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One of the biggest culprits for adults—and one that's easily avoidable—is weight gain. Braunstein, a hormone expert, explains that when men gain weight, they're not just getting bigger; the extra weight is actually changing their hormone production—and not in a way that most men would like. By nature, fat tissue manufactures the female hormone estrogen, which in turn stimulates breast tissue—meaning that significant weight gain will always be associated with some sort of breast growth, even in men, according to experts. A person who's overweight will be fatter all around, and maybe even develop the excessive breast fat that doctors call pseudogynecomastia—the appearance of male breasts caused by fat alone. But Dr. Elliot Jacobs, a New York plastic surgeon who specializes in gynecomastia treatment (and who suffers from the condition himself), says that most really overweight men are developing actual breast tissue, not just some extra padding. Doctors say that virtually all obese men (those who have a body mass index of 30 or greater, experience some degree of breast growth. And once that breast tissue is established, it doesn't go away on its own—no matter how much you exercise or diet, warns Braunstein. Considering that 75 percent of Americans are likely to be overweight by 2015, according to a recent John Hopkins study, men may want to think twice about supersizing that cheeseburger.
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