Given his sponsorship with Titan he may be completely off to set up his bloodwork to show low T to get his script. Look at the jowl area, adjacent to the mouth and how it's beginning to sag when he talks. This is a telltale sign of low T.
Here's Jay Cutler in 2014 where he was off after retiring. Look at the jowl area. Androgen induced lipoatrophy is a common side effect of steroids. When you come completely off you can have a serious hanging jowl effect until your hormones balance out or you go back on.
Being ripped and jacked with low T can be ugly. Palumbo goes through the jowl phases as well.
He might be cleaning out, setting up low T bloodwork. or really has been natty all this time and his test is lowering so his face is showing it by 60 years old.