Stephen Paddock was overweight, had anti-anxiety medication in his urine, and suffered from the usual wear and tear that comes with aging. The autopsy released Friday failed to help answer why Paddock chose to perch himself in the window of his 32nd-floor hotel room and kill 58 people while wounding hundreds in the worst mass shooting in modern U.S. history, the Los Angeles Times reports. He committed suicide by shooting himself in the mouth. No suicide note or manifesto has been found.
The autopsy showed Paddock to be physically an unremarkable 64-year-old man. He was balding. His teeth were in poor condition. He suffered from hemorrhoids. The mystery of why he trained his guns on more than 20,000 people attending the Route 91 Harvest country music festival Oct. 1 has been confounding. Clark County Sheriff Joe Lombardo has said Paddock—a prolific high-stakes gambler with a particular affinity for video poker—had been on a losing streak in recent years, and Lombardo he believes the losses might’ve been a factor. The FBI has said it will release a report later this year on its findings. In a preliminary report issued by Lombardo last month, Paddock’s girlfriend, Marilou Danley, said he had become emotionally distant. She said he was germophobic. In that same report, his doctor said Paddock was afraid to take medication and may have been bipolar. He described Paddock’s behavior as “odd.”