By using this site, you agree to the Privacy Policy and Terms of Use.
Accept

Need To Know

News, culture and entertainment you need to know

Font ResizerAa
  • U.K News
  • World
  • Entertainment
  • Lifestyle
  • Money
  • Travel
  • Fitness and health
  • Tech
  • Motors
  • Sports
  • More
Reading: ‘I was Mr USA – then I gained so much weight my doctor said I’d be DEAD by 40’
Share
Font ResizerAa

Need To Know

News, culture and entertainment you need to know

  • U.K News
  • World
  • Entertainment
  • Lifestyle
  • Money
  • Travel
  • Fitness and health
  • Tech
  • Motors
  • Sports
  • More
Search
  • U.K News
  • World
  • Entertainment
  • Lifestyle
  • Money
  • Travel
  • Fitness and health
  • Tech
  • Motors
  • Sports
  • More
Follow US
Need To Know > World > ‘I was Mr USA – then I gained so much weight my doctor said I’d be DEAD by 40’
A former Mr USA champion has revealed how his health spiralled after the title win - with a doctor warning he could be dead by 40.
World

‘I was Mr USA – then I gained so much weight my doctor said I’d be DEAD by 40’

Joseph Vaughan
Last updated: August 28, 2026 12:42 pm
Joseph Vaughan Published August 28, 2026
Share
Nicholas Trigili competing in a bodybuilding event. (Jam Press/@realnicktrigili)
SHARE

A former Mr USA bodybuilding champion has revealed the brutal cost of building the “perfect” body to then see his health spiral – as he gorged on burgers and pizza “every day”.

Nicholas Trigili was shocked when a doctor warned he could be “dead by 40”.

The international fitness star had spent 15 years honing his physique, having earned himself an International Fitness and Bodybuilding Federation professional title card.

READ MORE: Thieves steal cargo from moving lorry in stunt straight out of action film

But after years of constantly working out, eating massive amounts of food to bulk up and taking anabolic steroids, Nicholas saw his health fall apart.

By the age of 30, he weighed more than 360lbs, wore a 5XL shirt and size 48 trousers, and was battling severe sleep apnoea, high blood pressure, joint pain, exhaustion and a complete loss of sex drive.

After a humiliating clothing mishap and a full medical assessment, Nicholas got the terrifying wake-up call he so desperately needed.

A former Mr USA champion has revealed how his health spiralled after the title win - with a doctor warning he could be dead by 40.
Nicholas Trigili now. (Jam Press/@realnicktrigili)

“My doctor told me straight out that if I did not make changes right then, I was probably not going to live past 40,” said Nicholas who boasts over 507,000 Instagram (@realnicktrigili)

“There is no gentler way to hear this news and there shouldn’t be.

“When I won the Mr USA title, everything came to an end for me.

“Right after that show was my darkest moment because I felt completely lost.

“I hit the goal I had worked for my entire life, since I was just 15, and suddenly the structure that had organised my entire life just vanished.

“Fifteen years of extreme control over how my body looked flipped into no control at all.

A former Mr USA champion has revealed how his health spiralled after the title win - with a doctor warning he could be dead by 40.
Nicholas Trigili with his wife Charlotte, when he had piled on weight. (Jam Press/@realnicktrigili)

“I began eating burgers and pizza every day.

“The moment I truly realised just how big I had become wasn’t at the doctor’s office.

“There was not a hospital moment and nobody called an ambulance – it happened on a night out.

“I was with my wife, Charlotte (39) and my best friend, wearing a 5XL shirt and size 48 pants, and they were both so tight on me that my friends were ripping on me about it all night.

“I had bought the biggest size I could find and it still hadn’t been big enough to fit me.

“That was the night I changed everything.”

Nicholas, now 39, was just 30 years old at the time.

The following morning, the former bodybuilder booked a doctor’s appointment to undergo blood tests and scans to find out what was happening inside his body.

He claims the A1c test – which measures blood sugar levels – was through the roof, and his kidney and liver markers were also badly affected.

Nicholas, from New Jersey, US, was already taking medication for blood pressure, cholesterol and his thyroid, alongside antidepressants, as well as taking Xanax for panic attacks and Adderall to stay awake at work as a personal trainer.

A former Mr USA champion has revealed how his health spiralled after the title win - with a doctor warning he could be dead by 40.
Nicholas Trigili now. (Jam Press/@realnicktrigili)

He said: “That is a full pharmacy for a 30-year-old who had been a national champion three years earlier.

“Nobody looking at me knew any of this, people just saw a big guy who used to be a pro.

“They had no idea that I needed a stimulant to make it through a workday and a benzodiazepine to come down at night.

“The weight was not the scary part; it was watching myself become a man who no longer recognised himself.”

It took Nicholas a year to transform his body and lose 135lbs.

He started by cutting out junk food, high-calorie restaurant meals and rebuilding his overall lifestyle and attitude towards health.

Nicholas’s routine included weekly cardio, weight training, and, most importantly, eating a whole-food diet.

Sadly, not every issue can be reversed.

Due to extended steroid abuse in his younger years, Nicholas has to remain on testosterone replacement therapy (TRT) for the rest of his life

A former Mr USA champion has revealed how his health spiralled after the title win - with a doctor warning he could be dead by 40.
Nicholas Trigili when he had piled on weight. (Jam Press/@realnicktrigili)

Nicholas said: “Back when I was considered ‘fit’, I used every steroid on the market at one point or another.

“One of the lasting consequences of abusing my body was that it permanently shut down my natural testosterone production.

“I can’t have kids. Me and Charlotte were on the same page”

“My photos looked great but my body was suffering even when I was strong.”

Although he has to remain on TRT and uses a CPAP machine. Nicholas no longer takes blood pressure, cholesterol or thyroid medication, antidepressants, Xanax or Adderall.

He is sharing his story to highlight that anyone – regardless of their past or body type – can struggle with weight and health issues.

A former Mr USA champion has revealed how his health spiralled after the title win - with a doctor warning he could be dead by 40.
Nicholas Trigili competing in a bodybuilding event. (Jam Press/@realnicktrigili)

But the former bodybuilder, who now works as a performance and longevity coach, wants people to know that there is a way out.

He said: “One of my previous bodies was praised and won a trophy – but it cost me the chance to have children.

“The body that followed nearly cost me my life.

“Today I am the healthiest I have ever been and although I don’t look as muscular as I once did, I feel amazing.

“I have a strong body that will see me live my best life in decades to come – that’s the real trophy.”

READ MORE: Dozens of men spill onto remote cove after ‘migrant taxi’ drops them off

You Might Also Like

Man clings to bonnet of speeding car after motorway smash

Mum 29 dies after BBL as family learns she’s sixth patient to die at clinic

Car DEMOLISHED by ‘ballistic war missile’ is somehow still working

Woman dies after waitress lighting lamp douses her in fuel

Husband ‘strangled wife and set body on FIRE’ with daughter upstairs

TAGGED:bodybuildingConditionFitnessHealthHorrorshockingUSAweight loss
Share This Article
Facebook Twitter Email Print
What do you think?
Love0
Sad0
Happy0
Sleepy0
Angry0
Dead0
Wink0
Leave a comment Leave a comment

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Follow US

Find US on Social Medias
FacebookLike
TwitterFollow
InstagramFollow
TiktokFollow
Most read
Two estate agents hit in coordinated break-ins just 18 minutes apart in Dunstable. Laptop stolen in overnight raid caught on CCTV. Police investigating.
U.K News

Two estate agents targeted in DOUBLE break-in just minutes apart

Karl Grafton Karl Grafton October 16, 2026
‘Fantasist’ student with revoked visa murders woman 39 using Asda knives
Women brawl with punches and pepper spray over cinema seats
Rapist cop jailed for 12 years after assaults against two women
Fentanyl ‘found in slain beauty queen’s room’ as boyfriend detained

Categories

  • Lifestyle
  • U.K News
  • World
  • Technology
  • Business
Quick Link
  • My Bookmark
  • Interests
  • Privacy
  • Terms
  • Write for us
  • Authors
  • Contact
Top Categories
  • Business
  • Environment
  • Lifestyle
  • Technology
  • Fitness and health
  • Property
  • Entertainment

Subscribe US

Subscribe to our newsletter to get our newest articles instantly!

Read Next

Woman with size K breasts wants them removed completely due to severe pain, expensive £90 bras and unwanted staring from strangers daily.
Fitness and health

‘Size K boobs mean £90 bras and stares – I want NO breasts’

October 16, 2026
Polish doctor missing for 19 months after paragliding crash in Colombian jungle may have been kidnapped by illegal gold miners for his medical skills, detectives say.
World

Doctor missing 19 months after emergency landing ‘snatched for skills’

October 16, 2026
Shocking CCTV footage of the Crocus City Hall terror attack that killed 151 people has been released by Russia's FSB for the first time - graphic content warning.
World

Secret service unveils shocking footage of terror attack that killed 151

October 16, 2026
Runner Chris Poole's life was saved by his run club when he suffered cardiac arrest mid-jog. CPR and a defibrillator proved life-saving during his shocking collapse.
Fitness and health

Man’s life saved by run club members when heart STOPS mid-jog

October 16, 2026
British Army chef Mark Broadhurst jailed for nearly four years after stockpiling weapons, explosives and a homemade cannon at his Derbyshire home while spreading extreme right-wing views online.
U.K News

Army chef 28 found stockpiling explosives and homemade CANNON

October 16, 2026
Recovering addict reveals how four-year ketamine addiction left her bladder holding only 100ml of liquid after spending £10,000 in one month.
Fitness and health

‘My bladder can only hold 100ml after £10,000 ketamine binge’

October 16, 2026
Furious passengers clashed with police at Velana International Airport in the Maldives after a 16-hour flight delay to China sparked a mass brawl at check-in.
World

Mass brawl breaks out at airport as angry passengers clash with cops

October 16, 2026
British mum Amy Jayne Durban jailed for 25 months after smuggling £500,000 worth of cannabis into UK from Bangkok. NCA reveals 464% surge in drug couriers.
U.K News

UPDATE: Mum 45 jailed 25 months for smuggling £500k of cannabis into UK

October 16, 2026

Categories

  • Lifestyle
  • U.K News
  • World
  • Technology
  • Business
Quick Link
  • My Bookmark
  • Interests
  • Privacy
  • Terms
  • Write for us
  • Authors
  • Contact
Top Categories
  • Business
  • Environment
  • Lifestyle
  • Technology
  • Fitness and health
  • Property
  • Entertainment

Subscribe US

Subscribe to our newsletter to get our newest articles instantly!

2024 © Need To Know. All Rights Reserved.
Welcome Back!

Sign in to your account

Lost your password?