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How do I know if I have gynecomastia or Pseudogynecomastia? You said you feel tissue under the nipple, which fits the description of gynecomastia. If you feel a tough tissue, almost like a little ball under your nipples, then yes you have gyno. It might. The main difference between the Gynecomastia and Pseudogynecomastia (chest fat) is the mass that's causing the swelling.
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