how would you repair this physique?

Diet and exercise.

>>76326851 (OP)
Lethal doses of estradiol

>>76326851 (OP)
Tasting lead

half assed diet and no exercise

>>76326851 (OP)
he has small tits for a fat guy
just fork putdowns will work

>>76326851 (OP)
>take a shit
>do 10 pushups
>better lighting

>>76326851 (OP)
Cut down for a 3-4 months while lifting, high protein diet. Then go into a lean bulk and just figure shit out from there

Also this physique is almost certainly a result of fucked up hormones from years of bad habits (lack of sleep, shit diet, no ambition, no physical activity, psychological feminization, jacking off non stop etc...) so repair that too