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He looks like he's taking testosterone and likely antidepressants too. Looks a lot more masculine/bulked, not just fat, look at his neck and jaw line. He must be hoping the T will make him want women instead of men's buttholes. The antidepressants are what's making him look bloated/puffy with dark circles. The hormones messing with adrenal androgens and cortisol levels=water retention/bloat.

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