if you have had all of the gland removed, it is impossible to get gyno again. Still, I would be careful, because if any glad remains, it can still be sensitive. First, I would think about the gear you use. Some gear will be way more likely to cause gyno. Some gear will probably never cause gyno. Sadly, the higher risk gear is also more likely to produce the best gains. Your best bet is to run an AI, like adex, through your cycles. This will keep estrogen from forming in the first place. IME, prov is inferior and a SERM like nolva, will only block estrogen from attaching to the recoptor