INS and Abdominal obesity: The specific terms used in the search included "palumboism," "bodybuilder gut," "steroid gut," "HGH gut," "HGH bloat," "insulin gut," "bubble gut," "muscle gut," "abdominal distension," "abdominal organomegaly," "visceral adiposity," "abdominal obesity," "anabolic steroids," and "growth hormone."