I have visceral belly fat from both Zerit and Crixivan. About 3 years ago, I adjusted my diet drastically and with exercise, I managed to lose almost 50 lbs. But due to Covid -19 and sheltering at home for 6 mos., I've regained the weight back. I too, would be interested in learning if others have found a way to reduce their visceral fat that doesn't require such radical changes in diet/exercise.

That's a great question. I was in the early trials before Zerit was Zerit, I don't remember what it was (d4t, 3Tc?) and Crixivan, now that made me so sick, I couldn't leave the house. Most of the others triggered a lot of neuropathy.
Belly fat? how much has been caused by the meds?
I think that would be a great question for your HIV doc, and/or pharmacist, to find out about the potential for that.
I always try to build a good rapport with my pharmacist, especially if they're really up on the HIV meds.
These two can be a great resource.
I wish you all the best in your quest.

Oh hell yea. I've been fussing about it for the last 6 years. I went up to a 38 from a 31 at my biggest. I'm down to a 32 33 now but its been slow going. I'm hoping to get into the 160's within the next week or so.

Yep. I gained 30+ lbs and 2 sizes on my waist when I started ART drugs 2 years ago. Have tried several diets, and KETO was working for me until my ID doctor ordered me off it. I'm also pre-diabetic. So, wife and I starting a modified diabetic diet, which is close to keto/Adkins...just lowering the carbs (and getting them mostly through fruits and vegetables). Have to make a lifestyle change to make it work. I already walk quite a bit, so I'm getting good exercise. Just need to get rid of the visceral fat...all the weight gain went straight to my gut. Some of it is middle age, but I have to think much of it so quickly was because of the HIV drugs. Still, gotta live so gotta take the pills and make adjustments elsewhere.