This is a question I have been concerned about myself and in the end I've come to to a tentative conclusion that bodybuilding as a lifestyle is not conducive to longevity.
Professional bodybuilders and YouTube/Instgram influencers seem to be dropping like flies once they get into their 40s and 50s... some even in their 30s. Drug use is probably the major factor (designer steroids, insulin, gh, diuretics, etc) but I don't think it's the only factor.
I think excessive weight training and/or carrying unnaturally large amounts of muscle mass both have negative heart and kidney effects. The acute intra workout blood pressure increases from large volumes of heavy lifting may be causing kidney damage that ends up leading to chronic blood pressure problems. Kidney damage/disease is still irreversible as far as conventional medicine goes.
Just my personal thoughts. As I get older I find myself wanting to err more on the side of caution.
Healthy and modern bodybuilding is almost an oxymoron.
+1 ^
A lot of these bodybuilding guys remind me of the same addiction/perversion that you see take over certain women and insta models who plump their lips, get boob and butt implants, and undergo all sorts of procedures in the pursuit of looks. It‘s a kind of extremism, just expressed differently. Either way I don’t think it is healthy. Look at a guy like Dorian Yates. He’s seen the writing on the wall and has slimmed down a lot and just looks like an average muscled guy.