That photo says he's 256 at the same height (5'10") and of course neither your nor I know what's going on with his health
I remember hearing Mike Matarazzo in a video saying his blood work was always "fine" except his HDL was zero ...so you know just fine.
There are plenty of "exceptions" walking around until they drop dead
You can also drive drunk and smoke two packs a day and you'd be asking for trouble but obviously plenty of people do that and they haven't found trouble yet.