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At one point, Kenan came across the term muscle dysmorphia in a bodybuilding forum and recognized his own experience.

Also known as “reverse anorexia” or “bigorexia,” muscle dysmorphia is a pathologic preoccupation with muscularity.

“The goal of exercise and physical activity is to improve your life and make you feel happier and healthier,” said Dr. Jason Nagata, an adolescent medicine specialist at the University of California, San Francisco who has studied muscle dysmorphia.

Muscle dysmorphia was first classified in 1997 as an "underrecognized" condition that likely afflicted “substantial numbers of Americans.”

Although it has recently grown in awareness and some bodybuilders have spoken out about it, relatively little research has been conducted to better understand it since it was first introduced, said Dr. Kyle T. Ganson, a social work professor at the University of Toronto who also studies muscle dysmorphia.