Nah, he didn't display any Palumboistic characteristics yet at the time that pic was taken. There was no serious signs of Palumboistic atrophy of the limbs and extremities.
That pic is no older than 2004. Palumbo looked like shit by 2001-2002.
Look at how how he changed, and the after pic looks damn good by his 2000s standard, not sure on the year.