It is mostly liver fat. I lost 40lbs and cured my fatty liver in 6mo with Keto diet. Shrunk it by 7cm. (Mine was nonalcoholic fatty liver though.)
It is also partially posture. As I gained weight, I started turning my feet out for support, which disengaged your glutes and quads, and slouches you in such a way as to distend your belly.
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