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What the clinical data shows: ~15-18% reduction in visceral adipose tissue by CT scan at 26 weeks versus placebo (Falutz et al., 2007) Significant improvements in trunk fat, waist circumference, and waist-to-hip ratio Improved body image scores — patients reported meaningful improvements in belly appearance distress and physician-rated belly profile Sustained IGF-1 elevation within normal physiological range Metabolic improvements in triglycerides, cholesterol ratios, and inflammatory markers correlated with the degree of visceral fat loss (Stanley et al., 2012) In patients with NAFLD, liver fat reduction and prevention of fibrosis progression documented at 12 months of continued treatment (Stanley et al., 2019) What users and trial subjects commonly report: Significant visible reduction in abdominal size — before/after comparisons become obvious at this stage Improved body composition that others will notice Sustained energy, sleep, and recovery improvements Blood work showing comprehensive metabolic improvement across lipid and hepatic markers For those who had elevated liver enzymes at baseline, measurably improved hepatic markers Diminishing returns: The rate of visceral fat loss is highest during the first 26 weeks