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Florida’s District Six Medical Examiner has completed Rich Piana’s autopsy, and you can read the full report at MuckRock. The cause of death still seems murky.
The most detailed part of the autopsy’s notes concerned his lungs – Rich’s lungs were swollen and filled with fluid, (bronchopneumonia pleural effusion with edema) showed apparent fat emboli and micro-abscesses, and displayed both acute and chronic inflammatory cells.
Check out the following key details:
- An enlarged heart from a “significant heart disease”
- Mild coronary atherosclerosis (plaque buildup in the artery walls)
- Fatty liver
- Congested thyroid
- Discolored and congested kidneys
- Ischemic brain tissue (i.e. brain tissue that had lost blood supply)
- Brain edema (swelling)
- Necrotic brain tissue (i.e. dead cells)
- Ascites (accumulation of protein-containing fluid in the abdomen)
The cause or manner of death was never made clear through the report.
It would be impossible to determine the real cause of death with any certainty, due to Piana’s severe heart disease and openly admitted (performance enhancing) drug use — and the fact that he survived in a coma for 18 days in the hospital.
The hospital discarded the specimens, despite an explicit request that they be retained so no toxicology tests were administered!
The report did not answer major questions other than the fact that Rich Piana had some severe health issues that lead to his death.
Rich Piana’s Complete Autopsy Report:
RIP Big Guy!
Lol. “No toxicology studies” — what a fucking joke. Who the fuck cares, users will continue to use, abusers will continue to populate hospital beds and mortuaries, both groups will continue to live in denial. Lack of transparency and denial will continue to ensure users and abusers are brutally ignorant about the drugs they consume and how to do it adequately. The black market will continue to thrive with overpriced unsafe products. The cycle of stupidity will continue and roid “gurus” will continue to ignorantly prescribe younger and younger fools.
Dick head
What a fucking retard more people are admitted into hospitals by misuse of vitamins than that of people using steroids
^ truth
More people go to the hospital for Tylenol or flintstones chewable vitamins than anabolic steroids.
Just sayin…….
Ciaran Byrne u butt hurt ignorant fool
Hate your ignorant opinion. But love your Village people style pics….youre the cowboy right ? ?
Piana was a lot of things. Unaware or ignorant to what he was doing to himself with his lifestyle isn’t one of them.
Look at these roid users defending
Alan Crutch. Comparative fallacy. The fact that “more” people are affected by other misuse is not a dismissal for my comment. At least try a counter argument you lazy imbecile fuck.
Leigh Thomas. I am going to go to my basement curl into the fetal position and cry about your kindergarden level of insult. You go and have fun fantasizing you are being fucked by Deadpool, Bane and Batman. You nerdy little cunt.
Ooooo so mean! I bet he’s so scared right now!
Mark James Solley. Piana was a very transparent fellow, thus my comment that no toxicology report is a fucking joke. He was an abuser and if he wasn’t ignorant he would likely be alive today. I doubt he had plans to die when he did.
Mithun Giri where did u post this McDonald’s or KFC u need to hit the gym bro.
Viraj Vaghela ur not using anything anyway u never saw the inside of a gym I would guess ????pussy
Trump is still your president you anti firearm asshole!
Jessie Mcnemar ain’t nobody talking about trump here cunt, get the fuck outta here w that political bullshit.
Jessie Mcnemar. I actually live in a country where steroids are legal and Turd is not my president. You dumb fuck. ?
Manuel Villalobos beauty of life u never know when is ur last second in this world I a lot of people die in deferred ways a 20 old in car crash old man heart attack a baby the just born u never know rich live how the way he wants and past away like u and we do in some point
Ciaran Byrne brave ????
No toxicology report was requested by his family.
Manuel Villalobos I recall distinctly many tines him voicing his awareness to what he was doing to himself.
Nothing comes up
I watched generation iron 2 a while back , then 4 weeks later he passes away. I won’t comment on his passing, opinions varie. But may you RIP rich piana. You did have a great uplifting attitude towards life. 🙁
Ya met him at Toronto pro super show just before he passed seemed like a good guy
He slammed a shit ton of gear and it did a ton of damage to his body/organs. Makes me sad because Rich was so smart in so many ways but in the area of using drugs he was not
Rich is a real dude and would want the full autopsy report.
He was a cunt and a fuckin freak did he think he was going to grow old and have grandkids with all that shit he was pumping in to him self
Konrad Hardej
Edwin Aviña
So sad… RIP RICH
Hal Whyatt Tom Lawrence
Olly Youngs
Lots of coke, Viagra, and booze, big surprise…at least he went out with a bang!
Yeah, cuz coke enlarges your heart. ???
“An enlarged heart from a “significant heart disease”
Your an idiot! ?
Not as much of an idiot as the one insulting the deceased whom are incapable of defending themself.
leave the brother alone. let him rest.
Waat
Waat
It’s sad that he died, it’s also interesting how seriously unhealthy some of his organs more. Makes you question how good sups really are.
Long term use of any supplements will take a toll on ur kindey an sometimes liver thats y they say to take few weeks off when u run out of 1 i personally go full month or sometimes more
Um, explain the science behind that for me^
Patrick Hörtler
Andy Brown
Andre Doe
Joel Clinton Turkalj Chad Alexander Keenan Nolen Dylan Cruckshank
Conor Joseph Tapsell look at that report cunt was fucked
Rich was a genuine guy. He lived his life how he wanted it. Play safe folks and if you can stay away from PED it’s a road to no where.
I agree! He has so many trolls out there it’s unbelievable but not once has he ever lashed out at his fans. He was always there giving out informative advice and for those that say he endorses steroids obviously doesn’t know jack shit about the man.
I disagree. There is a difference between drug use and drug abuse. Rich abused steroids. He was not competing. He had no obligations to take high quantities of steroids other than to maintain his image and his brand. He did it out of insecurity due to his body image issues. On the other hand and respective of the general population, many steroid users use streoids correctly. They dont take nowhere near as much as Rich, they cycle on and off correctly and their diets are on point. It’s like alcohol; you have people who enjoy a drink every other week and then you have people that drink everyday. The irresponsible drinkers are not the ones who drink every other week. The same can be applied to any drug. Many people take drugs including PEDs and live stable functional healthy lives. You will find amongst the global workforce, heroin addicts, crack addicts and alcoholics amongst people with the worst possible addictions and afflictions and despite their lifestyle choices they manage to regulate their drug use and live regular lives. There will always be risks but there are far more risks choosing to drive a car or cross the road in a busy city for instance in every day life than there is being struck down by steroids
Best risk is to stay way. Once you start the madness is hard to stop. Even moderate amounts over and over yrs on end is ludicrous. There comes a point in your life what’s important finding sources for more gear then wind up getting bad shit or do it the ol fashioned way better health better mind
“Genuine guy”. How about when he slapped the shit out of one of his fans who had autism for saying something about him on Twitter instead of being an adult
CLICK BAIT ?
Thought Rich always had bloods and everything tested when on steroid cycles. Surely there things would of been picked up early enough.
Huh? You don’t think regular blood would have detected a bad liver?
That’s what I’m saying. Things like a bad liver should of showed up in his blood tests
Not necessarily. The range is quite wide and if you’re on the bottom end, you get a pass. My best friend and training partner passed at 27 years old after hip surgery, he was battered with tests, none told them his heart would fail 2 months after the surgery.
Scary that Marcel Henry sorry for your loss.
Well it did because I remember seeing him speak at one point and mention as he aged the worse his results got with his bloods because of steroid use.but he chose to keep using..
Vince Livaditis
Jeroen Nicol Remco van Eijden
Wat een randdebiel.
Hij was wel altijd chill en eerlijk.
De rest van die zwangere mannen word ook niet oud
Chille kerel
He was a walking time bomb and sadly he knew it ,
Nathanael Johnstone Farouk Rahman Mark Sommer
Jacob Axworthy
RIP Rich!
Niall Bain
Declan Mooney
Shaun Taylor-Hurst
Soth Orn his results crazy
Damn
Still so sad 🙁 R.i.p
What happened with the white powder you’s accused him of having in your first posts about him passing or is this a miss leading article like the first one
From what i could gather basically it was a matter of time…
Wayne Johns
Shashwat Yadav Denis Virzilio Dias Yusuf Shaikh
I thought he regularly got his blood work done?
Yes and what think all whas good come on man be realistic with this life style !!
Huh
Wat verwacht je ook met zo een levenstijl
Ja klopt mja de rest van de prof bodybuilders moet ook maar eens de 50 zien te halen want die leven niet veel anders
Thijs Bruinsma prof’s staan onder begeleiding van een ziekenhuis en artsen. Zijn er namelijk genoeg die er wel voorbij zijn.
Blijft natuurlijk altijd een risico.
Generation iron had it way earlier don’t click it isn’t anything we didn’t already know
Rest In Peace Rich
Fond of tattus.
If it tells us anything, it’s that his health was fucked.
Emma Louise
Omg he was a sportsman !!!
Chris Aldgate Marshall Schey
He pushed his body too far.
To much Roid abuse
Yup steroids and growth hormone
A lot from time of death or post death, only one that matters is the heart disease, he had a heart attack
An enlarged heart from a “significant heart disease”
Simple… Excessive steroid abuse
I’m not a big fan of him, but I followed him since I knew bodybuilding. His fuck fuck fuck always irritate my ears but he always speaks the truth. May 5% Nutrition remain the same without Richard Piana.
Sam Reading
Alex Prajisteanu
COD…..hard living.
Most body builders abuses the usage of steroid… And it seems so jeopardising when u didn’t use it according to doctor prescription….. Excessive steroid intake is equals to death…
Dumb
I’m gonna have to use google translate to understand whatever it is you just said
Define abuse
Even without drugs, bodybuilding in the top form destroys health.
Strog Zilla
They don’t know the cause of death because of his “performance enhancing drug” use!?
Funny that… Name me one person who has died from the cause of death being steroid use..? Lol
Tammy Kay Campbell Xxx
He was who he was, good on him, surprisingly I learnt a lot from his videos about flexibility and looking after your joints ,I know right, but for a massive unit, he definitely applied himself to those areas, Respect
All those congestion and internal swelling might be due to his 18 days of coma and inactivity.
GOD KNOWS THE BEST !
RIP BIG GUY.
Your exactly right. He probably developed sepsis after he coded and was intubated. Sepsis leads to multisystem organ failure. I’m a ICU Nurse and that rings true. Especially over 18 days.
Regardless how he passed it is still very sad he will be missed by many
Jennifer Baffo he was not a healthy man!
Koen Timmers
doesn’t seem murky to me… just for people in denial
At the Autopsy findings, you can see at number 5. In one of his last videos..
A legend
This shouldn’t be public
I agree, as much as he has fans, the thought of this dissection and details in there should really only be for family, all I can visualise now is the poor man on the table opened up for all to see.?
Jon Afca
Prometheus Jones
So apparently you can smoke crack and drink everyday or lift weights and take gear and die of the same shit
Nikolaj Smidt-hansen
They shouldnt ve making a soectacle of this mans death post some articles on how he influenced boddybuilding and how his video on the dangers of slin stopped some young BB’s from possibly killing the selves
Brian Carattini Gustavo Mercado Kevin Asencio
???
Wow ? ?
I’m unfollowing you fucking idiots. He fell and hit his head hard and went in a coma. Sure things didn’t help with what he took but they aren’t what caused his death. Fucking assholes you guys are trying to just get likes and followers. Lately you release a lot of bullshit. Screw you.
Fitness volt.. you absolutely suck!!!
Dave Crane
Chris Donoghue
Find better internals in a Stretch Armstrong.
Bryan Laver – you seen this pal?
Yeah man watched a couple of vids breaking it down. Think his heart was double the size it should be although not sure that played a part in his demise. RIP rich ?
He was a massively unhealthy, walking time bomb. Yet another cautionary tale and all the more reason to discard his advice.
Why discard his advice he always said stay natural If
You can!
Because his diet was clearly shit, and his workouts were biased towards PEDs.
Tom Mcelroy
Biggest findings: Rich Piana was circimsized. He died with a catheter tube in his dick and a tracheotomy hole in his throat. Stay away from steroids kids
Dumb
You need to change that to “use steroids responsibly” lots of people use testosterone responsibly and never have any adverse effects. This is what happens when you aren’t responsible enough to use them properly.
Let the man rest in peace.
Is he going to blame a black guy for his death?
Nam Phan
Well it’s pretty clear that the steroids he took killed him, enlarged heart the heart is a muscle
When did they start teaching medicin at ups?
Dont preach about stuff You dont know shit about ?
In your case it might take a master’s degree to figure that out, but for the rest of population it’s common sense why don’t u pick up book and read sometime u just might learn something
Mike Boone
The guy lived his life how he chose. He knew the dangers but did it at 100mph and that, in a way, has to be admired. I know a lot of people are saying the juice killed him and that’s definitely a contributing factor but, the guy was a one off, he was freakishly big and never really looked healthy. Not everyone who does gear abuses it and everything that goes with it and they lead much healthier lifestyles. I myself am a natural but I just don’t think gear should be demonised all the time.
I know crackhead that do the same, when I see them I’ll give them the ol “godspeed son, your doing a great job.
My wife is a pathologist, and it’s plain as day to her how he died, all his organs failed because of his drug and steroid use. People like that piece of shit give steroids and bodybuilding a bad name. He was a horrible role model and ambassador for the sport. Good riddance, fucking idiot. Bet he lost his gains now.
Matty Evans
Instead of trying to fear monger people with anabolic steroids why don’t they actually bring up something like HERION thats actually really killing people. Young people are dropping dead like flies from that shit.
Sean Carroll
What I didn’t like was after he got back with chanel his videos got darker… satanic even in the sense all the dark backgrounds with golden chair etc.
https://youtu.be/WpdIVwzKO0Y
To every one we all going to die when we don’t know so enjoy ur life in whatever way the make u happy like rich did
Adam Derrick Jesus
Russ Taylor
Kris Keith
Ahmed Djelassi
We appreciate your professional medical rant. Keep it up chump!
I sure respected Rich and took in all his knowledge. But, I knew his lifestyle was extremely unhealthy. I never saw him eat a piece of fruit or vegetables.
Live fast, die yong…RIP BIG GUY
That list is simply conditions he had. Cause of death is designated as such in autoposy reports. If coroner isnt sure what the cause of desth is, the report will say ‘onconclusive’.whats listed in the story is not what’s listed as cause of death on the report….if you don’t want to discuss his cause of death why pretend thst the autopsy report is murky instead of just not posting this story?
RIP BROTHER
Seth Roberts
Damn…
UNDETIRMINED……
is cause of death. Stop with the speculations.
Wyatt Burnett Cole Motyka Brendan Darigan Jake Ara Michael Edwards Adam Cope
The legend
Tyler Ken Nick
Man.. still leaves everything undetermined.. except for the heart disease
Still a big fan … rip sir ❤️❤️
Navneet Tevar
Andres Saucedo Rick Tafoya
No surprise.
Halli Berst
Maarten
Chase Bull
HGH murky
Reda Elmardi
Zachary Geer Joey Petriella
Joab Diaz
Fabian Popping
He finally died? Drugs
Why r we still talking about this clown for
Why do I feel like this is so disrespectful
Lucien Martindale
Hope that EVERYDAY YOU MAY- RIP big guy.
Kyle Sean Evan Beasley
Rickie Fordham
Dude what the freak
Francisco Hernandez Delgado léelo, por tanto puto chocho
Wait, steroids are bad? Why didn’t anyone ever tell him?
was it a cold black heart full of hate that kicked his small balls in the dirt?
Impossibile stabilire le cause….morte naturale , direi di vecchiaia
Simple answer. His lifestyle caught up with him. He often quipped that he didn’t care about what he ate because he wasn’t competing and in all fairness, he had a point. Many of his videos are of him getting takeaway food and this consistent over a period of a few years is more than enough to cause damage. Rich didn’t want to cycle off for long periods of time and he did not want to lose his size so all that weight and excessive mass was never going to allow his internals to keep up with his lifestyle choices. Then again, 46 is a very long time to live for someone who has been blasting steroids for a very long time considering many of the late greats in bodybuilding died in their late 20s or early 30s. I think 46 years old for a man who maintained the physique of a bodybuilder in his prime is good going. He knew it would take him eventually but he had an image and a philosophy to maintain and a lifestyle he didn’t want to give up
Daniel Else
John Biordi
Austin Ramirez
To much b-12 yard dawg
He knew the risks he was taking. Still sad to see him gone. RIP.
I like popsicles
Is this kids is what abusing performance enhancers does to your body
Suzanna Jackson
Hamza F Hussain
Lui marco made a video on this. I meant to watch it last night but it’ll be interesting to see what they say
Shane Michael
Wow
Brian Nicoson
Nothing breaking about it!
RIP Rich. Don’t matter!!
Mitchell Mccune Christopher Mays
Koen