just by reading the story and looking at his body, here is my 2 cents
He looks like a guy who not only has a few beers but is an alcoholic...Probably has been for years...When he turned 21 and hit the bars, he realized that he was just a little puke and saw the girls talking to the "bigger guys"...He wanted to do something about it...Started hitting the weights and probably went on gear with in the first 3 months of ever training...Typical here in the states..You see it all the time...
My bet is this kid already had a fatty liver from the drinking alone...Even if he was just a binge drinker, his liver enzymes were probably on the high end...But my guess is he drank atleast 5 nights a week and who knows what other drugs were involved but im sure they were plenyfull...What else are you gonna do living in the sticks but work on cars and pound beers and drop Percs when you can get them...
He probably had stomach problems for some time but blow them off...Thinking he just had a small ulcer or something and when he drank it felt worse...But never had it checked out...But it wasn't an ulcer but the liver was failing...I believe this kid did take some real shit and that only added to his problems...And without a doubt if he was a drunk, he was always walking around in a dehydrated state...His organs were doomed...