Maybe it's my imagination but his face has gotten a bit gaunt in the last few weeks- his orbital ridges are more pronounced, eyes look sunken in, even his cheekbones are more visible. And he's not thinner so it's not from general weight loss. His hair has 0 color.
He just looks rough despite the makeup. I also noticed his latest re-tan was not applied very closely around the eyes, creating what I can only describe as a "reverse raccoon" look. But the BIGGEST tell imo, was the weird comment about getting to heaven...
Something he's clearly never thought about before in his entire life. But I believe he's finally come face to face with the reality of his mortality and it scares the shit out of him (which is common in ppl whether you're pos or not). Because his health is rapidly declining.