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They can have significant side-effects, including nausea, abdominal pain, weight gain and acne, and will not usually be prescribed by a doctor to men who are taking recreational steroids, . It is also not clear how well they really work, and no good evidence exists that they really can reduce gynecomastia when steroids are still being taken. Just as for any other persistent gyno, gynecomastia from steroids may be most effectively treated by surgery. Surgery is effective, as it removes the breast tissue altogether and gets rid of the gynecomastia; the procedure is called a mastectomy. However, surgery is a big decision.
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