Putting aside the typical causes--stress, certain drugs, etc---and going by appearance alone:
If you're relatively lean in the abdominal region (almost a six pack), but it's your stomach itself that's actually large and perhaps sticking out, then it's quite likely VAT.
For most, if it works, the results are noticeable within a week or two. It also depends on your diet; that is, if there's a reasonable deficit.



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