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How can I fix my protruding nipples?

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Hi

I'm a young guy, small built, but I do some exercise. And for the past 4 years I've had really big, swollen-looking nipples! I absolutely hate them, and I cant take my shirt off without feeling really uncomfortable. Any help about the causes or solutions to this problem would be greatly appreciated. BTW, noone else in my family has this problem, so I doubt it's genetic.