Rich Piana

At 46 years old, Rich Piana has this physical status:

Piana won the NPC Mr. Teen California competition in 1989. At the age of 18, Piana started a common steroid cycle practice known as "test and deca" that combines testosterone and Deca-Durabolin. In 2014, he stated that due to the dramatic results he achieved with steroids, he got "hooked" on them. In 1998, he was named NPC Mr. California. He continued to compete on and off for about 25 years, winning NPC competitions in the 2003 Los Angeles Super-Heavyweight division, 2009 Sacramento Super-Heavyweight division, and the 2009 Border States Classic Super-Heavyweight division and overall championship. He was featured on the cover of the November 1998 issue of Ironman magazine and the Summer 2015 issue of Muscle Sport magazine.

Piana had a cameo appearance as The Incredible Hulk in an episode of the television series Scrubs, and played an oiled-up muscle man named Marcus in a 2004 episode of Malcolm in the Middle (without any spoken lines). He also appeared in the 1999 episode of The Parkers titled "The Boomerang Effect". He was one of the main focuses of the 2017 bodybuilding documentary Generation Iron 2.

In 2014, Piana asserted that he had experienced some side effects from his use of steroids, including hair loss, gynecomastia (enlarged breasts, which he had treated with medication), and signs of liver toxicity. In a 2016 video, Piana backed up his decision to use steroids but advised viewers not to use them, stating, "If you have the choice to do steroids or stay natural, stay natural. There's no reason to do steroids. You're only hurting your body and hurting yourself." He then said that professional bodybuilders have no such choice, since they cannot win at that level without using the drugs. He said, "I was competing on stage and I was getting to the point where I was going to keep getting blown off the stage if I didn't do them. So I took that step and that's the road I chose, and here I am."

Piana offered advice on how to use steroids for those he said were going to use them anyway. He said that when he was competing at the national level, he was taking 20 international units per day of Serostim, a synthetic form of human growth hormone, which would cost about $8,000 per month at ordinary prescription prices (although he was sometimes getting it for free or for about $2,000 through connections with people who had prescriptions for it to fight HIV infection).

Piana quit bodybuilding competitions in his final years to spend his time as a YouTuber and businessman, with his nutrition product line called Rich Piana: 5% Nutrition. The meaning of "5%" in the name of the brand is that "5% represents the percentage of people that are out there actually doing whatever it takes to fulfill their dreams, to accomplish their goals, and to live the type of life they want to live". In his post-competition life, he promoted his brand and frequently spoke about the use of steroids and hormones and the associated consequences. He made appearances at fitness expos; in videos posted on YouTube, he gave advice about diet and fitness routines. He had 1.2 million followers on Instagram and hundreds of thousands of subscribers on YouTube.

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