Re: gynecomastia - a woman's perspective

[Guest guest]

We need to put that myth to rest right now - both males and females experience

gynecomastia! I'm female, I had it, and it was very real and a lot more horrible

than the literature might lead you to believe.

Gynecomastia caused such severe pain that the slightest movement or touch to the

breast area had me in tears. I couldn't sleep in any position except flat on my

back (and I'm not a back-sleeper, so I couldn't sleep well, so I took more meds

for sleep). I wore two sports bras at times to keep any movement from happening.

This was very difficult for me as I am an active person - I hike and do yoga. I

could barely do either during the three months I was on spiro. I couldn't carry

things comfortably, I couldn't even wear a seatbelt without pain.

Additionally, it made my already irregular menstrual cycles even more

unpredictable. Needless to say, I was miserable. The only plus to it was that it

cleared up my adult-onset acne

As for Inspra - there is a document here in the Files > Member Comments section

called " Inspra notes.doc " that makes it sound equally unpleasant:

http://health.groups.yahoo.com/group/hyperaldosteronism/files/Conn%27s%20-%20Mem\

ber%20Comments

Sometimes it takes years for the side effects to develop, which is why I'm

asking about long-term compliance.

>

> > Why?

> >

> > 1. Experience over 40+ years.

>

>

>

> ------------------------------------

>

>

[Guest guest]

You are the only one who will experience the side effects. Also folks here are more likely to have had side effects or they would not be here. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

We need to put that myth to rest right now - both males and females experience gynecomastia! I'm female, I had it, and it was very real and a lot more horrible than the literature might lead you to believe.

Gynecomastia caused such severe pain that the slightest movement or touch to the breast area had me in tears. I couldn't sleep in any position except flat on my back (and I'm not a back-sleeper, so I couldn't sleep well, so I took more meds for sleep). I wore two sports bras at times to keep any movement from happening.

This was very difficult for me as I am an active person - I hike and do yoga. I could barely do either during the three months I was on spiro. I couldn't carry things comfortably, I couldn't even wear a seatbelt without pain.

Additionally, it made my already irregular menstrual cycles even more unpredictable. Needless to say, I was miserable. The only plus to it was that it cleared up my adult-onset acne

As for Inspra - there is a document here in the Files > Member Comments section called "Inspra notes.doc" that makes it sound equally unpleasant: http://health.groups.yahoo.com/group/hyperaldosteronism/files/Conn%27s%20-%20Member%20Comments

Sometimes it takes years for the side effects to develop, which is why I'm asking about long-term compliance.

>

> > Why?

> >

> > 1. Experience over 40+ years.

>

>

>

> ------------------------------------

>

>

[Guest guest]

Was the gyneco from Spiro Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

We need to put that myth to rest right now - both males and females experience gynecomastia! I'm female, I had it, and it was very real and a lot more horrible than the literature might lead you to believe.

Gynecomastia caused such severe pain that the slightest movement or touch to the breast area had me in tears. I couldn't sleep in any position except flat on my back (and I'm not a back-sleeper, so I couldn't sleep well, so I took more meds for sleep). I wore two sports bras at times to keep any movement from happening.

This was very difficult for me as I am an active person - I hike and do yoga. I could barely do either during the three months I was on spiro. I couldn't carry things comfortably, I couldn't even wear a seatbelt without pain.

Additionally, it made my already irregular menstrual cycles even more unpredictable. Needless to say, I was miserable. The only plus to it was that it cleared up my adult-onset acne

As for Inspra - there is a document here in the Files > Member Comments section called "Inspra notes.doc" that makes it sound equally unpleasant: http://health.groups.yahoo.com/group/hyperaldosteronism/files/Conn%27s%20-%20Member%20Comments

Sometimes it takes years for the side effects to develop, which is why I'm asking about long-term compliance.

>

> > Why?

> >

> > 1. Experience over 40+ years.

>

>

>

> ------------------------------------

>

>

[Guest guest]

Yes, from the spiro, it was the only med I was taking at the time.

> > >

> > > > Why?

> > > >

> > > > 1. Experience over 40+ years.

> > >

> > >

> > >

> > > ------------------------------------

> > >

> > >

[Guest guest]

Not sure what you mean by " You are the only one who will experience the side

effects " - that doesn't make sense. It could happen to anyone.

> > >

> > > > Why?

> > > >

> > > > 1. Experience over 40+ years.

> > >

> > >

> > >

> > > ------------------------------------

> > >

> > >

[Guest guest]

Is this in your data base? Also add to your thumbnail: gynecomastia and dynia with spiroHave you been tried on eplerenone yet?Were you DASHing when on spiro? What dose were you on?CE Grim MDYes, from the spiro, it was the only med I was taking at the time.> > > > > > > Why?> > > > > > > > 1. Experience over 40+ years. > > > > > > > > > > > > ------------------------------------> > > > > >

[Guest guest]

Side effects may be unique to you is what I mean. Unless we collect data on 100s of folks we wont know all the side effects. I seem to recall that you are the only woman on here who has had that side effect.Were you on BCPs at the same time?CE Grim MDNot sure what you mean by "You are the only one who will experience the side effects" - that doesn't make sense. It could happen to anyone.> > > > > > > Why?> > > > > > > > 1. Experience over 40+ years. > > > > > > > > > > > > ------------------------------------> > > > > >

[Guest guest]

Do they make sports bras for men? The "Bro".....I think I need one unless I can get the spiro changed faster. We are having another child (due Oct 3rd) maybe I can help mamma feed it. The booby tenderness is beyond anything I imagined.

43 yo male PA and breasts now

Not sure what you mean by "You are the only one who will experience the side effects" - that doesn't make sense. It could happen to anyone.> > > > > > > Why?> > > > > > > > 1. Experience over 40+ years. > > > > > > > > > > > > ------------------------------------> > > > > >

[Guest guest]

Time for eplerenone and DASHing more? ;-)CE Grim MDDo they make sports bras for men? The "Bro".....I think I need one unless I can get the spiro changed faster. We are having another child (due Oct 3rd) maybe I can help mamma feed it. The booby tenderness is beyond anything I imagined. 43 yo male PA and breasts nowNot sure what you mean by "You are the only one who will experience the side effects" - that doesn't make sense. It could happen to anyone.> > > > > > > Why?> > > > > > > > 1. Experience over 40+ years. > > > > > > > > > > > > ------------------------------------> > > > > >

[Guest guest]

I find a compression t-shirt works pretty good when I am trying to " hide " . To be

honest, it is a loosing battle at the rate of growth. We are both fairly young

and if it keeps on at this pace i will be enormous within a few more years. That

said, I have no plans of getting carved up over it. Maybe when I drop some

weight it will matter more to me. Right now I just look like most other guys who

are over weight. You probably wont look that obvious to others unless you are

wearing skin tight shirts. Baggy shirts work good, but the compression t-shirts

are better for hiding. The only real complaint I have with them is they are hot

and if you have hair on your chest it is like sleeping with socks on hairy legs.

Not good. You might have to get out a razor and go smooth.

In all seriousness, I would take a 48C cup chest and a bra over the twitching

hell I was in before going on meds any day.

> > > > 

> > > > > Why?

> > > > > 

> > > > > 1. Experience over 40+ years. 

> > > > 

> > > > 

> > > > 

> > > > ------------------------------------

> > > > 

> > > >

[Guest guest]

Yes, 's dad invented that but was not called "Bro", it was called "Brazier"...or something like that!

Max.

Do they make sports bras for men? The "Bro".....I think I need one unless I can get the spiro changed faster. We are having another child (due Oct 3rd) maybe I can help mamma feed it. The booby tenderness is beyond anything I imagined.

43 yo male PA and breasts now

[Guest guest]

It was the manziere

>Yes, 's dad invented that but was not called " Bro " , it was called

" Brazier " ...or something like that!

>

>Max.

>

>

>

>

>Do they make sports bras for men? The " Bro " .....I think I need one unless I can

get the spiro changed faster. We are having another child (due Oct 3rd) maybe I

can help mamma feed it. The booby tenderness is beyond anything I imagined.

>

>43 yo male PA and breasts now

>

>

>

[Guest guest]

I wasn't at the time.

> > > > >

> > > > > > Why?

> > > > > >

> > > > > > 1. Experience over 40+ years.

> > > > >

> > > > >

> > > > >

> > > > > ------------------------------------

> > > > >

> > > > >

[Guest guest]

I think I added it to the database but don't recall for certain. Is there any

way for me to go back to see what my answers were?

Can't try eplerenone until after AVS.

Was eating the same no-added-sodium (but not DASH since I can't eat the fruits

and high K foods as we've discussed) diet that I've always eaten.

- msmith1928

45, female, 5'3 " , 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5,

potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia, no

HTN meds; other meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg,

and cyclobenzaprine 5mg as needed; low sodium, fructose- and grain-free diet

> > > > >

> > > > > > Why?

> > > > > >

> > > > > > 1. Experience over 40+ years.

> > > > >

> > > > >

> > > > >

> > > > > ------------------------------------

> > > > >

> > > > >

[Guest guest]

See 8 below Welcome to the exciting world of Hyperaldosteronism! You are in the right place! I am Dr. CE Grim a retired Professor of Medicine and Endocrinology. I have a long standing interest is Primary Aldosteronism since medical school days when I saw my first patient with Primary Aldosteronism in 1963. I trained with Dr. Jerome W. Conn in Endocrinology and Metabolism 1969-70 and have published over 240 papers and book chapters in most areas of the discipline of High Blood Pressure. My CV is in our files for details. The goal of our group is to teach you and your health care team about the ins and outs of the causes, diagnosis and control of the many forms of hyperaldosteronism. The steps below will introduce you into the fascinating world of high blood pressure, salt (sodium(Na) chloride (Cl) or NaCL) and potassium (K) and the role of the adrenal hormone aldosterone in health and disease. Doing these in sequence will save you time and effort in getting up to speed in taking control of you health and educating your own health care team. While we can’t make you into a doctor we will make you into a pretty good BP doctor-a skill that you will have for life and you can transfer to the rest of your family who will likely have high blood pressure eventually-if they live long enough. 1. A brief history of Primary Aldosteronsim and why it is so common today in drug resistant high blood pressure. Read my article in our files on the evolution of PA (Evolution_of_PA-Grim.pdf ) and take to all members of health care team. Tell us what stage you believe you are in. This is a brief review of most causes of hyperaldosteronism, high blood pressure, low potassium (K). READING THIS WILL SAVE YOU TIME AND MONEY. By taking it to your health care team they will not treat their other patients in the future as badly as they may have treated you in the past. You can also read and take the url to your health care team link: http://www.endotext.org/protocols/protocols7/protocolsframe7.htmThis is from a leading Endocrine text book they may have not read recently. 2. Read about other patients with hyperaldosteronism (Conn’s syndrome). Read our Conn's stories in our files and then give us your own in as much detail as you can. Dr. Conn was the first to describe this disease process and the syndrome is named after him. The first patient is described in my review article.To see others' stories, on the Hyperaldosteronism home page, go to Files/Conn’s Stories. You'll find instructions in "A - How to put your story here.doc " First send us your story in an email and they we may have questions and suggestions before you upload it to our files. 3. DASH to lower your BP. Your and my tax dollars funded the most important series of studies on how to improve blood pressure, blood sugar, blood lipids and make your heart smaller: The DASH Eating Plan to control high blood pressure due to hyperaldosteronism and most others with high blood pressure. This will reduce your need for medications and in many will get your BP and K to goal without meds.. Get the DASH diet book by T. et al, (http://www.amazon.com/DASH-Diet-Hypertension--/dp/0743202953) read it and use it: ~$8 in paperback at your local bookstore or online. If they don’t have it ask them to order it for you. You can also get the hardback larger print version as well at Amazon. Learning to eat the DASH way will play a major role in your road to good BP and K control and, in many of our folks here, will revolutionize your life. See http://en.wikipedia.org/wiki/DASH_diet for an overview and more details. In the book go to chapter 9 and do the 14 day challenge. Tell your Dr you are doing this as your BP may plummet if you are on other meds. Measure your BP every day and post to us. or go to http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf download this 64 page booklet free and do the Week on the DASH Diet for 2 weeks. If you are on BP meds be prepared for a large fall in BP (20/10 mm Hg or more) and let your Dr. know you are doing this. And/Or go to (but costs money monthly) DASH Diet for Health Program (http://www.dashforhealth.com/pages/public/tour.php)The DASH Diet for Health Program is designed to help you improve your eating and exercise habits. Twice each week they will provide you with information on our website about food, food preparation, eating out, losing weight, getting fit and much more. In addition to providing new information each week on the website, they create a web page specially for you where you can track progress in areas such as your weight, blood pressure, and exercise. I strongly recommend you get this book by .... and read it. 4. Measure your BP: Measure your BP daily so you can see if it is getting better. If you are taking meds be sure to tell your health care team you are doing this as your BP may plummet to normal quickly. We recommend you use a device you listen to and will help you learn how to do this. If this is not something you want to do we can teach a significant other how to do it. See sharedcareinc.com or email to sharedcare@... to order a video on how to do this. If you already have one we will teach you how to teach your health care team how to validate your device. Your life and health depends on accurate BP measurements. Go to the amricanheart.org and download the Guidelines for Human Blood Pressure Measurement. Insist that your health care team do BP the AHA way. Never trust your life to an automatic BP machine unless you know it is accurate on YOU. 5. Genetics and your BP: If you have a twin be sure to let us know. Go to familyhistory.hhs.gov and do your detailed family medical history (FHx or FH) so we can review with you to help diagnosis (Dx) and treat (Rx) familial causes of high blood pressure and heart disease. If BP runs in your family you may save lives in your family by checking their BP yourself. 6. How to DX and treat PA: Go to our file/Conn's Articles of Note/Medications/Bravo spir 1973.pdf and read this article and take to your health care team. It is old but still one of the best in the medical management of PA. Note one with PA whose BP and K normalized with low Na, High K diet and only 25 mg of spiro. DX: Also see our file from the Endocrine Society Guidelines on PA. 7. Dr. Grim's Perfect Primary Aldosteronism Blood and Urine Testing to diagnose PA in one day. 1. Eat a regular to high salt diet for 2 weeks.2. No BP meds in last 4-12 weeks depending on meds.3. Collect 24 hr urine for Na, K and creatinine and aldosterone. Do not lose a drop of this liquid gold. It is impossible to interpret the renin and aldo without this.4. The morning you finish the 24 hr urine have fasting blood drawn for renin, aldo and K using our guidelines to get an accurate K (http://groups.yahoo.com/group/hyperaldosteronism/files/Investigating%20elevated%20potassium%20values..txt) Try to get this done about 4 hours after you have been out of bed.5. Send us the results with the normal values for your lab.6. If you ever have a salt (saline) infusion test for PA be certain to ask them to measure how much you pee during the 4 hours of the infusion. If it is 1-1.5 liter of urine it strongly suggests that you may have PA. If more tha 1.5 L you almost certainly have PA. I helped perfect this test and have probably done more saline infusions than anyone in the world. 8. Become a participant in our PA Registry and contribute to our large database on PA: If you have been Dxed with PA already and are on Rx or have had surgery please go to http://www.kwiksurveys.com/online-survey.php?surveyID=HIJIO_f2685379 and complete our survey with as much information as you know. If there is some information you don't know ask us and we will help. If you need to update this as you journey thru the diagnostic/treatment process you can add another entry but label it as Nameyymmdd. For example today 6/12/09 for me would be Grim090612. This ever increasing number will allow us and you to sort your multiple entries into a dated order. 9. Learn the language: If you are new to medical lingo then download the acroyms from http://health.groups.yahoo.com/group/bloodpressureline/message/2918610. Salt and high blood pressure: To learn the state of the science of salt and blood pressure please spend some time looking at http://www.worldactiononsalt.com/evidence/treatment_trials.htm11. Become a HBP expert consumer: Expect that it will take at least several weeks to get all this digested and to learn the new language of high blood pressure health care. As most doctors and nurses in practice have had very little training in high blood pressure you must become an expert yourself. For example most have never had anyone listen with them with a double stethoscope to verify that they can hear BP sounds. We cannot make you a doctor but we will make you a pretty good BP doctor. Read our consumer's guide to an accurate blood pressure.12. How High Blood Pressure should be managed: Go to nih.gov and download and read the Joint National Commission (JNC) Report 7 to get an overview on current guidelines. I ask all my secretaries to read this so they can communicate the importance of high blood pressure to my patients. JNC 8 will be out soon.Then: get (and study) the Hypertension Primer from americanheart.org 4th addition. I coauthored the chapter on BP measurement. You can also get this for about $6 from Amazon.com. This is the most up-to-date compendium of what is known about high blood pressure and what every Dr. should know when they graduate from Medical School. Every chapter is only 2-3 pages. Read one chapter every week-night and you will finish it in about a year. I am working on a reading guide for lay people for the Primer. Stay tuned. If you don't like it take it to your health care team so they will know what every medical student today should know.13. Ask us questions: Ask any questions about high blood pressure you want answered. That is what we are here for. We have had this site for 10 years and over 30,000 emails are searchable. This is the largest collection of communications about Conn's Syndrome in the World. 14. One-on-one Consulting: I can provide individual consulting if you do not want to go public. If you want individual one-on-one consulting for you and your Doctor contract me directly at lowerbp2@....15: Abbreviations of common use in aldo speak include: AME apparent mineralocorticoid excess AVS adrenal vein sampling BB beta blockers CCB calcium channel blockers Dx diagnosis FHx family history GRE glucocorticoid remedial aldosteronism LNaV8 low sodium V8 juice. MCB mineralocorticoid blocker also called AB aldosterone blocker. MHx medical history Rx treatment SHx social history UNaKCr urinary sodium, potassium, creatinine May your pressure be low!Clarence E. Grim BS, MS, MD, FACP, FACC, FAHA Council for High Blood Pressure Research. Board Certified in Internal Medicine, Geriatrics, and High Blood Pressure by the American Society of Hypertension. Retired Faculty/Professor of Medicine (U of MO, Indiana, UCLA/DREW, Medical College of Wisconsin in Nephrology, Endocrinology, Cardiology, and Epidemiology. Specializing in Primary Aldosteronism and Difficult to Control High Blood Pressure. I think I added it to the database but don't recall for certain. Is there any way for me to go back to see what my answers were?Can't try eplerenone until after AVS.Was eating the same no-added-sodium (but not DASH since I can't eat the fruits and high K foods as we've discussed) diet that I've always eaten.- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia, no HTN meds; other meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, and cyclobenzaprine 5mg as needed; low sodium, fructose- and grain-free diet> > > > >> > > > > > Why?> > > > > >> > > > > > 1. Experience over 40+ years.> > > > >> > > > >> > > > >> > > > > ------------------------------------> > > > >> > > > >

[Guest guest]

Did anyone measure your urine Na and K?CE Grim MDI think I added it to the database but don't recall for certain. Is there any way for me to go back to see what my answers were?Can't try eplerenone until after AVS.Was eating the same no-added-sodium (but not DASH since I can't eat the fruits and high K foods as we've discussed) diet that I've always eaten.- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia, no HTN meds; other meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, and cyclobenzaprine 5mg as needed; low sodium, fructose- and grain-free diet> > > > >> > > > > > Why?> > > > > >> > > > > > 1. Experience over 40+ years.> > > > >> > > > >> > > > >> > > > > ------------------------------------> > > > >> > > > >

[Guest guest]

Not at all, back then the doctor I was seeing had no clue that I had PA and

didn't do much in the way of testing. She just knew I had slightly high BP

(130s/low 90s IIRC) and menstrual irregularities, and misdiagnosed me with PCOS.

Spiro is commonly used to control PCOS symptoms such as acne and hair loss, and

for some women helps regulate menstrual cycles (it made mine even more

unpredictable).

- msmith1928

45, female, 5'3 " , 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5,

potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia, no

HTN meds; other meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg,

and cyclobenzaprine 5mg as needed; low sodium, fructose- and grain-free diet

> > > > > > >

> > > > > > > > Why?

> > > > > > > >

> > > > > > > > 1. Experience over 40+ years.

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > ------------------------------------

> > > > > > >

> > > > > > >

[Guest guest]

And prob helped your PANot at all, back then the doctor I was seeing had no clue that I had PA and didn't do much in the way of testing. She just knew I had slightly high BP (130s/low 90s IIRC) and menstrual irregularities, and misdiagnosed me with PCOS. Spiro is commonly used to control PCOS symptoms such as acne and hair loss, and for some women helps regulate menstrual cycles (it made mine even more unpredictable).- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia, no HTN meds; other meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, and cyclobenzaprine 5mg as needed; low sodium, fructose- and grain-free diet> > > > > > >> > > > > > > > Why?> > > > > > > >> > > > > > > > 1. Experience over 40+ years.> > > > > > >> > > > > > >> > > > > > >> > > > > > > ------------------------------------> > > > > > >> > > > > > >

[Guest guest]

Probably, but I felt terrible and my quality of life declined dramatically. Not

really a long-term option.

> > > > > > > > >

> > > > > > > > > > Why?

> > > > > > > > > >

> > > > > > > > > > 1. Experience over 40+ years.

> > > > > > > > >

> > > > > > > > >

> > > > > > > > >

> > > > > > > > > ------------------------------------

> > > > > > > > >

> > > > > > > > >

[Guest guest]

How much spiro then?CEGProbably, but I felt terrible and my quality of life declined dramatically. Not really a long-term option.> > > > > > > > >> > > > > > > > > > Why?> > > > > > > > > >> > > > > > > > > > 1. Experience over 40+ years.> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > > ------------------------------------> > > > > > > > >> > > > > > > > >

[Guest guest]

25mg

> > > > > > > > > > >

> > > > > > > > > > > > Why?

> > > > > > > > > > > >

> > > > > > > > > > > > 1. Experience over 40+ years.

> > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > > ------------------------------------

> > > > > > > > > > >

> > > > > > > > > > >

[Guest guest]

When I was on spiro my chemist told me it is the same drug they give to help people born male to become female.

Do they make sports bras for men? The "Bro".....I think I need one unless I can get the spiro changed faster. We are having another child (due Oct 3rd) maybe I can help mamma feed it. The booby tenderness is beyond anything I imagined.

43 yo male PA and breasts now

Not sure what you mean by "You are the only one who will experience the side effects" - that doesn't make sense. It could happen to anyone.> > > > > > > Why?> > > > > > > > 1. Experience over 40+ years. > > > > > > > > > > > > ------------------------------------> > > > > >

[Guest guest]

Not much esp if not DASHing so may not have affected the PA then.CE Grim MD25mg> > > > > > > > > > >> > > > > > > > > > > > Why?> > > > > > > > > > > >> > > > > > > > > > > > 1. Experience over 40+ years.> > > > > > > > > > >> > > > > > > > > > >> > > > > > > > > > >> > > > > > > > > > > ------------------------------------> > > > > > > > > > >> > > > > > > > > > >

[Guest guest]

Educate your chemist.CE Grim MDWhen I was on spiro my chemist told me it is the same drug they give to help people born male to become female. Do they make sports bras for men? The "Bro".....I think I need one unless I can get the spiro changed faster. We are having another child (due Oct 3rd) maybe I can help mamma feed it. The booby tenderness is beyond anything I imagined. 43 yo male PA and breasts nowNot sure what you mean by "You are the only one who will experience the side effects" - that doesn't make sense. It could happen to anyone.> > > > > > > Why?> > > > > > > > 1. Experience over 40+ years. > > > > > > > > > > > > ------------------------------------> > > > > >