I asked my sister about this as she is a GP. She said looks like odemata. Fluid retention due to cardio vascular problems
So you're saying he's bulking on the D-Bol then..?
On the basis of your sisters expert opinion I think I will add Charlie to the list. So I'm thinking Liz pops her clogs early doors in '22 and Charlie is crowned King, and then - in a massively ironic plot twist - he almost immediately shuffles off this mortal coil to queue behind his Mother (again) at the pearly gates