Palumboism=HGH/Insulin/PMMA/SEO/pain killers. You wont get Palumboism if you're not a narcotic addict. Shit goes hand and hand. I also think PMMA starts to clump up and start to look pathetic. I'm guessing thats what's going on with Cutler's arms. PMMA implant is starting to clump up on him.