Q: I’m a 59-year-old man. I seem to have developed "moobs" (male breasts). What can I do to get rid of them?

A: Naturally, diet and exercise are going be an important part to treating “moobs.” Make sure you are within a healthy BMI and that you stay physically active on a regular basis. Besides weight, there are also other factors to consider.

Like most men as they age, you could be experiencing lower testosterone, or low-T, in relation to your estrogen level, which in some cases can contribute to estrogen dominance and create the appearance of what can be called “moobs” or male breasts. Medically, this condition is called gynecomastia. The prevalence of gynecomastia peaks between the ages of 50-69. At least one in four men in this age group are affected.

Your doctor may suspect you have hormone imbalances due to your symptoms, but you should ask that he or she do testing to confirm unhealthy levels of testosterone or conversion to estrogen. Testing also ensures your doctor rules out other issues that may have similar symptoms.

If a diagnosis of low testosterone is made, I recommend changing your diet and lifestyle to ensure optimal hormonal health which should help deal with your moob problem. As stated before, get plenty of exercise and eat well. This will help keep your weight down and reduce the amount of fat your body stores.

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Your body’s pH (not your blood pH) varies for different parts of your body. To keep each system functioning well, including your endocrine system, which controls hormones, you will want to keep an eye on your urine pH and get it alkaline. To do that, you will need to consume lower-acidic foods. In general, that means more fruits and vegetables and less meat, poultry, dairy, sugar, and processed foods.

There are also a number of supplements that I recommend when dealing with low T.

Vitamin D3: Studies have shown that men with lower levels of vitamin D had lower levels of testosterone and higher levels of sex hormone-binding globulin (SHBG). It’s best to get a vitamin D3 supplement that contains vitamin K as well since that allows for greatest absorption. Also, you can bump up your sunlight exposure.

Zinc: This mineral is so important to hormone balance, as well as to dopamine production, which helps support mood, sex drive, and interest. You can eat more foods containing zinc—including oysters, fermented foods, and protein-rich (preferably grass-fed beef and wild-caught salmon) foods.

Adrenal Adaptogens: We know stress generates too much cortisol and shuts down sex hormones since our bodies go into a “fight or flight” mode. Supplements that nourish our adrenals are key to correcting those imbalances. Maca, ashwagandha, Siberian ginseng, and Rhodiola rosea are useful for adrenal support.

DHEA: It is changed in the body to a hormone called androstenedione, which is then changed into major male and female hormones.

Multivitamin: Make sure it has bioavailable B vitamins and high-dose vitamin C.

Omega-3s: Studies show they help maintain high testosterone levels.

Fiber: This will help assist with detox as well as bumping up nutrients known to be good estrogen detoxifiers. Increased fiber will also help you feel full, which can help you reduce your weight. Weight loss, of course, will help with man boobs too.

Methyl Donors: Methylated B12, betaine, choline, and methylated folate help with estrogen detoxification and metabolism as well.

Herbal Formulas: To provide support for libido and overall vitality, I recommend an herbal formula that features mung bean sprout powder. Formulas with these ingredients also help keep free testosterone free rather than convert to DHT and estrogen.

Bio-identical hormones: These are identical to our body’s own natural hormones, which means they are more easily metabolized and utilized by the body without the negative side effects often associated with synthetic hormones.

These recommendations are by no means a complete list of how to treat low-T or gynecomastia, but they do represent a good idea of what you will need to look closer at to enjoy a healthy life, including sexual health, and getting rid of your moobs.