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Its major evidence-based and investigational research areas include: Reduction of visceral adipose tissue Endogenous GH, IGF-1, and IGFBP-3 activation Reduced waist circumference and trunk fat Modest increases in lean body mass Triglyceride and lipid-related changes Hepatic-fat research Exploratory skeletal-muscle composition findings Changes in body composition without substantial overall weight loss The strongest evidence applies to reducing excess abdominal fat in adults with HIV-associated lipodystrophy