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Hgh and androgens that aromatize cause fluid retention. Some of the places it happens which goes completely unchecked & ignored is the soft palate, not to mention hgh can cause hypertrophy in soft tissue, which often leads to sleep apnea. People with sleep apnea often "wrong pipe" their food. You combine a smaller airway with the amount of oxygen he needs with all that metabolically active tissue, he'd pass out much faster than a regular guy.
Bodybuilders scoff down food every 2 hours; a lot of times it has to be forced down. I'm going with an obstruction due to enlarged soft palate caused by fluid retention & hypertrophy of said tissue compounded by his large muscles which burned up his air causing him to pass out & that's that. If he didnt pass out he'd have had a chance. Pure conjecture but That's my hypothesis
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