Predominantly glandular male breasts are typically found in body builders. Anabolic steroids may be broken down into feminizing estrogen like compounds while androgenic supplements can suppress the body’s natural production of testosterone. The body will convert any excess supplemental testosterone into feminizing and breast stimulating estrogen. Mammary tissue growth occurs whenever there is an abnormal proportion of breast stimulating estrogens to androgens. The enlarged pectoralis muscle hypertrophy can often mimic true gynecomastia. Frequently there is a small bud of glandular tissue palpable immediately beneath the nipple area.