lots of people with body image issues look like him. usually because they used to be fat when younger and got obsessed with getting in shape, so they work out almost every day, if not every day, and start spiraling if their body fat increases, or go crazy and feel like shit if they can't work out(tons of guys in this situation were bordering on depressive because they couldn't go to the gym in the pandemic and had to find some other way to work out). some of those people borderline starve themselves to keep the chiseled body and low body fat.
just because someone has abs and isn't a ball of lard doesn't mean they can't have body image issues