He's in his 50s and has been on gear the last 30 years. No matter how rich you are, how frequent you get bloods done, how good your doctors are, there's always going to be a point where you're told that if you continue the course, you'll die.

People shat on Dave Bautista for "being small now" when it's likely he had to make the same decision a few years before the rock did. He still mogs as well (pic rel is him now, 56 years old). Probably on a real, actual, sane TRT dose, trains jits, keeps active, is healthy.

If you want an example of someone who chose to just stay on the gas forever look at John Meadows. The end result is... you just fucking die.