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Taking steroids for bodybuilding can also cause gynecomastia. The author of this topic uses the term "androgens" or "androgenic steroids" rather than "anabolic-androgenic steroids" because the anabolic effects of a steroid. He underwent gynecomastia surgery which removes excess breast. The gynecomastia that occurs in body builders who use steroids or pro hormones is uniquely different than gynecomastia that develops at. Results: idiopathic gynecomastia was the most common etiology among our patients, followed by obesity and by use of anabolic steroids. Presents four case reports of bodybuilders whose self-administered anabolic steroid programs resulted in gynecomastia, and discusses treatment strategies. Steroid induced gynecomastia due to anabolic steroids are generally – and sometimes illegally – used to promote. Illegal drugs, such as anabolic steroids, heroin, or marijuana can also cause gynecomastia. Some diseases and health conditions may also cause gynecomastia. 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