For man boobs, you have to differentiate gynecomastia from fat tissue. With gynecomastia you may feel a firm area of glandular tissue in the tissue underneath the nipple. Your doctor should order a battery of blood tests for hormone levels, etc.

If it is just excessive fat tissue, an alternative to surgery is injection lipolysis. You may need up to 4 treatments, spaced at least 8 weeks apart. There is a pair of before and after pics in this slideshow.

I have seen it done both ways, and there are pros and cons to each. With surgery, you have the usual surgical risks (death, infection, altered sensation, bleeding, etc.) but the problem is dealt with in 1 go. You have the healing time and scars afterwards but no boobs.

With lipolysis, you have very low risk (in competent hands, obviously) but 3 - 5 days of swelling, bruising and discomfort and may have to repeat the treatment several times. If you gain a lot of weight, the chances are the boobs will come back. N.B. With small fluctuations in weight, the fat does not come back to the area treated.

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Make sure you're not taking meds that can cause gynecomastia. Things like aldosterone. And smoking the wacky tobacky has often been linked to man boobs too.

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Kettle bell training! its more cardio than anything. Find a trainer near you can get started.

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I just want to clear up the misinformation here. (Cliff's notes at the end.)

Firstly, you can't lose fat and gain muscle a the same time. You must be either cutting fat and losing (or hopefully maintaining) muscle, or gaining fat and gaining muscle. Sure, adding a pound of muscle will burn 50 more calories, but your body will need to see a stage of nutrient surplus before you'll gain that pound of muscle. Meaning, you'll need to also gain fat to gain that pound of muscle.

Don't worry about gaining muscle right now. What you want to do is lose your fat. Depending on your genetics, the chest may be a viable place for your body to store fat.

You want to do strenuous cardio (see High intensity interval training) to burn more calories, while including a weight training regimen to maintain your current muscle mass. If you are a relative novice to weight training, I recommend a total body training routine. You should be spending at least 3 days in the gym per week.

Combine that with a six meal diet where you intake at least 1 gram of protein per pound of body weight and reduce your caloric intake to a degree that you see 1-2 lbs of weight loss per week. Depending on your activity level that may be as low as 1500 calories a day. Counting your caloric intake is key. Keep track with FitDay. Numerous meals is critical (at least six). Keeping your blood sugar up throughout the day gives your body the all clear to burn fat and not enter starvation mode. Take a daily vitamin to ensure that your body is getting the proper building blocks. Alo, a more advanced cutting method is carb cycling.

Drink copious amounts of water. A gallon a day minimum. Like calories, your body will store as much water as it thinks is safe. Much of your weight is likely unnecessary water weight.

Don't take my word for it. Do some research. There are some superb resources out there. exrx.net is a fantastic resource, so are the bodybuilding.com forums.

In summary:
-In the gym do cardio and maintenance lifts (3x a week minimum)
-Start a cutting cycle (1g of protein per lb of body weight, reduce calories to see 1-2 lbs of weight loss per week) and take a daily vitamin.
-Drink lots of water
-Stick with it

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Well, I had/have this problem as well. I lost 50 pounds through cardio, weight training and diet (went from 240 to 190) and the man boobs still plagued me so I went for the gynecomastia procedure and couldn't be happier.

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