I went back to the Cleveland Clinic today for a one-year follow-up. I did not take my doctor's suggestion to not lift over 25 pounds and I continued the hormone treatment, which is basically testosterone. The pouch is doing worse than last year and I received an even sterner admonishment to cut it out. Working out is such a major part of my life and life-style that I am major league depressed about the proposition of not weightlifting anymore. Anybody have any encouragement or suggestions?