Expert Q&A

Anyone aware of what’s going on with Ray Audette (Neanderthin) when you have PCOS or hormonal imbalances

Understanding Ray Audette's Neanderthin Approach

I've spent years studying how ancestral eating patterns help women in their late 40s and early 50s overcome stubborn weight gain. Ray Audette's 1999 book Neanderthin popularized a strict paleo diet focused exclusively on foods available to hunter-gatherers: meats, fish, eggs, nuts, seeds, fruits, and non-starchy vegetables. Audette himself reversed type 2 diabetes and lost significant weight by eliminating grains, dairy, sugars, and processed oils. For women facing PCOS or hormonal imbalances, this method targets the root drivers—chronic inflammation and insulin resistance—that make fat loss feel impossible after age 45.

Why Neanderthin Helps with PCOS and Hormonal Challenges

Women with PCOS often battle elevated androgens, irregular cycles, and insulin levels that lock fat around the midsection. Neanderthin's zero-tolerance for grains and refined carbs dramatically lowers insulin demand. Clinical observations show many women see improved cycle regularity and reduced hirsutism within 8–12 weeks. In my experience guiding clients with both diabetes and blood pressure concerns, removing dairy can further calm estrogen dominance that worsens joint pain and fatigue. Audette emphasized eating until satisfied without calorie counting—an important relief for those overwhelmed by conflicting nutrition advice and failed diets. Typical daily intake might include grass-fed beef, wild salmon, berries, leafy greens, and almonds, providing anti-inflammatory omega-3s and fiber that support thyroid function often sluggish during perimenopause.

Practical Implementation for Beginners with Joint Pain

Start simply: clear your pantry of grains, bread, pasta, and seed oils. Replace with 4–6 ounces of protein at each meal, unlimited non-starchy vegetables, and modest fruit. Because joint pain makes intense exercise difficult, focus first on consistent daily walks of 20–30 minutes while the anti-inflammatory effects reduce discomfort within weeks. My methodology in The CFP Weight Loss Protocol adapts Audette's principles by adding gentle meal timing—eating within a 10–12 hour window—to further stabilize hormones without complicated schedules. Track fasting blood glucose; many see numbers drop 15–30 points in the first month, easing both diabetes management and weight loss. For insurance-conscious middle-income families, this approach uses affordable staples like eggs, chicken thighs, and frozen berries.

Potential Adjustments and Long-Term Success

While strict Neanderthin excludes all dairy, some women with PCOS tolerate small amounts of fermented options like yogurt if symptoms stay controlled. Listen to your body: persistent bloating may signal the need to eliminate nuts temporarily. Audette himself noted individual variation, encouraging experimentation. The real power comes from consistency—most clients lose 1–2 pounds weekly after the initial water weight drop, regaining energy and confidence they thought was lost forever. By addressing the hormonal environment first, exercise becomes sustainable and results stick where other diets failed.

💬 What the Community Says

The community shows strong interest in Ray Audette's Neanderthin for PCOS, with many women aged 45-55 sharing stories of reduced inflammation and easier weight loss after cutting grains and dairy. Most practitioners find the simple food list less overwhelming than other paleo plans, especially those managing diabetes alongside hormonal issues. A vocal minority debates the strictness—some report better cycle regulation and joint pain relief within months, while others struggle with energy dips initially or find it hard to sustain without any treats. Lived experiences frequently mention improved blood pressure numbers and less embarrassment asking for help once visible results appear. Debates center on whether limited dairy should be allowed for thyroid support versus full elimination for insulin control. Overall sentiment is cautiously optimistic, with users appreciating the no-gym-required aspect but wishing for more specific guidance tailored to perimenopausal bodies.
Clark, R. (2026). Anyone aware of what’s going on with Ray Audette (Neanderthin) when you have PCO. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/anyone-aware-of-what-s-going-on-with-ray-audette-neanderthin-when-you-have-pcos-or-hormonal-imbalances
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
How much keto-ade should I safely drink — how a functional medicine approach differs and how it connects to gut health and inflammation? Safest type of fiber: what to track and how to measure progress: best practices and common mistakes to avoid? Gaining tons of weight but normal levels — what does the research actually say while doing intermittent fasting? When fed ex secures the goods when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? Do you follow the food order recommendation for those with hypothyroidism or Hashimoto’s? 📖 Satiety Signal — The biological 'off switch' for hunger that our protocol restores by healing the gut and balancing blood sugar levels. I lost 100#s using cutting calories and exercising, 10 to 15,000 steps, and I soon plateaued and I was so hungry. Can sugar free candy make a difference and how it connects to gut health and inflammation: what to track and how to measure progress? When fed ex secures the goods when you have PCOS or hormonal imbalances for those with hypothyroidism or Hashimoto’s? 📗 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 For those who took metformin, how soon did you see benefits: best practices and common mistakes to avoid on a low-carb or ketogenic diet? Anybody else wake up after 5-6 hours because their lower back starts hurting — what does the research actually say and how it connects to gut health and inflammation? What is a ‘normal’ value for dawn phenomena for you — how a functional medicine approach differs specifically for women over 40? WHAT I️ EAT IN A DAY ON THE KETO DIET | WEIGHT LOSS JOURNEY ❤️ for long-term maintenance (not just short-term) when you have PCOS or hormonal imbalances? 📖 Diabetes Reversal — The clinical goal of restoring normal blood sugar levels and insulin function, as seen in patients like John who no long… How does green tea stop autophagy for men for people with insulin resistance? Bad advice from doctor for long-term maintenance (not just short-term) while doing intermittent fasting? Why does keto hurt my stomach 😞 for people with insulin resistance and its effect on metabolism and insulin levels? If you have a recently found thyroid nodule — would anyone be open to sharing what the first few weeks were like if you're on a GLP-1 like semaglutide or tirzepatide specifically for women over 40? Why is my face more bulky and blocky on a ketogenic diet — how a functional medicine approach differs during the weight loss plateau phase? Bad advice from doctor for long-term maintenance (not just short-term) and its effect on metabolism and insulin levels? 📗 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 good is it if I still drink (sugar free) soda for those with hypothyroidism or Hashimoto's for those with hypothyroidism or Hashimoto’s? 📖 Smart Cycling — The strategic alternating of medication doses with planned 'off' periods to prevent receptor desensitization and ensure … How did you stop your health anxiety — what do certified weight loss coaches recommend on a low-carb or ketogenic diet? Here's the things I wish I'd known back then... what are yours and how it connects to gut health and inflammation: what to track and how to measure progress? What a month of paleo has done for me while doing intermittent fasting: best practices and common mistakes to avoid? Do any of you feel like you almost had to become your own doctor and have to do an insane amount of research on your own and its effect on metabolism and insulin levels and how it connects to gut health and inflammation? 📖 Insulin Resistance — A condition where your cells stop responding to insulin, locking fat in storage; our protocol is designed to unlock thes… How much are people actually paying for tirzepatide without insurance when you have PCOS or hormonal imbalances and how it connects to gut health and inflammation? 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 — what certified coaches recommend? Can Maintenance Phase do an episode about pregnancy weight gain — what do certified weight loss coaches recommend if you're on a GLP-1 like semaglutide or tirzepatide? 📗 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 know of any snacks that you can just chew on when you're bored on a low-carb or ketogenic diet — what certified coaches recommend? Why is this ruining my life? Doctor's don't take me seriously. 20 year old male: best practices and common mistakes to avoid for people with insulin resistance? Is the idea of the kitchen timer to eventually get to the point where someone has an orgasm just from hearing the ding? Pavlov's orgasm — what does the research actually say for people with insulin resistance? 📖 The Clark Protocol — Our evidence-based framework that combines clinical nurse practitioner expertise with personal experience to solve the o… One Medical for Lilly Direct on a low-carb or ketogenic diet during the weight loss plateau phase? Has anyone with loose skin tried water fasting for long periods of time? and hie did it effect the loose skin and how it connects to gut health and inflammation if you're on a GLP-1 like semaglutide or tirzepatide? How it's going for me and how BMI has betrayed the tall girlies: what to track and how to measure progress while doing intermittent fasting? Does anyone else feel like they are living life at 50% and the role of cortisol and stress hormones and how it connects to gut health and inflammation? Can anyone help me with my pelvic ultrasound results ? I know this is TMI 😂 — evidence-based answer for CFP patients for people with insulin resistance? Does anyone else remember the darkest time of our Generation — evidence-based answer for CFP patients when you have PCOS or hormonal imbalances? My friends stopped being impressed by my weight loss ages ago. I just reached my goal weight, would you cheer for me in their place: what to track and how to measure progress when you have PCOS or hormonal imbalances? 📖 Ketogenic Foundation — Using low-carbohydrate principles to keep insulin low, allowing the tirzepatide to work more effectively at lower doses. 📗 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 Digestive issues? Alcohol allergy — what most people get wrong about this while doing intermittent fasting? Been going out with this girl and I think it’s destroyed my microbiome for people with insulin resistance while doing intermittent fasting? Do you know of any snacks that you can just chew on when you're bored on a low-carb or ketogenic diet for those with hypothyroidism or Hashimoto’s? What was your wake up call that you needed to lose the weight or you might die — what does the research actually say: best practices and common mistakes to avoid? What is the connection between I reduced my IR from 15.5 to 4 in 3 months: what to track and how to measure progress? 📖 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… A Switch from HRT to Birth Control: how to talk to your doctor about this when you have PCOS or hormonal imbalances? When I want to lose weight fast I fast while doing intermittent fasting? Stacking NMN with TMG, what's your morning fasted protocol look like for people with insulin resistance while doing intermittent fasting? How did I not get a heads up? I now make it my goal to help, support and inform others heading towards menooause and its effect on metabolism and insulin levels — what certified coaches recommend? How I cured my bad breath. Especially helpful for people with sinus issues: how to talk to your doctor about this if you're on a GLP-1 like semaglutide or tirzepatide? 📗 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 Starting my second extended fast tomorrow. Hoping for 12 days or maybe do another 42 for people with insulin resistance on a low-carb or ketogenic diet? 📖 Strategic Fat Loading — A critical 48-hour phase at the start of the reset where we prime the body with healthy fats to trigger the transition f… How to work on betrayal, forgiveness integration for long-term maintenance (not just short-term) if you're on a GLP-1 like semaglutide or tirzepatide? Did anyone lose weight because of a medical condition — what do certified weight loss coaches recommend: best practices and common mistakes to avoid? How do you guys manage stress — what does the research actually say: best practices and common mistakes to avoid?