Bodybuilder Rich Piana's Autopsy Finds 'Drug Involvement Could Not Be Ruled Out'

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The 46-year-old bodybuilder collapsed early August and died after being in a coma for two weeks


Two and a half months after bodybuilder Rich Piana died unexpectedly, an autopsy report obtained by Men's Health has ruled the 46-year-old's cause of death "unknown" due to the number of potential contributing factors and the inability to conduct a toxicology report.

The autopsy cited findings of "significant" heart disease, his reported history of drug use, and a lack of specimens provided from the hospital as reasons why a cause of death could not be determined, because any one of those factors could have contributed to his death.

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