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Dressed only in my underwear, I'm eight years old and sitting on the pediatrician's exam table, waiting for my checkup. My mother points to the two mounds of fatty flesh between my chest and belly. She asks the doctor, "Could they be tumors?" "No," he says, "it's just fat." Since that day, my fat has absorbed more darts than the back wall of a bar.

At six feet two and 215 pounds, I'm not huge. I just carry my weight where women do—in my hips, butt and thighs. And I hate it. I hate the way clothes fit. I hate that friends say I use the "big-butt defense" in basketball.

I'm not the only man who wishes his body looked more like Michael Jordan's and less like a vat of pudding. A recent survey showed that only 18 percent of men are happy enough with their physiques that they wouldn't change them.

While women get there first, they don't have a monopoly on stressing over looks.

One: We have more body angst than you realize…

…but we'll never have a serious conversation with you about it. Look at the standards we have to measure up to: If we're fat, we're labeled as beer-guzzling couch potatoes. Too thin, and we're deemed wimpy. We can have too little hair on our heads or too much on our backs. And maybe worst of all, we can be too big in the backside of our pants yet too small in the front.

Now add the fact that our mental struggle has two layers.

"A man thinks, 'Not only does it bother me that I'm fat and my hair is thinning. It bothers me that it bothers me, because I'm not supposed to feel this way,'" says Thomas Cash, Ph.D., a professor of psychology at Old Dominion University in Norfolk, Virginia. "The thinking is that it's like a woman to worry about looks."

Two: Instead, we'll joke about our bodies

We make fun of ourselves to cover up what we're really feeling—frustration, embarrassment and anger that we're not perfect.

But other people's jokes sting. Mark Meador, 37, of Westerville, Ohio, returned from a trip to Disney World with photos of himself.

"Man, you look like Big Pun," Meador's friend said, referring to the obese rapper who died of a heart attack. Meador laughed off the comment, not letting on that it hurt. That same weekend, his daughter said, "Dad, you look like you're having a baby." Fortunately for Meador, the gentle pokes inspired him to change. He dropped junk food, started Tae Bo, and lost more than 40 pounds.

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