what happen to rich piana

Bodybuilder Rich Piana died on August 25, 2017, at the age of 46. He collapsed and spent two weeks in a coma before dying. According to his autopsy report, both his heart and liver weighed twice the average amount for an adult male, and he had "mild atherosclerotic disease". However, the autopsy report was ultimately inconclusive on the cause and manner of his death due to the hospitals disposal of all toxicology specimens. It has been speculated that his death involved drug use, as Piana was open about using anabolic steroids and insulin. TMZ reported that 20 bottles of steroids were found in his home by police. The autopsy report was unable to draw any connection between Piana's death and his drug use, although it was impossible to rule out drugs as a cause. The report pinpointed a "significant heart disease," with both his heart and liver weighing more than double the average amount for an adult male.