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i personally think his doctor told him he had like a year to live and was on edge, then his wife probably wanted a divorce and he went ape
considering he was already depressed from the death of eddie, an alleged infidelity he had with with a lady rassler, his wife almost divorcing him in 03 and there being no way that a doctor didn't notice his enlarged heart
just like that video posted earlier of him clutching his chest, he was clearly feeling symptoms of it