A couple things:
1. There are specific exercises you can do to make your forearms bigger; if he was bothered enough by their size to describe them as looking "like twigs" he could have worked on it
2. Remember when his WWE Champions account was first discovered and someone in his chat asked him if it was true he blew $40,000 on mobile games, his tactic was to laugh and say, "No, I spent $400,000!" Interesting that when he's confronted with his poor health he decides to take the same approach.
He could have just ignored all of this and pretended he had no idea what we've been talking about here. He is really, really pissed.