Actor Joe Manganiello and his fiancée, Caitlin O'Connor, recently marked their three-year anniversary with a series of celebrations spanning Las Vegas and Pittsburgh. This milestone arrives just before the October 13 launch of Manganiello's memoir, Bloodlines, which explores his health struggles and his split from Sofia Vergara.

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A 13,000-game arcade and Metallica at The Sphere

Caitlin O'Connor celebrated the milestone by gifting Manganiello a custom arcade featuring 13,000 games and a One Piece LEGO-themed front. The custom arcade also features photos of the couple traveling around the world,making it a deeply personal gift. The couple also traveled to Las Vegas to attend two Metallica performances during the band's residency at The Sphere.

During their trip, the pair reportedly spent time with Matthew McConaughey and Camila Alves, and visited Black Tap for desserts. The celebration also included a nod to Manganiello's roots, as the couple watched the Pittsburgh Steelers defet the Las Vegas Raiders with a 32-13 score. O'Connor is also preparing for their upcoming wedding by designing a custom cookie table, a traditional staple of Pittsburgh celebrations. The wedding is expected to feature Manganiello's chihuahua, Bubbles, whom he adopted in 2019.

The 60-pound weight loss and the 2016 emergency surgery

Manganiello's upcoming memoir, Bloodlines, set for release on October 13, provides a raw look at the autoimmune disease that nearly cost him his life. As the report details, the actor suffered from debilitating symptoms, including rashes, headaches, and severe abdominal pain, which resulted in a 60-pound weight loss over a seven-year period.

A central moment in the book involves an emergency surgery in 2016, which Manganiello described as a "life-saving organ amputation." The source notes that his ex-wife, Sofia Vergara, was the one who authorized doctors to proceed with the removal of part of his intestines while he was under anesthesia. this medical crisis served as a pivotal,albeit traumatic, point in their shared history.

The 'devoid of emotionality' claim in the Bloodlines excerpts

The memoir contains controversial assertions regarding the state of Manganiello's marriage to Sofia Vergara during his illness. Manganiello alleges that the relationship became "devoid of any emotionality whatsoever" as his physical condition deteriorated. He noted that his physical decline began shortly after his 2015 wedding to Vergara, complicating their domestic life.

The actor also revealed the difficult coping mechanisms he turned to while managing chronic pain. Despite being sober for 13 years, Manganiello admitted in the book that he was forced to use hydrocodone, fentanyl patches, and marijuana to deal with his symptoms. The mental health toll was equally severe; Manganiello revealed that his pain led him to consider taking his own life in 2019, a period that prompted him to adopt Bubbles from Dogs Without Borders.

The missing perspective from Sofia Vergara

While the excerpts from Bloodlines provide a detailed account of Manganiello's suffering, they leave several significant questions unanswered. According to the report, the memoir presents Manganiello's perspective on the emotional distance in his marriage, but it does not include a response from Sofia Vergara regarding his claims about their relationship.

It remains to be seen whether Vergara will publicly address the "incendiary claims" made in the memoir or provide her own account of the 2016 surgery and their subsequent separation. Additionally, the full extent of how the autoimmune disease impacted their professional lives remains unverified by any second party.