@Crux_Invictus @CatLord @LukeAlmighty My understanding is that the use of insulin is what causes the swollen belly.
Even with consistent lifting and steroid use you'd be hard pressed to ever look like open weight bodybuilders. Their entire lives revolve around looking like that.
It's closer to a celebration of mental illness than a sport at that level. I appreciate the commitment and will required, but these guys are lucky to live past 45.