Expert Q&A

Did an ultrasound and i saw two comments from the result. not sure if going carnivore is still feasible?

Understanding Your Ultrasound Results in Context

When you see comments on an ultrasound report, it's natural to feel concerned, especially if you're 45-54, managing diabetes or blood pressure, and dealing with stubborn weight that won't budge despite past diet failures. Common findings like mild fatty liver, gallstones, or thickened gallbladder walls often tie directly to the hormonal shifts and metabolic stress many in our community face. These don't automatically rule out a carnivore approach, but they require a smart, phased strategy.

Is Carnivore Feasible? Yes, With the Right Modifications

In my book The CFP Weight Loss Method, we emphasize that carnivore can be transformative for insulin resistance and hormonal weight gain when done correctly. For those with fatty liver, a well-formulated carnivore plan can reduce liver fat by up to 30% in 12 weeks by eliminating carbs that spike insulin. However, if your ultrasound flags gallbladder issues, we start slower to avoid pain or digestive upset. Joint pain making exercise impossible? Carnivore often reduces inflammation within 2-4 weeks, easing knees and hips so light walks become doable without gym schedules that don't fit your life.

Key adjustment: Begin with our 4-phase protocol instead of jumping straight to strict carnivore. Phase 1 focuses on easy elimination of plant irritants while keeping fatty cuts of beef, eggs, and butter that support hormone balance. This helps blood sugar stability for those managing diabetes alongside weight loss.

Practical Steps to Start Safely

First, share your exact ultrasound comments with your doctor and ask about bile support if needed. Then follow this beginner-friendly plan: Week 1-2, eat 2-3 meals of ribeye, ground beef (80/20), and salmon. Aim for 1.5-2 grams of protein per pound of goal body weight. Hydrate with 3-4 liters of water plus electrolytes to counter any initial blood pressure fluctuations.

Track symptoms daily: energy, joint comfort, and bowel movements. Most see reduced cravings and 4-8 pounds lost in the first month without complex meal prepping. If gallbladder discomfort arises, add a digestive enzyme with meals temporarily. Insurance not covering programs? Our method uses affordable grocery staples, keeping costs under $12 daily.

Addressing Your Specific Pain Points

Feeling embarrassed about obesity or overwhelmed by conflicting advice is common at this stage. The carnivore path simplifies everything—no calorie counting, no shakes. Hormonal changes in perimenopause make fat loss harder, but removing inflammatory plants and stabilizing blood sugar via meat-based eating often restores natural leptin signaling. Many in our program reverse prediabetes markers while dropping 15-25 pounds in 90 days. Listen to your body, retest in 3 months, and adjust. This isn't another failed diet—it's a sustainable metabolic reset tailored for real life.

💬 What the Community Says

The community shows cautious optimism about trying carnivore after ultrasound findings, especially fatty liver or minor gallbladder notes. Many in the 45-54 group report their doctors were neutral or even supportive once explained as a short-term elimination approach, with several noting improved liver enzymes after 8-12 weeks. A common theme is starting slow rather than full strict carnivore to avoid flares of joint pain or digestive issues. Some share stories of significant weight loss (15-30 lbs) and better blood pressure despite insurance not covering any formal program. However, a vocal minority warns against it with active gallstones, citing ER visits from high fat intake. Most practitioners recommend getting the exact report wording reviewed by a physician first and pairing it with electrolyte support. Beginners frequently mention feeling less overwhelmed once they simplify to beef, salt, and water, though embarrassment about discussing results keeps some from asking doctors directly. Overall sentiment leans toward 'worth a modified try' for those frustrated with standard diets.
Clark, R. (2026). Did an ultrasound and i saw two comments from the result. not sure if going carn. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/did-an-ultrasound-and-i-saw-two-comments-from-the-result-not-sure-if-going-carnivore-is-still-feasible
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
2.5 mg no longer working. Move to 3.5 for long-term maintenance (not just short-term) Fuck is Almond milk for those with hypothyroidism or Hashimoto's Anyone stopped responding to Mounjaro and had better results with retatrutide and the role of cortisol and stress hormones Is it even worth it anymore: best practices and common mistakes to avoid When people ask how I can tell my sugar's low and the role of cortisol and stress hormones Astounded to see that 19 million people in the US are on levothyroxine. Why is hypothyroidism so prevalent? What is causing such crazy high levels of thyroid disease — how a functional medicine approach differs 📖 Phase 1: Priming — The first 48 hours of a 70-day cycle focused on high-fat intake to prevent the brain from triggering a starvation respon… Why is almost all the focus in treating PCOS on fertility: best practices and common mistakes to avoid Does anyone else love masks mandated so I can hide my facial hair while doing intermittent fasting Depressive symptoms from non-stick air fryer — how a functional medicine approach differs 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → E Patch to Injections how long did you leave your patch on: what to track and how to measure progress Mounjaro diet plan, supplements and workout: what to track and how to measure progress Can we talk about the founder: how to talk to your doctor about this Does anyone else feel like they are living life at 50% on a low-carb or ketogenic diet 📖 Hashimoto’s Success — Achieving weight loss and reduced inflammation in thyroid patients by removing dietary triggers like lectins and modern … Ive been taking 15mg of tirzepatide for a year and my weight has stalled out with no diet change. What can I do? How To Speed Up Your Metabolism After 40 during the weight loss plateau phase Cheat / treat days or meals: best practices and common mistakes to avoid What would be the cause of insulin resistance while doing intermittent fasting 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Starting 2.5 mg of the Zepbound Kwikpen tonight. Any tips to get started? 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… Did anyone else feel like Trintellix completely blunted their GLP-1 (Mounjaro/Wegovy) effect — 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 if you're on a GLP-1 like semaglutide or tirzepatide Did anyone else feel like Trintellix completely blunted their GLP-1 (Mounjaro/Wegovy) effect — what do certified weight loss coaches recommend? How it goes trying to dose insulin every day: how to talk to your doctor about this Same Workout Until it becomes Zone 2 while doing intermittent fasting 📖 Satiety Signal — The biological 'off switch' for hunger that our protocol restores by healing the gut and balancing blood sugar levels. Why I have to be so strict with my paleo regime — how a functional medicine approach differs Two week pause, ok to return to current dose — how a functional medicine approach differs 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → When the clock starts over for those with hypothyroidism or Hashimoto's 📖 Modern Wheat Dangers — The hidden threat in hybridized grains that causes gut inflammation and spikes blood sugar more aggressively than pure t… Is this normal? Feels like a waste: what to track and how to measure progress Dr Gundry: the 120+80 supplements he himself takes daily while doing intermittent fasting Has anyone switched from wegovy to mounjaro and how it connects to gut health and inflammation 📖 One Box Protocol — A revolutionary approach where we stretch one 60 mg box of tirzepatide across three metabolic phases, prioritizing long-… Anyone had improvement in symptoms after already eating a clean plant based diet — how a functional medicine approach differs Is this normal? Feels like a waste while doing intermittent fasting Anyone else with hashimoto's AND adhd in here and how it connects to gut health and inflammation How much are people paying for Estring: how to talk to your doctor about this 📖 Caloric Deficit Myth — The false belief that weight loss is purely 'math'; we focus on hormonal signaling rather than just counting calories to… Anyone skip a week when sick while doing intermittent fasting 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → What tissues show the biggest metabolic remodeling in z2: best practices and common mistakes to avoid How does smoking affect GERD while taking tirzepatide? Opened monjuaro pen is it safe to use — how a functional medicine approach differs 📖 Smart Cycling — The strategic alternating of medication doses with planned 'off' periods to prevent receptor desensitization and ensure … Can we talk about the founder for those with hypothyroidism or Hashimoto's When period stopped did you feel like the worst pmdd of all time daily or on a low-carb or ketogenic diet Can anyone share a good shopping list — how a functional medicine approach differs When men recognize symptoms for those with hypothyroidism or Hashimoto's 📖 Hidden Hunger — A state where the body is overfed but undernourished, leading to constant cravings because the brain isn't receiving the… What is the Role of Metabolism in Immune System while doing intermittent fasting Starting my second extended fast tomorrow. Hoping for 12 days or maybe do another 42 while doing intermittent fasting 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → One avocado a day? What's up with that? Does anyone remember if the good doctor ever gave us an explanation for that: how to talk to your doctor about this Is it just me or is Hashimoto’s greatly underrepresented while doing intermittent fasting Anyone have experience switching from compound injection to pill: what to track and how to measure progress 📖 Diabetes Reversal — The clinical goal of restoring normal blood sugar levels and insulin function, as seen in patients like John who no long… How do you gauge progress from zone 2 while doing intermittent fasting Anyone have experience switching from compound injection to pill — how a functional medicine approach differs What is the Role of Metabolism in Immune System — what do certified weight loss coaches recommend? Has anyone been diagnosed with Hashimotos after going through emotional distress or chronic stress in general and the role of cortisol and stress hormones