“…It was suggested that malnutrition either impairs the ability of the liver to inactivate estrogen or depresses testicular function with decrease in androgen, leading to gynecomastia. Salter et al (85) studied the output of urinary 17 -ketosteroids, cortin, estrogen and follicle-stimulating hormone (FSH) in these subjects. As a group the gynecomastics showed a significantly lower excretion of 17-ketosteroids than did comparable control subjects while the estrogens were in the low, normal range.…”