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I was just answering the question asked: what else (besides HGH/insulin) can cause distended stomach. And while some clearly can't apply to GSP (pregnancy for instance, unless the aliens who abducted him have some pretty weird science), some of the others are as likely as HGH/insulin, for which there is basically no medical research which shows they produce distended stomachs - and even top level body builders are debating that link (opinions have changed dramatically the last few years on that - read up on the reactions to Schwartzenegger's comment about big bellied body builders).
Its somewhat amusing to read people rightly skeptical about medical research (the body is very complex), but who believe unproven bro-science (HGH etc). I'd suggest being equally skeptical about both, its much higher percentage.
And actually, there have been top level professional athletes who've played with some very serious illnesses (various cancers including Hodgkin's disease, multiple sclerosis, various heart problems, parasites, diverticulitis right off the top of my head - and it appears Serena Williams has played pro-tennis while pregnant).
Top level athletes aren't automatically healthy in terms of illness. Its actually pretty interesting to read up on it, and some of it is quite surprising. You can be fit and a world class athlete while being ill. Read up on Lou Gehrig for a very interesting example.
I know there is not enough evidence. We are at stage "believe" but you can either believe in evidence based hypothesis as close to "truth" as it gets or pure speculation (aka Religion). The extended ripped (important) stomachs/bellies did not start before HGH was abused in enormous doses by Dorian Yates and others. Sure there are other theories but the calory intake imo does not work because bodybuilders even in late 70s took close to 10 000/day. With insulin there "IMO" (i wont search all the studies now) enough evidence to support the growth of visceral fat especially in the belly region.
It fits to all we know about biochemical processes and how the whole insulin complex works. Its researched into detail because of diabetes.
I am open to other explanations but we should not make the mistake and take serious health conditions into consideration with highly suspicious athletes. Its gotten to the point that there are next to no bodybuilders at pro level without a gut. f that is not suspicious and can be linked to doping I dont know. And these athletes are very a very interesting peer group as we know most of them take this stuff in high doses. Like I wrote before my thesis is that the gut is only developed if you abuse in high dosages.
I.
Arnie looks so much better than todays bodybuilders