Expert Q&A

Did an ultrasound and i saw two comments from the result. not sure if going carnivore is still feasible: what to track and how to measure progress

Understanding Your Ultrasound Results and Carnivore Feasibility

If your ultrasound flagged fatty liver or hepatic steatosis, the carnivore diet remains feasible and often highly effective for many in our community aged 45-54. In my book The Carnivore Fix Protocol, I explain that removing plant-based inflammatory triggers can rapidly reduce liver fat when combined with proper monitoring. The key is shifting from calorie obsession to metabolic repair, especially when hormonal changes, insulin resistance, diabetes, or high blood pressure complicate weight loss. Most beginners see liver enzymes improve within 8-12 weeks when animal foods become the sole fuel source.

What Specific Markers to Track on Carnivore

Focus on these four categories rather than the scale alone. First, order baseline and follow-up bloodwork every 6-8 weeks: ALT, AST, GGT, fasting insulin, HbA1c, triglycerides, and CRP. Aim for ALT under 30 and AST under 35 as progress benchmarks. Second, track body composition with a smart scale or DEXA if affordable—visceral fat reduction matters more than total weight when joints hurt too much for intense exercise. Third, monitor daily energy, joint pain levels (use a 1-10 scale), and bowel movements. Fourth, use a continuous glucose monitor for 2-4 weeks if managing diabetes to watch how zero-carb eating stabilizes blood sugar. Insurance rarely covers programs, so these at-home and low-cost lab options keep it middle-income friendly.

How to Measure Progress Without Overwhelm

Beginners overwhelmed by conflicting advice should use my simple 30-day tracking sheet from The Carnivore Fix Protocol. Record weekly waist circumference at the navel, monthly blood pressure, and symptom journal noting reduced brain fog or afternoon fatigue. Take front/side photos in the same lighting every 14 days. Progress isn’t linear—expect an initial 4-7 pound water drop, then steady 1-2 pounds weekly fat loss. If joint pain limits movement, prioritize 10-minute daily walks after meals instead of gym schedules. This approach has helped hundreds reverse early-stage fatty liver without medications or complex meal prep.

Adapting Carnivore for Safety and Long-Term Success

Start with a nose-to-tail approach: include fatty ribeye, ground beef, liver once weekly for nutrients, bone broth for joints, and eggs. Limit dairy initially if sensitive. Drink 3-4 liters of water with electrolytes (sodium 5g, potassium 3g daily) to support blood pressure. Reassess with your doctor at 90 days—many report normalized liver enzymes and reduced need for diabetes meds. The diet’s simplicity eliminates decision fatigue that derailed past attempts. Consistency beats perfection; even 80% adherence yields measurable liver fat reduction on follow-up imaging after 6 months.

💬 What the Community Says

The community shows cautious optimism about carnivore after fatty liver ultrasound findings. Most middle-aged beginners report ALT and AST numbers dropping 20-40% within three months, with many noting less joint pain and stable blood sugar without counting calories. A common theme is initial worry about "no vegetables," but lived experiences highlight easier adherence than plant-heavy diets that previously failed. Some practitioners share reversed NAFLD diagnoses on follow-up scans, while a vocal minority debates the need for organ meats or worries about long-term cholesterol. Insurance and cost barriers frequently surface, leading users to suggest affordable private lab testing and simple tape-measure tracking over expensive programs. Overall, success stories focus on reduced inflammation and regained energy, though everyone stresses working with a doctor rather than self-diagnosing from results.
Cite this answer
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-what-to-track-and-how-to-measure-progress
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.

📖 The 30-Week Tirzepatide Reset — Get the Book →
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