It is both ignorant and naive to suggest that gh alone has contributed to this unsightly phenomena!
I get it. you don't bother to read what other people have written before you jump in. its already been explained that its the combination of gh and insulin. no 'other' drugs. not the excessive' use of all substances. not massive amounts of food.
for a while, people on HIV meds were developing a similar gut, with an increase of visceral fat. Turns out the anti-HIV drugs can cause insulin sensitivity. and, because of the way ADAP laws were written, doctors were giving people with HIV growth hormone to counter wasting. ADAP (free HIV drugs for low income people without insurance) wouldn't allow cheap steroids to be prescribe for wasting because it was considered an off-label use, while they would pay 10-20 times more for GH. Those laws have changed. Now steroids is the preferred treatment for wasting, and the gh gut is rarely seen. But insulin sensitivity is still a problem for many people taking the anti-HIV drugs.
GH alone, visceral fat not a problem. GH plus insulin, or GH plus drugs that make you sensitive to insulin, large increases in visceral fat causes the protruding stomach.