After 30 years of injecting insulin in the same two spots on his stomach, a South African man developed a severe case of man boobs in his stomach known as lipogypertrophy.

Dr. Stan Landau from the Center for Diabetes and Endocrinology in Johannesburg said his patient, a 55-year-old man with type 1 diabetes, had been injecting the life-saving insulin in the same part of his stomach causing him to develop “firm and pendulous” masses.

It is unclear whether Landau and/or his staff  told the patient that he needed to rotate the injection site around different parts of his body because the hormone insulin encourages the buildup of soft fatty swellings within layers of the skin.

The doctor said the patient had not been to his office in many years, however, he did not say who was prescribing the insulin to the patient.

The doctor said although the lumps will shrink his disfigurement is permanent.

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