Excessive bulges of fat on the side of the waist are not normal or healthy, but it is normal and healthy to have some fat there. If you look at Michaelangelo’s David, who is supposed to be the ideal specimen, the perfect man, he has got them. And they actually serve a purpose. It’s a way to store calories- in case of a famine or crisis. It insulates the anterior iliac spine of the pelvic bone to some extent, which is a pretty sharp bone.  And the fat pad sweeps around to your back some to helps protect your kidneys from trauma.

That fat is different, and even a thin man is likely to have fat there. Women have it too, but it’s less noticeable because women have more subcutaneous fat everywhere- so it blends in better. But on a man, he can be ruggedly lean and sinewy, yet still have that stubborn love handle, and it stands out more if he is otherwise very lean. 

If you want to try to reduce it, fine, but don’t get carried away. Don’t set your sights too high. It’s very unlikely that you are going to be able to get rid of it completely, and it might require emaciation like a Holocaust victim to do it.  

I have been supervising therapeutic fasting for most of my adult life, and I can tell you that even after several weeks of complete fasting, it’s still there to some extent. You would think that not eating for several weeks would get rid of it, but it doesn’t. It lessens it, but it doesn’t get rid of it completely.

Does doing specific abdominal exercises get rid of it, such as sit-ups and side-bends? It might help a little but not much.  I don’t have any enthusiasm for doing that.  I think it would be better to develop good habits of body mechanics and usage so that you don’t slump down habitually. You need to maintain good length in your abdomen- when you are sitting, standing, and moving, such as walking. That lessens the appearance of love handles. Allowing yourself to collapse, even when you’re resting, is bad. And it may directly inhibit metabolism in that area and increase fat deposition. 

I wish I had the means of posting an image here because I would be glad to show you the condition that I am in in that respect. Do I have love handles? I do a little, but no more than Michaelangelo’s David. And I actually have a pretty decent “six-pack” without doing any abdominal exercises at all, and I don’t. I don’t do sit-ups or anything like that. I don’t think my abdominal fat is excessive, and I think the condition of my abdomen is fine- for a 68 year old man (which I am) or a man of any age.

So, if you have the idea that it would be more aesthetic to have no fat at all on the sides of your abdomen, maybe you can get rid of it, but it will probably take extreme measures, and Dr. Cinque does not recommend it.  If you get it down to where I and Michaelangelo’s David are with it, that is fine. That is plenty good enough, and it is neither necessary nor practical to try to make it less than that.