If her stomach is distended and hard, chances are good that she has too much visceral fat, (that is the fat that develops and forms around internal organs usually either from a sedentary lifestyle or chronic stress). This fat is different from the fat that we typically see in clients who have “soft” stomachs. Although both fats are not good in excess, visceral fat is especially not healthy. Great way to reduce both if she has been cleared by her doctor for exercise, is to do HIIT type training, cardio, and a good diet. Hope that helps!