This could come naturally, or might be caused by medications, street drugs, or steroids. Clinical gynecomastia is a hormonal imbalance or elevated levels of estrogen and lowered levels of testosterone. Thankfully, the fatty lumps aren't necessarily dangerous ( belly fat in the gut is what you should really worry about), but the condition could be caused by changes in hormone levels from a variety of natural or synthetic factors. Some men might just carry excess fat in their breasts, so exercise can help to reduce the area down to a more proportional size. There are several factors to consider for guys with 'man boobs' in determining the cause of the enlargement.
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