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Valium, Proscar, Effexor, Motrin, Pepcid, and Digoxin are other common medication examples as well. Some chemotherapy agents may also cause gynecomastia, and the "HAART" therapy used for AIDS patients has also been determined to be a cause. Many medical conditions (e.g. hyperthyroidism, liver failure/cirrhosis, pituitary insufficiency, or kidney failure requiring hemodialysis) and even some tumors (e.g. testicular, adrenal and pituitary) all of which may affect circulating male hormone levels and which can also cause gynecomastia should be considered. Interestingly, malnutrition and starvation can also cause gynecomastia - circulating testosterone levels drop off rapidly, leaving unopposed estrogen effects on the body under such conditions. Self administered and abused anabolic steroids and testosterone supplementation are, unfortunately, probably the most common cause of gynecomastia today- special enzymes in the male system convert a good amount of the "extra" hormones floating around into estrogens which then directly stimulate the growth of the breast tissue and the development of gynecomastia. Unfortunately, once this process starts, even when the steroids are discontinued, the gynecomastia remains or can worsen as the vicious cycle described above begins and allows the gynecomastia to persist and progress. Alcohol, amphetamines, marijuana, heroin and methadone use are also recognized as causes of gynecomastia. Plant oils, such as Lavender oil and tea tree oil as often found in soap, skin lotions, and shampoo, have weak estrogen-like activity and have been implicated in cases of gynecomastia. Similarly, soy beans, soy containing foods and soy based protein supplements as well as sweet potatoes in the diet have all been identified as potential links in the development of gynecomastia thought secondary to the effects of the estrogen-like compounds associated with these foods.Although rare, breast long beach marijuana delivery cancer can occur in the male breast and should be especially considered in the case of an enlargement and solid mass effect on just one side or for the older male with one or both breasts enlarged and where no other reasonable medical explanation exists."Pseudogynecomastia" is not a true gynecomastia since it is not characterized by actual excessive breast tissue development but simply significant fat deposition in the chest and breasts, usually in association with similar deposits elsewhere, such as the sides of the chest ( along/near the "lats") or the abdomen and hips ( or "love handles"). This is really a localized fat deposition problem affecting the chest and, as is the case with troublesome fat found on the body anywhere, may be "cured" by diet, exercise, or liposuction.A majority of the time, liposuction will be the foundation of any treatment plan for eliminating gynecomastia. In fact, in most cases, the only treatment which may be needed will be liposuction! Tiny armpit area nicks are used to liposculpt the chest - removing the fibro-fatty deposits while reshaping the entire breast to be more masculine. The goals are to get the breast and the nipple/areola to lay as flat as possible against the chest while simultaneously, the pectoral muscles are somewhat accentuated in the upper chest. Most men will only need a day or two off to recover. A couple of weeks for everything to "stick down" and taking it easy with chest muscle use is about it. The nick sites will usually heal to be very inconspicuous, nearly invisible.