Saw a You-Tube video called Big Ramy vs. Wolf. They were posing side by side. Big Ramy was noticeably larger, but not as symmetrical as Wolf. Ramy was showing obvious gyno and Wolf had a distended belly. Probably from too much HGH use. If I were a judge for these physique contests I would deduct points for gyno or a distended belly. It would be one way to keep some sanity in prof. bodybuilding.