See a healthcare professional (primary care, endocrinologist, or breast specialist)
If you have pain, a lump, nipple discharge, or rapid growth, get evaluated urgently
Stop any non-prescribed or unnecessary hormones/supplements that can worsen gyno (anabolic steroids, testosterone “boosters,” DHEA, SARMs, hCG, prohormones)
Review current medications with a clinician (some can contribute to gynecomastia)
Avoid alcohol and recreational drugs that may affect hormones
Maintain a healthy body weight; reduce excess body fat with diet and exercise
If it is true glandular gyno and you’re early in onset, ask about medical treatment options (e.g., SERMs such as tamoxifen/raloxifene; aromatase inhibitors only in specific cases under medical supervision)
Ask about eligibility for short-term medication trials if gyno is recent and symptomatic
If gyno persists beyond about 12–18 months, is advanced, or doesn’t respond to medication, ask about surgery
Consider gynecomastia surgery options with a qualified surgeon (liposuction for fatty component, gland excision for glandular component, or both)
If symptoms are mild and mostly fat-related, focus on weight loss and resistance training; confirm the diagnosis with a clinician
Don’t self-treat with hormones or estrogen blockers without medical guidance
Keep follow-up appointments and report changes in size, pain, or discharge