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

Huge cannabis factory worth hundreds of thousands busted in sleepy seaside resort

Brit who makes keepsakes for grieving families ‘loses everything’ to flash FLOODING

Predator 74, jailed after travelling with VIAGRA to meet ‘girl’, 14

‘My daughter, 2, is terminally ill – I’m fighting to raise £625,000 for her treatment’

Climber slammed for getting phone out while stranded on mountainside

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
Wild footage shows suspected thieves raiding a moving lorry from the bonnet of a speeding pickup in Egypt - with viewers comparing it to a Fast & Furious stunt.
World

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

NTK Journalist NTK Journalist August 27, 2026
Thrill seekers injured as carriage suddenly drops and slams into fairground ride’s base
Dozens of men spill onto remote cove after ‘migrant taxi’ drops them off
Shock as pavement EXPLODES and catches fire with pedestrians just one METRE away
Mum-of-three, 33, dies after ‘being given ANIMAL anaesthetic’ during tattoo session

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

World

Athlete paralysed from waist down after horror jiu-jitsu move by opponent

August 27, 2026
A two-seater gyrocopter erupted into a fireball after hitting cableway wires, killing both people on board - with the crash witnessed by the pilot's brother.
World

Two killed as gyrocopter hits cableway wires and erupts into fireball

August 27, 2026
Two inseparable brothers killed alongside their 17-year-old pal in a horror car crash are to be laid to rest at a joint funeral - with their cars on display.
U.K News

Brothers, 21 and 23, killed alongside pal, 17, in horror crash to receive joint send-off

August 27, 2026
Three off-road drivers have been convicted after their own TikTok videos exposed a damaging 4x4 rampage across a protected Welsh landscape.
U.K News

TikTokers convicted by their own video of tearing up protected land

August 27, 2026
Toddler born with a backwards heart finally goes home after 746 days in hospital - her transplant took 10 hours and she had never even seen a car.
Fitness and health

‘My toddler has a ‘backwards heart’ – after a nightmare since birth, she’s FINALLY coming home’

August 27, 2026
Man told he would be 'dead within months' loses 15 stone after ditching a bottle of vodka a day - he made a deal with God from his hospital bed.
Fitness and health

‘I drank a bottle of vodka and ate five chocolate cookies DAILY – now I’ve lost 15st’

August 27, 2026
Woman, 20, faces years of surgery after a dog she had known since it was a puppy latched onto her face - she says the attack lasted just ten minutes.
Fitness and health

‘A dog I’d known for years ripped my face apart in seconds – I just want to look normal again’

August 27, 2026
Dad, 35, killed in a horror crash while training to run 60 miles for charity - just one day after landing a promotion at work.
U.K News

Dad 35 dies in crash while training to run 60 miles for charity

August 26, 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?