This is very sad. When he was on The Real World, he had a good build (no homo). What is especially sad is that at one point on the show when he was struggling with the drugs and alcohol, he cried, sobbing that he didn't want to end up like his father, who died from drugs and alcohol at age 35.
After the show ended, he did a Playgirl spread. As you can see below, it looks to me like he had some ugly gyno. His build here isn't nearly as good as it was on The Real World.