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 — what certified coaches recommend?

Understanding Your Ultrasound Results

When an ultrasound flags fatty liver, it typically indicates hepatic steatosis from excess fat storage driven by insulin resistance, fructose, grains, and environmental toxins. The two comments you saw likely reference echogenicity changes and possible mild inflammation. This is common in adults 45-54 managing diabetes, blood pressure, and hormonal shifts. The good news? A strategic carnivore-style reset remains feasible when done correctly, as outlined in my book The 30-Week Tirzepatide Reset.

How a Functional Medicine Approach Differs

Standard medical advice often stops at "lose weight and cut fat," ignoring root causes like lectin-induced gut damage, toxin burden, and broken hunger signals. Functional medicine, which guides the 30-Week Tirzepatide Reset, targets these directly. We use low-dose tirzepatide cycling over three 70-day phases to improve insulin sensitivity without dependency. Pair this with a lectin-free carnivore template: grass-fed meats, eggs, and limited low-toxin organs while eliminating grains, seed oils, and ultra-processed carbs. Our Brown Detox Drops support phase-one and phase-two liver pathways, reducing fat accumulation by 30-50% in many patients within 12 weeks. Add daily Japanese-style walking intervals (10 minutes, 3x/day) that improve hepatic blood flow without stressing painful joints.

Certified Coaches' Recommendations

Our certified coaches emphasize starting with a 14-day strict carnivore induction using the 221 real-food recipes in the protocol. Track body composition weekly, not just scale weight, to celebrate non-scale victories like reduced joint pain and stable blood sugar. Incorporate red light therapy sessions 3-5 times weekly to lower inflammation markers. For those with diabetes or blood pressure concerns, we adjust tirzepatide to micro-doses (2.5-5mg) cycled intelligently, preventing rebound while rebuilding hypothalamic function. Coaches stress the 69 Transformation Steps: daily detox, chaotic intermittent fasting in maintenance, and mindset shifts that move you from diet failure to metabolic freedom.

Realistic Expectations and Next Steps

Patients following this integrated system see liver enzymes normalize and 15-35 pounds lost in the first 10 weeks, with sustained results because we rebuild metabolic health instead of masking symptoms. John, a 58-year-old with similar ultrasound findings and A1C of 7.4, dropped 32 pounds, reversed his fatty liver on follow-up imaging, and discontinued one blood pressure med by week 22. You don't need complex meal plans or expensive gym time—just consistent application of real foods, targeted support, and smart cycling. This approach was designed for busy, middle-income adults overwhelmed by conflicting advice and embarrassed by past diet failures. Start with one box of tirzepatide, the lectin-free framework, and watch your body heal.

💬 What the Community Says

Forum users with fatty liver findings often express relief mixed with caution after seeing ultrasound reports. Many share initial hesitation about carnivore diets, fearing increased fat intake would worsen steatosis, but report positive shifts after adopting lectin-free versions. The community frequently debates functional medicine versus conventional recommendations, with most praising approaches that combine low-dose GLP-1 cycling, detox support, and walking over generic "eat less" advice. A vocal minority worries about long-term sustainability without medication, while others celebrate non-scale victories like less joint pain and better energy. Experiences with certified coaches highlight the value of structured 30-week protocols, though insurance coverage frustrations remain common. Overall, participants value real-food resets that address hormones and toxins, noting improved labs and maintained weight loss when habits stick.
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://ask.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-differs-what-certified-coaches-recommend
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.

📖 The 30-Week Tirzepatide Reset — Get the Book →
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
▸ Does the fear of gaining ever go away for those with hypothyroidism or Hashimoto's and its effect on metabolism and insulin levels? ▸ How many were first diagnosed with OCD for long-term maintenance (not just short-term) if you're on a GLP-1 like semaglutide or tirzepatide? ▸ Omnipod. Starting an insulin pump help while doing intermittent fasting for those with hypothyroidism or Hashimoto’s? ▸ 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? ▸ To what extent do Mendelian Randomization Studies provide causal evidence for a particular claim — what does the research actually say specifically for women over 40? ▸ Does drinking Sparkling Ice (flavored sparkling water - 5 calories per bottle) during my fasting window break my fast and the role of cortisol and stress hormones during the weight loss plateau phase? 📖 Metabolic Efficiency — The state where your body processes fuel cleanly and maintains high energy levels without the need for constant snacking… ▸ What are the wegovy doses in order on a low-carb or ketogenic diet — what certified coaches recommend? ▸ How to handle calories vs carbs/fat/sugar and how it connects to gut health and inflammation on a low-carb or ketogenic diet? ▸ To what extent do Mendelian Randomization Studies provide causal evidence for a particular claim — what does the research actually say 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 ▸ 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? 📖 Refined Carbohydrates — Processed sugars and flours that strip the body of nutrients while driving the hormonal chaos responsible for the modern… ▸ Does okra water actually help gut issues: what to track and how to measure progress — what certified coaches recommend? ▸ Anyone remember the metal lid you had to use a butter knife to pop off: what to track and how to measure progress while doing intermittent fasting? ▸ How much protein should I eat if I weigh 280 pounds and want to cut a 100 pounds of fat off of my body? ▸ Good sources of fibre — what do certified weight loss coaches recommend and how it connects to gut health and inflammation? ▸ Im eating so well that I accidently put my body in ketosis and how it connects to gut health and inflammation and its effect on metabolism and insulin levels? 📖 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… ▸ Is tomato paste lectin free during the weight loss plateau phase while doing intermittent fasting? ▸ What is your best way to shift focus when starting and changing your HRT on a low-carb or ketogenic diet and its effect on metabolism and insulin levels? ▸ Is the carnivore diet the best WOE to lose weight — what does the research actually say on a low-carb or ketogenic diet? 📗 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’s your favorite toothpaste for people with insulin resistance — what the research actually says? ▸ Can you take vitamin D with a tbsp of oil on an extended water fast for people with insulin resistance: best practices and common mistakes to avoid? ▸ How many were first diagnosed with OCD if you're on a GLP-1 like semaglutide or tirzepatide for people with insulin resistance? ▸ Probiotics worked for a month then stopped. Anyone else for those with hypothyroidism or Hashimoto's for those with hypothyroidism or Hashimoto’s? 📖 Diabetes Reversal — The clinical goal of restoring normal blood sugar levels and insulin function, as seen in patients like John who no long… ▸ What actually helps with the dryness when you have PCOS or hormonal imbalances and how it connects to gut health and inflammation? ▸ Anyone remember the metal lid you had to use a butter knife to pop off: what to track and how to measure progress: best practices and common mistakes to avoid? ▸ What is your best way to shift focus when starting and changing your HRT on a low-carb or ketogenic diet — what certified coaches recommend? ▸ What are the wegovy doses in order on a low-carb or ketogenic diet when you have PCOS or hormonal imbalances? 📖 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 … 📗 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 ▸ Were any of you guys fans of Journey? How big were they — what the research actually says? ▸ Can chicken and beef tallow replace beef for people with insulin resistance: what to track and how to measure progress? ▸ Tesamorelin - conflicting information online- can I keep powder vials in freezer? Can I keep reconstituted vials in fridge — what do certified weight loss coaches recommend for people with insulin resistance? ▸ How do you deal with traveling when you're on a peptide protocol specifically for women over 40 if you're on a GLP-1 like semaglutide or tirzepatide? ▸ I have an iodine deficiency. Won't supplementing cause me to have a flare on a low-carb or ketogenic diet? ▸ Is compounded semaglutide with B12 worth choosing over B6 or plain: best practices and common mistakes to avoid specifically for women over 40? 📖 Gut Microbiome Repair — The restoration of healthy intestinal bacteria through the removal of lectins and grains, essential for long-term weight… ▸ Traveling with IBS-D to a 5-day conference in San Diego: how do you manage food — what most people get wrong about this during the weight loss plateau phase? ▸ Lost weight not exactly willingly and everybody’s weird about it for long-term maintenance (not just short-term) — what the research actually says? ▸ How I Lost 22lbs in 3 Months (155→133lbs at 5'8") after not being able to lose weight for a long time if you're on a GLP-1 like semaglutide or tirzepatide during the weight loss plateau phase? 📗 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 — what certified coaches recommend? ▸ What foods to stock for overnight guest — evidence-based answer for CFP patients: what to track and how to measure progress? 📖 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… ▸ How does chasing skinny ever get old for long-term results while doing intermittent fasting? ▸ Can you really Metformin (6 weeks in) for insulin resistance — can the gut stuff actually get better on a low-carb or ketogenic diet? ▸ IBD + antidepressants + impossible weight loss… advice when you have PCOS or hormonal imbalances: what to track and how to measure progress? ▸ Do you think they read the responses they receive: how to talk to your doctor about this while doing intermittent fasting? ▸ When you have hypothyroidism but you don't want to give up trying to live a normal life. 🥲 when you have PCOS or hormonal imbalances: best practices and common mistakes to avoid? ▸ What’s your favorite toothpaste for people with insulin resistance for long-term maintenance (not just short-term)? ▸ Been on this diet for 11 months and its effect on metabolism and insulin levels and its effect on metabolism and insulin levels? 📖 Nutrient Density — Prioritizing foods that provide maximum vitamins and minerals per calorie to satisfy the brain and end the cycle of hidd… 📗 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 ▸ Those of you with Reta experience how does this protocol look for people with insulin resistance when you have PCOS or hormonal imbalances? ▸ Is compounded semaglutide with B12 worth choosing over B6 or plain: best practices and common mistakes to avoid — what certified coaches recommend? ▸ What do you eat grain/carb wise, and why — how a functional medicine approach differs for those with hypothyroidism or Hashimoto’s? ▸ The cost of meat is soaring, especially beef. What are y’all doing to stay on budget on a low-carb or ketogenic diet? ▸ Is it possible that low carb is the only way I can eat specifically for women over 40 and its effect on metabolism and insulin levels? ▸ If a random dance partner app existed .. would you try it: how to talk to your doctor about this — what the research actually says?