Biktarvy will give you a pouch/gut but if you watch what you eat and exercise it helps.

I've been on Bictarvy for about 2 years now. The main thing to help is healthy food choices. I prefer to watch my intake of salt and cook at home with healthy ingredients like whole grain rice and various dry beans. This time of year is great for eating watermelons. 1 slice before eating a heavy meal will cut your portions in half. That keeps my weight where it needs to be.

Better than being too thin