Anytime I've seen a gut like that in the past its been GH, so I'm not sure why it would be different now.
I can eat 10 turkeys, 8lbs of potatoes, be bloated as fvck and not look like that. Thats a protruded abdomen from GH, the only thing I know that changes the structure of the abs like that.
And I think everyone who has that gut looks terrible. He should stop working out for 10 years, make that gut go away, then train w/out GHn his stomach to oblivion, then MAYBE I'd think he looked good.
Its the same as a hot chick with hair under her arms, just ruins the other 95%of her appearance.