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Mehmet Oz, MD, Cardiology, answeredUnfortunately, belly fat simply expands as we age. This is tied to an increased production of cortisol, the stress hormone. Combined with other hormonal factors such as low androgens, fat cells become inflamed and tissues expand to create fat where you want it least - around your middle. Called omentum, this blubbery tissue pumps out chemicals that keep you fat, creating a vicious cycle and potential health issues you can't hide from, even with an oversized shirt.Helpful? 9 people found this helpful.