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Can long term affected gynecomastia be cured by taking pills? (photo)

suvashis deka
I'm suffering from gynecomastia from my puberty when I was 15 years old. Now I'm 30. Is it possible to reduce gynecomastia taking pills like Nolvadex 10/20mg? Or Surgery is my only option? As I was once a pleumonic tuberculosis patient when I was 24 years I am afraid of doing such surgeries as anasthesia can damage my lungs. I'm completely cured from tuberculosis after 6 months complete medication still i'm afraid of surgery. 

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