Most doctors barely think about bigorexia (unlike anorexia). They might have heard the term but that’s about it. But if you consider “interfering with social relationships“, etc. as stated above, and then look at all the underemployment, mooching off girlfriends, g4pay, etc, etc. that goes on in segments of the bodybuilding community, all of a sudden maybe the doctors should get themselves more aware of it, beyond just heart, kidneys, the usual physical aspects.