Brief Answer:
Gynecomastia

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on the image , you uploaded, gynecomastia or pseudogynecomastia is the likely cause for the enlarged male breasts. True gynecomastia is due to glandular component proliferation and is differentiated on physical examination.

Modifiable causes should be worked up. Testosterone levels, liver function tests, thyroid function tests, DHEA can be done. Hormonal profile can be advised accordingly to screen for any abnormality in this regard.

Medications like clomiphene or tamoxifen can be advised once weight loss and exercise are utilized and result in no significant reduction in the breast tissue. Its a benign build up and doesn't lead to any predisposition but is mostly of cosmetic concern. Benign gynecomastia usually doesn't require any treatment. However, longstanding gynecomastia patients can be offered a surgical option in the form of reduction mammoplasty.

Lower Core training by making your legs work out is the way to go first. It will take care of your upper core with time too. Caloric intake has to be kept in check. Try coffee as a good metabolic activator and cut down on fried food , refined sugars and late night meals completely. You should see a difference in your waist line within 2 months.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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Brief Answer:
Explained

Detailed Answer:
Hello again

Clomiphene is an anti estrogen and tamoxifen too is an antagonist of estrogen.

Both can be used but only under the supervision of your doctor after a proper workup and prescription.

You may apprise your doctor of these options and discuss its availability.

Thanks

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Brief Answer:
Explained

Detailed Answer:
Hello again

All three are supplements which regulate metabolism and mainly work against pseudo gynecomastia.

There are limited studies about it's effectiveness in in gynecomastia. These are mainly used by body builders to attain / maintain a certain weight or shape.

Gynexin or any of the other two can be used in consult with your doctor.

Wishing you best of health

Thanks

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Brief Answer:
Explained

Detailed Answer:
Hello again

So it is basically lipomastia, which is fat deposition without no significant glandular component of the breast involved in proliferation.

If the breast size is less than 5 cm, there is no acute enlargement or appearance of a lump in the breast tissue or localized tenderness or associated hard fixed lymph nodes then no further workup is necessary.

Two options are available to you.

1) Work further on reduction of BMI. Aim for 20 lbs reduction, at least.
2) Cosmetic surgery , if that doesn't work.

Thanks.

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