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TMZ has learned the Ventura County Medical Examiner is currently conducting an autopsy on Dr. Frank Ryan ... to determine, among other things, if drugs or alcohol played a role in his death. 
As we first reported, Dr. Ryan -- a famous plastic surgeon to the stars -- was pronounced dead yesterday after an apparent car accident on Pacific Coast Highway.
Ryan's manager David Weintraub tells TMZ, "I've known Dr. Ryan for ten years ... he's never drank, never smoked, he's never done drugs."
TMZ has obtained a photo (above) showing the area where the Doc was discovered by emergency medical responders yesterday. The photo was taken this morning -- and it already appears that the wreckage has been cleared. 
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Well, since they said that he tweeted a message/picture from him phone right b4 the accident, I'm gonna take a wild guess and say that while texting on his phone he lost control of his car. But that's just my observation.
Was Mary "tweaking" on tina while she was "tweeting"?
He might have had a heart attack. From his tweet, it wore him out.
Yaaaaaa, I am gonna take a guess here and say that his head pinging off of the inside of the car as it rolled, might be the reason for his death. Now, why the car went off the road, they must not have an answer for, ie mechanical, so now they have to go hunting for human error and cause.
Suicide? Finally does something he's always wanted to do. Sends out a short, but sweet message. Drives off the road.
I still say the highest probability for the cause of the crash was a heart attack. Depends on if the dune was all sand, and how high it was. He texted that he considered it unexpectedly difficult, and at 50, you can easily have a heart attack!
#11-Kate ...I think a physician has access to a lot less painful and surer methods of suicide. An auto accident could've just left him paralyzed but still alive. I doubt he ran off the road on purpose. May he rest in peace; condolences to his family.
Seriously, TMZ why do you allow such sadistic indivuduals write things on here without editing them. This is a human being, rather, straight, gay, black, white, hispanic, jewish, christian, WHO CARES. The man lost his life, does anyone get that! His famiy is hurting beyond words right now, and this country of ours is full of nothing but hate for someone they didn't even know. Jealousy is an illness and those who are writing these hateful comments are so full of jealousy is is sick. Just imagine, if you had a soul, how you would feel if this was your son or brother. Wake up, get help and keep your filth to yourself. Get a life of your own and stop worrying about what others have, that you do not, they went out and got it, the right way, so must respect has to be given to indivuals such as Dr. Ryan.
PS Heidi Montag - we don't care what she thinks, this is what you have to stop publishing TMZ, we don't care about her. We care about reality. PLEASE FOR THE LOVE OF GOD, STOP WITH HER AND ALL THOSE OTHER MONEY HUNGRY HOLLYWOOD WANT TO BE'S....PLEASE
that guys face was so frozen. i saw him on a talk show defending himself for all the surgery he did on h montag. he looked so strange with that frozen face....
