Id say 85 % of pro bodybuilders remain in the sport" after having health issues.
The first side effect is high BP. Very common I have yet to know one bodybuilder to go get another hobby " as doctors often tell them.
He was a good guy though. RIP.
The non-competitive bodybuilding lifestyle is probably one of the healthiest ways to live but like ANYTHING else, you abuse it and it will abuse you. Too many people, like always, tend to jump to conclusions especially since he just passed yesterday. he was smart in the way he knew he had uncontrollable BP and called it quits. He died way too young to say this was all drugs. He was off gear for a long time with the exception of TRT and BP meds and, from what I understand, making it a point to live a healthier lifestyle. Either way, he was waaaaaaaay too young and with a young family that he left behind.
Side note; despite popular belief, genetics and predispositions to high BP, cholesterol, cancers, heart disease do count which makes me wonder how some could be on heavy doses and still be healthy and some cannot. If you go down this road of having the desire to make this a "career" and get to the national level and then the pro ranks (in bodybuilding, not classic or physique) go back a generation or two to see what your families health history is and what you might be predisposed too.
But all in all, there are safe ways to compete. Blame the internet for all of the bullshit put out by board warriors who think they know what they're doing only to realize they don't have a clue.