in my amateurish opinion, i think someone like kamali whose body has gone haywire should do the following:
stop everything for a year, training, drug usage, partying, eating. get himself down to what he would weigh naturally, (if he's around 5'8", i'd say 150 lbs or so).
then start over. completely start over, this time doing everything the right way. give himself about 2 years of natural progression (some would say it would take longer, but with his muscle memory, it shouldn't be a problem to put on about 70 lbs).
unforunately, this won't happen for him.