Expert Q&A

Did an ultrasound and i saw two comments from the result. not sure if going carnivore is still feasible — how a functional medicine approach differs

Understanding Your Ultrasound Results and Fatty Liver

When your ultrasound report mentions fatty liver or hepatic steatosis, it means excess fat has built up in liver cells. This is extremely common in adults over 45 dealing with hormonal shifts, insulin resistance, and previous diet failures. The good news? It's often reversible with the right approach. Many in our community see their liver enzymes normalize within 3-6 months when addressing root causes instead of just symptoms.

Is the Carnivore Diet Still Feasible?

Yes, a well-planned carnivore diet can be feasible and even beneficial for fatty liver, especially if you're managing diabetes, blood pressure, or joint pain that makes traditional exercise difficult. By eliminating plant-based carbs and inflammatory triggers, many experience rapid improvements in insulin sensitivity. In my book The CFP Reset, I outline how a meat-focused protocol helps stabilize blood sugar without complex meal plans. Start with fatty cuts of beef, eggs, and organ meats while staying hydrated and supplementing electrolytes. Monitor with follow-up bloodwork every 8-12 weeks—triglycerides and ALT levels are key markers that typically drop 20-40%.

How a Functional Medicine Approach Differs

Unlike standard low-fat diets pushed by insurance-covered programs, a functional medicine approach looks at why fat accumulates: gut health, hormone imbalances like declining estrogen and testosterone, and chronic stress. It differs by personalizing beyond just food. We test for nutrient deficiencies (common in beginners), optimize sleep, and incorporate gentle movement like walking to ease joint pain. Carnivore fits beautifully here as an elimination phase, but we layer in targeted supports like bile salts for digestion and omega-3s to reduce liver inflammation. This avoids the overwhelm of conflicting nutrition advice by focusing on what works for middle-income families with busy schedules—no expensive gym memberships required.

Practical Steps to Begin Safely

Begin with a 30-day carnivore trial: 2-3 pounds of ruminant meat daily, salt to taste, and bone broth for joints. Track symptoms in a simple journal. If energy dips, add grass-fed butter. Reassess with your doctor using the same ultrasound metrics. Thousands in our program have reversed fatty liver while losing 15-30 pounds, proving sustainable change is possible even after multiple diet failures. Focus on consistency over perfection, and celebrate small wins like reduced belly bloating or better blood pressure readings.

💬 What the Community Says

The community shows cautious optimism about trying carnivore after fatty liver diagnoses on ultrasound. Many over-45 beginners report success with reduced liver fat on follow-up scans after 90 days, citing less joint pain and stable blood sugar. However, a vocal group worries about long-term sustainability, sharing stories of initial cholesterol spikes or digestive issues. Most agree functional medicine offers better personalization than standard diets, especially when insurance denies coverage. Lived experiences highlight the relief of simple meat-based eating versus complicated plans, though some debate adding limited veggies for fiber. Overall sentiment favors starting slow with medical monitoring, with frequent mentions of reversed prediabetes and renewed energy despite past failures.
Clark, R. (2026). Did an ultrasound and i saw two comments from the result. not sure if going carn. *CFP Weight Loss*. https://blog.cfpweightloss.com/ask/did-an-ultrasound-and-i-saw-two-comments-from-the-result-not-sure-if-going-carnivore-is-still-feasible-how-a-functional-medicine-approach
Russell Clark, FNP-C, APRN
About the Author

Russell Clark, FNP-C, APRN, is the founder of CFP Weight Loss in Nashville and CFP Fit Now telehealth. Over 35 years in healthcare — Army Nurse Reserves, Level 1 trauma ER, hospitalist — he developed a 30-week protocol integrating real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 30–90 pounds. He and his wife Anne-Marie lost a combined 275 pounds using the same protocol.

Have a follow-up question?
More Questions 200 answered
What a month of paleo has done for me while doing intermittent fasting What has autophagy cured/made better in you: how to talk to your doctor about this I'hv just stumbled upon autophagy and felt some hope for my situation. Is it really good for loose skin ? What can I do — what most people get wrong about this App that can predict symptoms before they get bad — how a functional medicine approach differs Did anyone else feel like Trintellix completely blunted their GLP-1 (Mounjaro/Wegovy) effect while doing intermittent fasting 📖 Amylopectin A — The specific starch found in modern wheat that causes rapid, dangerous spikes in blood glucose and promotes belly fat st… How many of you with PCOS had a narcissistic parent growing up while doing intermittent fasting Has anyone reversed insulin resistance without medication: how to talk to your doctor about this Anyone have experience switching from compound injection to pill — how a functional medicine approach differs 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Hitting protein goals. How do you do it — how a functional medicine approach differs Semaglutide Not Working At All... What am I doing Wrong while doing intermittent fasting Would doing this 2-3x a week help increase my Vo2 max — how a functional medicine approach differs 📖 Ketogenic Foundation — Using low-carbohydrate principles to keep insulin low, allowing the tirzepatide to work more effectively at lower doses. How it goes trying to dose insulin every day while doing intermittent fasting Is this normal? Feels like a waste while doing intermittent fasting Does Autophagy eat fat cells while doing intermittent fasting 📖 Autophagy — The body's natural 'housecleaning' process that occurs during fasting or low-insulin states, promoted during our mainten… How often can I eat in season fruits while doing intermittent fasting Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this on a low-carb or ketogenic diet 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Can we talk about the founder and the role of cortisol and stress hormones Can we stop posting good glucose levels and pretending they are bad for people with insulin resistance Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this for long-term maintenance (not just short-term) DO NOT TAKE INOSITOL IF YOU'RE NOT INSULIN RESISTANT when you have PCOS or hormonal imbalances 📖 Gut Microbiome Repair — The restoration of healthy intestinal bacteria through the removal of lectins and grains, essential for long-term weight… When people ask how I can tell my sugar's low and the role of cortisol and stress hormones What is this new frozen hell — how a functional medicine approach differs Has anyone tried this lectin free lifestyle living with PCOS — how a functional medicine approach differs When the clock starts over for those with hypothyroidism or Hashimoto's 📖 GIP (Gastric Inhibitory Polypeptide) — A hormone that, when combined with GLP-1, enhances the body’s ability to break down fat and manage blood sugar levels mo… What about oxalates — how a functional medicine approach differs Safest type of fiber while doing intermittent fasting 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Semaglutide + lifting — how are you fueling workouts on low calories — how a functional medicine approach differs How I found out I had uterine cancer, what I wish I had known, and what everyone with PCOS should know about their period for people with insulin resistance 📖 Smart Cycling — The strategic alternating of medication doses with planned 'off' periods to prevent receptor desensitization and ensure … Semaglutide + lifting — how are you fueling workouts on low calories and the role of cortisol and stress hormones How does smoking affect GERD while taking tirzepatide? Does the estradiol gel-associated bloating subside? How do you know you are in meno if you take continuous bc — how a functional medicine approach differs Zone 2 running is absurdly slow (slower than walking) — am I doing this right and the role of cortisol and stress hormones 📖 Nutrient Density — Prioritizing foods that provide maximum vitamins and minerals per calorie to satisfy the brain and end the cycle of hidd… How I'm greeted most mornings specifically for women over 40 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → When men recognize symptoms: how to talk to your doctor about this What a 55 water fast did for me for people with insulin resistance 📖 30-Week Tirzepatide Reset — Our signature protocol using a single 60 mg box of medication cycled over 30 weeks to achieve lasting metabolic transfor… When period stopped did you feel like the worst pmdd of all time daily or for people with insulin resistance What actually helped my Hashimoto's symptoms — food changes that made a difference for me and its effect on metabolism and insulin levels Magic Spoon Cereal Lectin Free and the role of cortisol and stress hormones Is tomato paste lectin free — what most people get wrong about this Newb question: focusing on perceived exertion or heart rate — how a functional medicine approach differs 📖 Metabolic Reset — The process of retraining your body to utilize stored fat for fuel and regulating hunger hormones so you can maintain yo… Anyone have recipes or grocery lists — how a functional medicine approach differs 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Anyone worried about the FDA crackdown and its effect on metabolism and insulin levels How I Lost 22lbs in 3 Months (155→133lbs at 5'8") after not being able to lose weight for a long time while doing intermittent fasting When men recognize symptoms for people with insulin resistance 📖 Rebound Weight Gain — The common 'yo-yo' effect caused by high-dose, continuous GLP-1 use; we prevent this through strategic cycling and metab… Insomnia while taking oral minoxidril while doing intermittent fasting Had Dr. Gundry spoken about the vaccine while doing intermittent fasting Had my annual physical today — how a functional medicine approach differs Two week pause, ok to return to current dose and the role of cortisol and stress hormones Rheumatoid Arthritis results if you're on a GLP-1 like semaglutide or tirzepatide