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Current treatments are largely palliative and do not address the underlying fibrosis

High-dose oral cyanocobalamin (1,000 mcg daily) or intramuscular hydroxocobalamin injections are the preferred supplementation routes, as both bypass the need for intrinsic factor

Patients considering these treatments should understand the evidence base, safety considerations, and appropriate clinical indications before proceeding

Some common symptoms of gynecomastia are: A firm or rubbery mass beneath the nipple area Enlargement of one or both breast glands, sometimes asymmetrical Tenderness, sensitivity, or mild pain in the chest Fluid discharge from the nipple in rare cases Visible chest fullness that does not reduce with weight loss or exercise Consultation for gynecomastia surgery Our gynecomastia surgeon in Hyderabad conducts a detailed consultation to understand your concerns, surgical goals, medical history, and previous treatments