Spence probably had surgery to remove his gyno. Gyno removal surgery is very common among bodybuilders; one surgeon who is renowned for his excellent work is https://www.cosmetic-md.com/gynecomastia/adults
FWIW, Spence has had gyno since (at least) his teens; in his case I believe it was naturally-occurring.
FWIW, Spence has had gyno since (at least) his teens; in his case I believe it was naturally-occurring.
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