Primarily through the success and influence of Arnold, bodybuilding took off in the 80s. Until, that is, people realized that their muscles were all drug built. Then the schmoes and their sub-group the size-queens took over and it all went Hell in a dialysis machine.
Flex remains a victim of his own arrogance. Don Long too. Matazzaro died from it. Piana and McCarver are dead with doubtless many more, including Whoremonized woMen, to come.
The only "congential" problems these pussies face is that of their ego. Good riddance.