ephedrine, a synthetic form of adrenaline that used in the medical & emergency situations to restart hearts.

This is combined with caffeine and aspirin, that allows the blood to absorb the substances very quickly and numbs workout pain.

Fiddes said: “He liked to snort it to get the immediate effect.”

“I watched a video, and he’s putting scoops of the stuff in his drink. It would be quite unrealistic that a man in incredible shape all year round is not taking it.”

Rich Piana died nearly three weeks after placed in a medically induced coma following a medical emergency at his home in Florida. He was 46.

Regardless of whether you loved or hated him, the loss of life will leave a void to his family, friends, and fans across the world.  Rich Piana was a true icon and inspiration to many in the bodybuilding community.

R.I.P.

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175 Comments on "What Actually Killed Rich Piana, An Expert’s Opinion"

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Jason Reagan
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Wish I could of met him

Chuck Rodriguez
Guest

Dude was awesome. Met him at the Olympia a few years back.

Jason Reagan
Guest

Sweet

Thomas da Silva
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Have*

Mike James Compton
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Great fun got the opportunity just before he past in June at Toronto pro show good guy from what I seen of him:)

Stephen Walker
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Met him at bodypower last may great guy taking time to talk to us

Mark James Solley
Guest

We’ll all meet him some day.

Siviwe Svigee
Guest

It doesn’t matter now because you’re not going to bring him back, what matters now Rich Piana was an inspiration to young up coming bodybuilders he will always be remembered

Cristi Barbu
Guest

inspiration for what?how much steroids to take and how much oil to put in your muscles? ignorant idiots

Shaun
Guest

Unbelievable you should never speak ill of the dead it’s so disrespectful on so many levels regardless of who the person is

Adam Gould
Guest

at least he was a somebody, unlike you, you fat weak powerlifter miami vice shades faget

Christine Yvonne
Guest

You are the “ignorant idiot” Barbu for disrespecting and bad mouthing a man who has passed away.

Mr-Ripped.Com
Guest

thanks for that!

Siviwe Svigee
Guest

Cristi Barbu just shut your mouth buddy if you don’t have something better to say because you are also using steroids

Piri Hemara
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Get em Adam 😤

Jim Johnson
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Remembered for being a drug abuser not just a user. Still don’t fucking get it Geez Christ dude. You don’t idol guys who abuse the shit and die. Everything is a calculated risk, so use some common sense. You idol all the junkies out there shooting heroin ? Nope, just the guy w muscles and we over look his addictions as he glamorized. I am a bodybuilder and I take the gear IM JUST NOT A STUPID FUCK. All you bitches need to idol someone sooooooo bad. Whether Rich was cool or not doesn’t matter he was a drug abuser… Read more »
Jim Johnson
Guest

Christine Yvonne you stupid cunt it’s very relevant to tell the truth about the reckless abandonment to his usage. He died because of all the drugs he took promoting some healthy lifestyle. It’s you who needs to sit down and stfu and tell the truth about the sport. No one gives a fuck if you met him or how your picture was taking with him. Irresponsible usage w no self control should be the topic you dumb bitch not your feelings or respect to Piana because he put himself in the spot light good and bad.

Hayden Clarke
Guest

Cristi Barbu twat

Chris Justis
Guest

Rich was very open about what he did, even before the social media craze. He was a very good bodybuilder years ago when he competed, BUT chose the “freak” route over competing and was well known for the crazy amount of drugs he would use. What exactly does that inspire to others? Just curious……

Adam Gould
Guest

Chris Justis you are a fucking idiot, its inspiring as the empire he built and the body he created. u tunnel visioned clown

Gary Andrew
Guest
He was also Very against other abusing steroids, they whole purpose to his videos was to educate. He stated 1000’s of times, kids are going to do it regardless, it’s better if they have an actual source that will tell the truth, vs bro science that could get them killed. Not to mention he built and empire, known for his work ethic, always encouraged and pushed people to become more than what they were. I mean, his entire life motto was, “whatever it takes” he strongly believed when you find something hat makes you happy, to Chase it with ferocity… Read more »
Mick N Anna Coll
Guest

Being a diabetic and knowing what insulin can do. This does sound believable. May also be a contributor to other Bodybuilding deaths.

Shawn Gilligan
Guest

Speculating on what killed Piana is pointless. Even an autopsy wouldn’t definitively point to the exact causation. For example, how advanced was his arteriosclerosis? Was that caused by steroids, diet, insulin, gh, PMAA, anti-estrogens or aromatases, or genetic predisposition? Jerry Brainum recently posted a study showing PMAA, which was used to treat vertebral fractures, was escaping the bone and traveling to the heart where it damaged tissue. He could and likely did have severe right ventricular hypertrophy. Was that just normal athletic heart syndrome or from years of hypertension?

Who knows. Who cares. Steroid use isn’t healthy. Stop the presses

Samu Thomson
Guest

Steroid abuse is not healthy 🖒

Yoan Perez
Guest

^^^^ bingo was his name o

Shawn Gilligan
Guest

Yes, a distinction I don’t make as steroid use refers to abuse in my book, the healthy use I refer to as HRT. I would be classified as an abuser

Shawn Gilligan
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Jordan Campbell
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Steroid use isn’t healthy, clearly using anabolics, or are you just on creatine my guy

Bernardo Costa
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👏

James Lamb
Guest

Jordan are you special? He literally said “i would be classified as an abuser”

Nick Morgan
Guest

Plain and simple toxicology report will reveal more about his death than anything but his girlfriend already knows cause at the hospital they tested him for all substances. It is well known rich had a large large drug problem. Sad but his x has posted videos of him zapped out of his mind where he could barely stand and couldn’t put two words together

Christine Yvonne
Guest

So called EXPERTS….need to keep their opinions to themselves and WAIT… allow the REAL experts to do their job…allow family some peace and show some respect in the mean time!!

Mitch Kelly
Guest

Just let the guy be dead! I don’t get why cunts keep banging on about it?

Mantas Karalius
Guest

: It’s common for athletes to take insulin?! Wow

Randal Boyd
Guest

Extremely common

Samu Thomson
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RIP BIG DAWG miss your videos..

Tyler Boswell
Guest

We should ask Jason blaha. He’s the real expert …in everything. Like CIA…and stuff

Jonathan Crawford
Guest

Another so called expert weighing in with his opinion without knowing the facts

Christine Yvonne
Guest

Exactly!

RoachNigga
Guest

So hes basicaly guessing what a dipshit.lol

Zilka Saunders
Guest

Your profile name tho?

Ed Alexander Chavez
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Josiah Sanchez

Josiah Sanchez
Guest

So pretty much mixing pre and insulin together?

Ed Alexander Chavez
Guest

Sounds like it here but still under investigation

Josiah Sanchez
Guest

Hmm

Scott Dawes
Guest

Too much oxy is what killed him

Imran Saeed
Guest

Well, I think those who like to speak out before they find out exactly what happened should keep there opinion to there self. That why they give steroid a bad name. Because they need something to blame it on when it’s not the real case. Find the truth before you blame the wrong supplements. That why there no good supplement out there anymore. Because they take out all the good stuff when someone dies from it. People die because they think it bettter to take more of it then to take whats adviced.

Yolanda Strydom-van Wyk
Guest

Steroids ALWAYS get the blame…sad. I am no expert on these matters, but I wonder if it was not rather a combination of factors contributing to his demise…the PMMA, GH, insulin, Synthol, Nolotil, recreation drugs…abuse over many years may have certainly played a part…just my own thoughts. There is only so much that one’s body can tolerate and add to that his age…sooner or later, something was going to give…tragic!

Christine Yvonne
Guest

Actually, people need to mind their own business….How would you like to have everyone and their brother speaking and discussing YOUR loved one’s demise???

Luke Fox
Guest

Christine to be fair he was an out there type of guy wouldn’t you say, after that let’s call a spade a spade, nobody is judging him but you have to wonder why people get so defensive ? is it because they are really looking at themselves?

John Stewart
Guest

EL PIANA DID NOT BELIEVE THERE WAS A HEAVEN OR HELL AFTER LIFE. AND IN ONE OF THESE PLACES HE MAY FIND HIMSELF, AND SO WILL ALL OTHER GOD-HATERS THAT DOES NOT LOVE AND WORSHIP THE LORD GOD ALMIGHTY JESUS CHRIST !!!

Ro Ry
Guest

If it’s true in what they say about the white powder then I doubt very much it was pre workout… Boston Lloyd has called him out before for cocaine and xanax abuse and he was also obviously a long term steroid and ped user… do the maths. I also highly doubt he messed up his insulin dosage with his wealth of experience and if he felt he was going hypoglycaemic for even a second he would take some sugar on board. It’s clearly a heart related issue due to the drugs mentioned above.

Ciaran Byrne
Guest

And you know this for sure? How 🙄

Ro Ry
Guest

Ciaran Byrne nobody other than people close to him are ‘sure’. But I believe my speculations are more realistic than the author of this article.

Justin Flex
Guest

I could definitely believe he did rec drugs as most bodybuilders do just to combat the shitty side effects of high dose anabolic steroids. Not saying that’s what killed him. I bet he was fucking around with GHB which could easily put you in a coma and kill you. I remember him mentioning taking that back in the day in one of his videos.

Ro Ry
Guest

Justin Flex do you know why he was taking that? I have a lot of respect for Rich for so many reasons but he was a walking pharmacy and you’re playing with fire combining anabolics in such doses with rec drugs and very little downtime.

Luke Fox
Guest

Ciaran Byrne because he has eyes in his head, have a look you might see it too

Ciaran Byrne
Guest

Luke Fox assumptions and scenarios and speculation nobody knows nothing 100% but I agree he didn’t miscalculate the sugars as he was well up on the area

Luke Fox
Guest

Ciaran Byrne agreed unfortunately live by the sword …… But none the less awesome physique, I don’t think you go to that level without realising the potential cost

Ciaran Byrne
Guest

Luke Fox very true I believe everything in moderation if you abuse anything it will kill you. Alcohol, cigarettes, drugs, even breakfast rools lol nobody can judge rich because most likely they are abusing something themselves

Nicole Cordova
Guest

Those are your assumptions…but as a diabetic insulin user you are very incorrect about people not messing up dosages or knowing when they are going hypo. If only it was that damn easy….but kudos to you for being an expert on insulin and BG, please write a book….it would be ever so helpful.

Ro Ry
Guest
Nicole Cordova dosing insulin is pretty straight forward so I don’t know how you would mess up when you take insulin.. basic overestimated rule of thumb is 10g of suger per iu of insulin and if you start to feel slightly dizzy/unwell/tired just load up on sugar. Tell me more about how else you would go wrong? However, I am generally speaking of humalog, I know longer acting insulin is a little more complex and I wouldn’t pretend to know much about that. But it’s pretty easy to tell if you might be going hypo and as a precaution you… Read more »
Ro Ry
Guest

Unless you’re actually special needs and I dare say Rich was a lot more intelligent than you…

Jesse Loveday
Guest

And all the rich panini dick riders come to his aid

Alex Ball
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Tren clen

Brian Harrison
Guest

He was a very successful and determined bodybuilder. . RIP

George Kirakos
Guest

He just abused the shit out of his body. What do u expect?

Simon Johnstone
Guest

Sadly missed RIP

Mr-Ripped.Com
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yup:)

Carlos Cruz Sr.
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Carlos Cruz

Luc de Jong
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Kenneth Van de Beek

Heino Jesse James Mendec
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Maria Meyer Mendec lyder nok rigtig

Maria Meyer Mendec
Guest

Det er ihvertfald en mulighed…

Martin Olsen
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expert my ass.. since when were experts the ones who you should have followed..

Mark Grant
Guest

STEROIDS!!!!!

Kevin Rage
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It was all abt his image and pride….Now look where this has led him…. RIP

Ryan Pledger
Guest

Friend of mine said the same thing actually…

Dan Russell
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An opinion. Not a fact

Christine Yvonne
Guest

Exactly…who needs it?

Wojciech Skromny
Guest

Another guy who counts for views on yt riding Richs back

Christine Yvonne
Guest

Yep, correct…..The Peanut Gallery

Louis Valenzuela
Guest

Shame he died, and it was random and out of nowhere… i found the guy annoying at timss with all the bodybuilding drama.. but did respect how he wouldng hide things from fans and would be honest. Unlike other bodybuilders that give young people a false impression that with hard work and no steroids you could be as massive as they are.. then fail and give up when they see no progress.. rich kept it real and let peiple know if you wanna get to that level you need steroids and other supplements or theres reallt no chance.

Justin Flex
Guest

Even half the stuff Rich said was bullshit. Truth mixed with lies in most videos.

Mr-Ripped.Com
Guest

+1 this

Mike Reuter
Guest

Bullshit

Justin Flex
Guest
This is all bullshit. The second you’re body starts going hypoglycemic you start sweating ur stomach starts feeling itchy and you crave junk food. It takes a while to actually go into a coma and you know wayyy before that would happen to eat some sugar. Eca stack you have to go to a pharmacy buy bronchaid pills which are huge then mix that with a 200mg caffeine pill and a baby aspirin. There’s no way someone is crushing up those three pills and snorting all that powder. I can’t even imagine how bad that would hurt you’re nose holy… Read more »
Frank Parillo
Guest

This is why it’s better to get hooked on golf or tennis.

Johnny Lapping
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David Parkins

Peter Hutcheon
Guest

Er, years of steroid abuse that increased the size of his heart?

Zachary D Sanford
Guest

They already said he died of massive heart failure and he was basically dead before he hit the floor. Piana pushed every limit possible and his luck ran out. It’s sad but not tragic like an innocent child dying of cancer or something.

Mr-Ripped.Com
Guest

absolutely right couldnt agree more

Piri Hemara
Guest

That’s true

Christine Yvonne
Guest

Ask his family if his death was TRAGIC…..

Charan Kashyap
Guest

It is tragic buddy ,,,until we know what’s the exact cause of his death from the doctors we can’t just simply assume or believe anything from this fitness experts,according to me rich has a huge following in the industry and all this people are just trying to grab some limelight using his death which in my opinion is pathetic

Mr-Ripped.Com
Guest

Agreed

Mr-Ripped.Com
Guest

Nice info thanks I love exercise

Jeff Sonntag
Guest

So, pre workout killed him. I think we need to call in another expert for a second opinion. Someone call Bradly Martyn

Vele Dizvani
Guest

Derrick Duckles Thobani Moyo Christopher Diamond Raubenheimer Reabetsoe Rehab Sesele

Christopher Diamond Raubenheimer
Guest

Told you boi

Christian Nemeth
Guest

Jacob Nemeth read this

Russell Frie
Guest

So sad,it goes to show you,that natural is the only way to stay healthy.

Vivien James Savage
Guest

Danelaw ‘D’ Court Petersen

Danelaw 'D' Court Petersen
Guest

Has shitty adware that kept navigating me away from the page.

Vivien James Savage
Guest

It basically said he didn’t take in enough carbs with insulin. Also it described an ECA stack as pre workout…

Nick Boutros
Guest

Painkillers, steroids, and being 280-270lbs. My opinion, but realistically thats the most probable cause.

Oli Mace
Guest

He died of cardiomyopathy (heart failure) he had a cardiac arrrest… due to all the substances listed steroids, pre workouts, large amounts of food and just generally being that big and putting that much stress of cutting down and bulking up for so many years… R.I.P Rich.

Shannon Lamp
Guest

That has to be the dumbest shit I’ve read!

Cameron James
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Josh Brame

Austin Scalise
Guest

it wasn’t cocain that killed him that white powdered on the table was a pre workout out

Nathan Reed
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Patrick Nash Tye Peter Molloy

Nick Corriere
Guest

Epinephrine and ephedrine are not the same, complete BS opinion

Joannie Therrien
Guest

Jonathan Boivin apparemment iL serait mort d’un coma de diabétique parce qu’il se serait injecté de l’insuline sans balancer avec du sucre. En plus de ça iL aurait snifé un mélange de pré workout et un truc pour restarter le cœur quand t’es mort en poudre. IL jouait avec le feu pas mal

Edward T-bo Taboada
Guest

Cory Montgomery

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