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Manchester-based charity the LGBT Foundation has warned that body image issues are becoming more widespread in gay communities. It says gay and bisexual men are "much more likely" than heterosexual men to struggle with them. A number of gay men have told the BBC they are going to extreme lengths to change their bodies - including using steroids and having plastic surgery - just to become "accepted" by others in the LGBT community.
Several said pressure from social media platforms and dating apps was exacerbating their body issues. I would honestly have plastic surgery if I could afford it. Instead of surgery, a few years ago Jakeb turned to anabolic steroids - class C drugs that can be misused to increase muscle mass. But anabolic steroids can be addictive.
Jakeb soon found himself unable to stop. It was like there was a harsh voice telling me I'm skinny. Jakeb had his second near-death experience in November last year when - after several years of heavy steroid use - he suffered heart failure. Months later, Jakeb has stopped taking steroids and has lost the extra muscle he gained, but he continues to have health problems for which he is receiving hospital support.
And Jakeb is not alone in taking drastic measures to try to appeal to men. James Brumpton - a software engineer from Lincoln - found himself "catapulted into this world of self-consciousness", after he hooked up with a man at a local gay bar. When James went back to the man's house and took off his T-shirt, his date looked at him and made a disgusted noise.
Eventually, the experience led to James deciding to have an abdominoplasty - otherwise known as a tummy tuck. Prof Afshin Mosahebi, of Baaps, says gay men are currently having more cosmetic procedures done than straight men, although he notes that women have more procedures than men overall. The surgeon believes the pressure of social media is pushing people to go under the knife. After James's tummy tuck went wrong, he was left with permanent scarring, which made him even more conscious of his body.
Dating apps have fuelled body image concerns, he says. Images on social media and in leading gay magazines have also led James to feel he is an "invader in the space". Photos of "sexy bodies" drive sales of gay magazines, according to Matthew Todd, a former editor of one such publication, Attitude. When Matthew put a photo of Stephen Fry on the front of the magazine in , "it was one of the worst selling editions ever", he says.
Matthew, the author of Straight Jacket: How to be gay and happy, says homophobia has fuelled gay men's body issues. If you don't like yourself, that manifests as not being happy with the way you look. The result has been that gay men are under more pressure than straight men to have the perfect body, Matthew says.
Many gay men confuse 'Do I want to be with him? Jeff Ingold, from LGBT charity Stonewall says it is "crucial" that we see more diverse representations of gay and bisexual men with different body types in the media. But as it is, Jakeb says he still gets people online telling him they "wouldn't leave the house if they looked like me". If you have been affected by any of the issues raised, support and advice is available via BBC Action Line.
Additional reporting by Harriet Agerholm. If you would like to share your experiences, please email haveyoursay bbc.