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Puffy nipples in men can indeed be a confusing and concerning issue, but let’s explore some possible explanations. It’s true that hormonal imbalances can cause this, but since your hormone levels came back normal, we should consider other possibilities. One common cause of puffy nipples is gynecomastia, which is the benign enlargement of male breast tissue. Not only hormonal changes but also medications, other health conditions, and lifestyle factors like weight changes or excess alcohol consumption could be contributors. If you’re not overweight and your hormones are in the usual ranges, then looking into your medication history or any underlying medical conditions might be a next step. On occasion, an imbalance or temporary shift that didn’t show in standard hormone tests can be involved. Though it’s often not serious, gynecomastia might sometimes indicate underlying issues that need more assessment, especially if it’s new or only affecting one side. To investigate further, I’d recommend consulting with a healthcare provider to get a physical exam and possibly an ultrasound or mammogram, which can rule out other causes like a cyst or, rarely, a more serious condition like a tumor. If it turns out to be benign gynecomastia, and if it’s bothersome, treatments range from observation, lifestyle changes, or, in some cases, medications. Surgery is also an option if it persists and is significant for you. On the other hand, asymmetrical or sudden changes, especially if associated with pain or lump, do need professional evaluation without delay. Through getting the right examination and advice, you should be able to understand the cause and find the best approach for your situation. Remember, while forums and personal experiences can provide insight, your unique condition is best addressed by direct medical consultation, which tailors advice according to your medical history and current health status.