Took a good look at the picture after work. Almost certain that he was on TRT in the picture, but not super high bodybuilding doses. You can tell because he doesn’t look unnaturally huge, but the leanness, fullness, and roundness of the muscles tend to decline with age and the lowering of testosterone. He is holding onto “the look” that should decline with age. That’s the sign of someone on TRT. Regardless, the dude should not have been putting exogenous T into his body with his mental issues. It’s a cascade effect where if you put exogenous T in your body, other hormones are affected as your HPTA shuts down. Specifically, hormones that would affect your mood elevate or decline from the natural levels if you don’t know what you are doing (he probably didn’t) such as progesterone, DHT, estrogen, serotonin, dopamine, etc.
Modern drug and toxicology tests don’t test for T so we would not have that information from his autopsy.
I assume he was taking TRT and adderall. I have a prescription for adderall for ADHD, and adderall calms me down and relaxes me because I have ADHD. Fotis looked like someone with no ADHD at all who took adderall, which is why he was all hyped up. It would speed him up and not slow him down.
Fotis seems like someone who would pop adderall and not snort lines of blow every 30 minutes. Adderall lasts for 3-4 hours if it’s instant, 6-8 hours XR in my experience. Way more efficient for Fotis than railing blow that lasts only 30 mins to an hour.
Fotis most likely knew the bad apple doctors who would write him prescriptions for anything, similar to the bad apple lawyers like Kent and the other guy whose name I don’t remember.
Putting my biochemistry degree to good use here.