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I want to squash this bug before it has a chance to grow. And mutate. And eat us (you) alive.

The use of the word “syndrome” (in skinny-fat syndrome) is misleading because it's not medically rooted. Meaning the vast majority of skinny-fat dudes DON'T have genetic abnormalities that prevent them from losing fat and building muscle.

Skinny-fat syndrome is NOT slave to your genetics.

This is the good news.


Skinny-fat syndrome itself isn't genetic, but there might be some secondary genetic issues you have to fight through.

For instance, I didn't like the way I was built. I had narrowish shoulders and a wideish waist. I had an “A” framed upper body. But I wanted a “V” framed upper body.

I had to cater to this. But I'll talk about “body shaping” more later.

Most people with skinny-fat syndrome don't have genetic abnormalities.

But some do.

There are two conditions often associated with skinny-fat syndrome. You should know about these two conditions (and their implications).


Klinefelter syndrome is the genetic version of skinny-fat syndrome. It's when males have extra X chromosome material.

After puberty, a skinny-fat body blossoms.

klinefelter syndrome skinny fat

photo: source

Common symptoms of Klinefelter syndrome:

Tall stature
Feminized physique
More breast tissue than normal
Wide hips
Poor beard growth

Only a professional can diagnose Klinefelter syndrome. From my random musings on the Internet, most parents are recommended to talk to their children about the diagnosis.

If you haven't had said talk, well, you're probably clean and clear. If you think you might have it, talk to (a) your parents and (b) your doctor.

Don't make up a story in your head without proof.

Because, uhh, I'm almost thirty years old. I still can't grow a full beard. I'm 6'4. I have narrow shoulders and wide hips. I had girl boobs.


Looks like I have to go the doctor.

But, srsly…

If you have Klinefelter syndrome, it's going to be an uphill climb. I'm not saying improving your physique is impossible. But the hormones are ever not in your favor.

The good news? The formula doesn't change. You still follow the same path as those without Klinefelter syndrome.

Because, in the end, the weapons are still the same. The only thing you can do is use the most powerful methods to alter your physiology.


Gynecomastia is often shortened to “gyno” and has ties with skinny-fat syndrome even though it's not (a) exclusive to skinny-fat syndrome, or (b) indicative of skinny-fat syndrome.

gynecomastia skinny-fat

photo: source

Gyno is the genetic incarnation of “moobs” and is a swelling of the breast tissue, which isn't to be confused with “puffy nipples.”

Gyno is a glandular tissue disorder, which means it's unaffected by fat loss. If your glands shrunk when you lost fat, well, let's just say your testicles are a gland.

Puffy nipples, on the other hand, are the result of having (unfortunate) body fat deposits behind the nipple. And body fat deposits DO respond to fat loss.

Lots of guys THINK they have gyno. But they just have fat deposits behind the nipple.

I used to think I had gyno.

A good way to distinguish between the two (assuming you have a lowish body fat): does your chest look “normal” when you're cold?

When the nipples harden (put some Biofreeze on 'em), does your chest shape up? If so, you probably just have puffy nipples.

But if you ARE concerned, then you should see a doctor. True gyno can only be removed with surgery.

For those with puffy nipples, a steady diet of upper chest focused training (and AVOIDING lower chest training) can help bunches.

You might be wondering if there's a way to lose fat around the nipple area first, which brings us to spot reducing fat loss and more of ‘dat ‘dere “body shaping” bidness that we're not ready for yet.

Unless you've been diagnosed with a medical condition (by a doctor), you need to throw your genetic self-identification shenanigans out the window.

It's a crutch.

A curse.

You're going to permanently hold yourself back.

As Seth Godin once said, “We believe what we want to believe, and once we believe something, it becomes a self-fulfilling truth.”


I'm going to assume you have neither Klinfelter, nor gynecomastia. But, quite frankly, even if you DO have one of these, nothing changes.

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Trying to lose fat, build muscle, and build a body you’re proud of?

Maybe you’re a little lost right now.

Maybe you don’t have much motivation.

Maybe you don’t what program or diet to use.

I don’t know…

But what I do know is this:

Everything you need is inside of you.

You’re capable of more than know.

You just have to open your eyes.

My weekly column can help.

Just a small little honest note from me sent every Sunday.

Unless I’m hungover.

And then it comes Monday.

What I’m trying to say is that it’ll come Monday.

(These weekly columns don’t get posted to the site.)

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