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Slominski A, Tobin DJ, Shibahara S, Wortsman J

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Summary Exercise is not an effective treatment for clinical gynecomastia

it stimulates fibroid cell proliferation and survival, which explains why selective progesterone receptor modulators (SPRMs) such as ulipristal acetate have been used medically to reduce fibroid volume. This drug is no longer available in Canada because it caused a host of harmful side effects

treat promptly per standard of care, and monitor until signs and symptoms resolve