Known and seen guys like this up north....they think they're invincible, go all out on excesses, recs, orals, stimulants, shitty diet...tbh if it his liver didnt pack up something else would have gone sooner or later either a heart or kidneys or both.
I still maintain that someone using moderately and leading a healthy life style I.e. no recs, low alcohol consumption healthy diet and cardio and not too far off natural weight you can be as good as it can be.