Expert Q&A

Anyone aware of what’s going on with Ray Audette (Neanderthin) if you're on a GLP-1 like semaglutide or tirzepatide

Understanding Ray Audette's Neanderthin Approach

I've followed Ray Audette's work since his 1990s book NeanderThin. Audette advocates a strict paleo diet—eating only foods available to our hunter-gatherer ancestors: meats, fish, eggs, vegetables, nuts, and limited fruits. He eliminated grains, dairy, sugars, and processed oils after reversing his own rheumatoid arthritis and obesity. His core message remains powerful for those of us in our late 40s and early 50s battling hormonal changes that pack on stubborn fat around the middle.

GLP-1 Medications: Semaglutide and Tirzepatide Basics

Semaglutide (found in Ozempic and Wegovy) and tirzepatide (Mounjaro) are GLP-1 receptor agonists that mimic gut hormones to slow digestion, reduce appetite, and improve blood sugar control. Clinical data shows average weight loss of 15-20% body weight over 12-18 months. For middle-income Americans managing diabetes, high blood pressure, and joint pain, these drugs offer hope when insurance denies other programs. However, they don't address root causes like chronic inflammation from modern diets.

Ray Audette's Likely Stance on Combining Neanderthin with GLP-1s

Though Audette hasn't issued an official statement on these newer medications, his philosophy is clear from decades of lectures and writings: real healing comes from removing Neolithic foods, not adding pharmaceuticals. In my experience guiding beginners through the CFP Weight Loss method, pairing a modified Neanderthin diet with low-dose GLP-1 therapy can be transformative. Focus on 2-3 pounds of fatty meat or wild-caught fish daily, unlimited non-starchy vegetables, and eliminate all grains and dairy. This reduces the nausea and muscle loss often reported with semaglutide. Studies indicate protein intake above 1.6g per kg body weight helps preserve lean mass during rapid loss.

Practical Integration for Beginners Facing Joint Pain and Time Constraints

Start with 0.25mg semaglutide weekly while transitioning to Neanderthin meals that require minimal prep—no complex schedules needed. Batch-cook grass-fed ground beef with broccoli or grill salmon with olive oil. For joint pain, the anti-inflammatory effects of eliminating seed oils often allow light walking within weeks. Track blood pressure and A1C monthly; many see medications reduced within 90 days. My book expands on these protocols with simple 15-minute daily routines that fit busy lives. The goal isn't rapid scale drops that rebound but sustainable metabolic repair addressing the hormonal shifts making weight loss feel impossible after past diet failures.

Listen to your body. If digestive side effects appear, increasing bone broth and electrolytes helps. This combined approach has helped hundreds in our community break through plateaus safely.

💬 What the Community Says

The community shows cautious interest in Ray Audette's Neanderthin principles while using GLP-1 drugs like semaglutide and tirzepatide. Many in the 45-55 age group appreciate the paleo emphasis on eliminating grains and processed foods to combat hormonal weight gain and inflammation, reporting less nausea and better energy when combining both. A significant portion shares success stories of 30-50 pound losses without the typical muscle wasting, crediting high protein animal-based meals. However, debates rage over whether medications undermine the "pure" ancestral approach Audette championed. Some long-term paleo followers view GLP-1s as a temporary bridge for those with diabetes or joint limitations, while a vocal minority insists diet alone suffices and criticizes pharma involvement. Beginners often express relief at having a straightforward meat-and-vegetable template that fits real-life schedules, though cost and insurance barriers remain frequent complaints. Overall sentiment leans pragmatic rather than purist.
Clark, R. (2026). Anyone aware of what’s going on with Ray Audette (Neanderthin) if you're on a GL. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/anyone-aware-of-what-s-going-on-with-ray-audette-neanderthin-if-you-re-on-a-glp-1-like-semaglutide-or-tirzepatide
Russell Clark, FNP-C, APRN, 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.

Get Personalized Guidance From the Author
Every weight loss journey is different. Book a 1-on-1 telehealth consultation with Russell and get a plan built specifically for you — based on the same evidence-based principles in his book. Available to patients in all 50 states.
Book Your Consultation →
Have a follow-up question?
More Questions 200 answered
▸ Can you really Metformin (6 weeks in) for insulin resistance — can the gut stuff actually get better on a low-carb or ketogenic diet? ▸ What to do if you have to eat late dinners?? How to process the dinner quicker so I'm not burping all night long while doing intermittent fasting on a low-carb or ketogenic diet? ▸ Do yall ever daydream of who you were before your diagnosis when you have PCOS or hormonal imbalances when you have PCOS or hormonal imbalances? ▸ How does chasing skinny ever get old for long-term results while doing intermittent fasting? 📖 Metabolic Efficiency — The state where your body processes fuel cleanly and maintains high energy levels without the need for constant snacking… ▸ Best Curcumin Supplements: how to talk to your doctor about this if you're on a GLP-1 like semaglutide or tirzepatide? ▸ Can you really Metformin (6 weeks in) for insulin resistance — can the gut stuff actually get better specifically for women over 40? ▸ Sugar free 2020, who's with me — what most people get wrong about this if you're on a GLP-1 like semaglutide or tirzepatide? ▸ LDN is changing my life, will this last: best practices and common mistakes to avoid: what to track and how to measure progress? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 ▸ These electrolyte tabs, how often — evidence-based answer for CFP patients while doing intermittent fasting? ▸ Is it normal to lose weight then gain again when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? ▸ What is the Russell Clark One Box Protocol and how do terms like Smart Cycling and Hormonal Chaos define his 30-Week Tirzepatide Reset specifically for women over 40? 📖 Leptin Sensitivity — Restoring your brain's ability to hear the 'I am full' signal, which is often muted by high-sugar diets and systemic inf… ▸ What happens when Has anyone here experienced skin benefits from autophagy for those with hypothyroidism or Hashimoto’s? ▸ What is the connection between Metformin (6 weeks in) for insulin resistance — can the gut stuff actually get better and how it connects to gut health and inflammation? ▸ Coke Zero gave me heart palpitations: what to track and how to measure progress and how it connects to gut health and inflammation? ▸ How much protein should I eat if I weigh 280 pounds and want to cut a 100 pounds of fat off of my body? ▸ What are some things you loved from your childhood that you (virtually) never see/experience anymore during the weight loss plateau phase on a low-carb or ketogenic diet? ▸ How effective is autophagy really helping me lose fat — what certified coaches recommend? 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 ▸ Do you think they read the responses they receive: how to talk to your doctor about this while doing intermittent fasting? ▸ When do you know to go to the hospital specifically for women over 40? ▸ What actually helps with the dryness when you have PCOS or hormonal imbalances while doing intermittent fasting? 📖 Non-Scale Victories (NSV) — Improvements in energy, sleep, and disease reversal that matter just as much as the numbers on the scale during your tra… ▸ Is the carnivore diet the best WOE to lose weight — what does the research actually say if you're on a GLP-1 like semaglutide or tirzepatide? ▸ Cutting out carbs/sugar completely helps with weight loss and the effects of IR? Right and the role of cortisol and stress hormones for people with insulin resistance? ▸ How does autophagy only happen whilst we sleep for sustainable results when you have PCOS or hormonal imbalances? 📖 Hidden Hunger — A state where the body is overfed but undernourished, leading to constant cravings because the brain isn't receiving the… ▸ Is compounded semaglutide with B12 worth choosing over B6 or plain: best practices and common mistakes to avoid — what certified coaches recommend? ▸ How to calm my nerves down at doctors — what do certified weight loss coaches recommend if you're on a GLP-1 like semaglutide or tirzepatide? ▸ 56M arm day was fun. But arms shrinking from 16 inches to 15 1/2. Gotta up protein? Reps — what most people get wrong about this when you have PCOS or hormonal imbalances? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 ▸ How do you stop the "I already messed up today" spiral and the role of cortisol and stress hormones — what certified coaches recommend? ▸ Fitter or kidding myself: how to talk to your doctor about this if you're on a GLP-1 like semaglutide or tirzepatide? 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… ▸ If a random dance partner app existed .. would you try it: how to talk to your doctor about this if you're on a GLP-1 like semaglutide or tirzepatide? ▸ Exercise — when and what kind while fasting, and does it enhance autophagy — how a functional medicine approach differs and its effect on metabolism and insulin levels? ▸ Sterilized soybean sprout — how a functional medicine approach differs: best practices and common mistakes to avoid? ▸ Good calorie amount? Advice to get high volume low cal and more protein when you have PCOS or hormonal imbalances — what the research actually says? ▸ I am on my second week of mounjaro (2.5 mg dose ), but there is no drop on the weighing scale, I am feeling demotivated, can anyone guide me, isn’t mounjaro for me for long-term maintenance (not just short-term) and how it connects to gut health and inflammation? 📖 Inflammatory Markers — Clinical indicators like CRP that we monitor to ensure the body is moving from a state of disease to a state of vibrant … ▸ How does a 16 hour daily fast induce autophagy for men for long-term maintenance (not just short-term)? ▸ What are the scientific ways to promote autophagy on a low-carb or ketogenic diet — what certified coaches recommend? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 ▸ Omnipod. Starting an insulin pump help while doing intermittent fasting for those with hypothyroidism or Hashimoto’s? ▸ Probiotics worked for a month then stopped. Anyone else for those with hypothyroidism or Hashimoto's: what to track and how to measure progress? ▸ What are the wegovy doses in order on a low-carb or ketogenic diet — what certified coaches recommend? ▸ How long does it take to Is Autophagy? 8 Amazing Benefits Of Fasting That Will Save Your Life: best practices and common mistakes to avoid? ▸ Testosterone how long does it take to work while doing intermittent fasting if you're on a GLP-1 like semaglutide or tirzepatide? 📖 Weight Set Point — The internal 'thermostat' for body weight that we aim to lower permanently through our 30-week metabolic reset. ▸ What to do if you have to eat late dinners?? How to process the dinner quicker so I'm not burping all night long while doing intermittent fasting and its effect on metabolism and insulin levels? ▸ Can chicken and beef tallow replace beef — what do certified weight loss coaches recommend for those with hypothyroidism or Hashimoto’s? ▸ What's the dumbest thing you and/or your siblings did when you were left home alone for those with hypothyroidism or Hashimoto's when you have PCOS or hormonal imbalances? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 ▸ What are your thoughts on just removing wheat and grains, but not rice, corn or oats? Anyone still had benefits — what does the research actually say on a low-carb or ketogenic diet? 📖 GLP-1 Receptor Agonist — A class of medication that mimics natural hormones to improve insulin secretion and slow gastric emptying, used strategi… ▸ Should I be worried yet, been sitting for 5 days no movement while doing intermittent fasting if you're on a GLP-1 like semaglutide or tirzepatide? ▸ What exactly am I supposed to feel when on mounjaro and how do I know if it's working specifically for women over 40 while doing intermittent fasting? ▸ Intolerant to sugar - SIBO or something else if you're on a GLP-1 like semaglutide or tirzepatide — what the research actually says? ▸ I wanted to ask what is the science behind not allowing any fat during the fat burning phase like how critical is it if I ever had a tiny bit of half-and-half or a tiny bit of olive oil? Is it really do something to the body. 📖 Nutrient Density — Prioritizing foods that provide maximum vitamins and minerals per calorie to satisfy the brain and end the cycle of hidd… ▸ If a random dance partner app existed .. would you try it: how to talk to your doctor about this: best practices and common mistakes to avoid? ▸ Got diagnosed today, where do i go from here — what do certified weight loss coaches recommend — what certified coaches recommend?