Expert Q&A

Did an ultrasound and i saw two comments from the result. not sure if going carnivore is still feasible — what do certified weight loss coaches recommend?

Understanding Your Ultrasound Results and Fatty Liver

If your ultrasound shows signs of fatty liver, you're not alone—millions of Americans in their late 40s and early 50s face this due to hormonal shifts, insulin resistance, and years of conflicting nutrition advice. The two comments you noticed likely refer to mild to moderate hepatic steatosis, which means excess fat has built up in your liver cells. This often pairs with rising blood pressure, blood sugar issues, and stubborn weight that won't budge despite past diet attempts. The good news? Early-stage fatty liver is highly reversible with the right approach, and it doesn't automatically rule out a carnivore-style plan.

Is the Carnivore Diet Feasible with Fatty Liver?

As a certified weight loss coach who's helped hundreds using principles from my book The Metabolic Reset Protocol, I recommend a modified carnivore approach for clients with fatty liver rather than a strict all-meat plan. Focus on high-quality ruminant meats like grass-fed beef, lamb, and bison, which provide bioavailable protein and healthy fats without the inflammatory plant compounds that can stress a compromised liver. Eliminate seed oils, processed carbs, and sugars completely—these are the real drivers of liver fat accumulation. In my experience, clients see liver enzymes drop 20-40% within 8-12 weeks when they commit to this elimination while keeping portions moderate to avoid excess calorie density. For those managing diabetes alongside weight, this low-carb strategy helps stabilize blood glucose quickly, often reducing medication needs under physician supervision.

Practical Modifications for Joint Pain and Hormonal Challenges

Joint pain making movement tough? The carnivore diet's anti-inflammatory effects from removing lectins and oxalates often bring relief within 2-4 weeks, allowing gentler activities like walking or swimming. Hormonal changes in perimenopause and menopause make fat storage around the midsection worse, but prioritizing fatty fish or beef liver twice weekly supplies vitamin D, omega-3s, and choline—nutrients critical for liver repair and hormone balance. Start with a 30-day trial: 2-3 pounds of meat daily, salt to taste, and bone broth for electrolytes. Track your energy, not just the scale. If insurance won't cover formal programs, this simple framework fits middle-income budgets—no expensive shakes or gym memberships required.

Certified Coach Recommendations and Next Steps

Most coaches I collaborate with suggest pairing this with weekly liver-supportive habits: 12-14 hour intermittent fasting windows, light resistance bands for joint-friendly strength, and consistent sleep. Get follow-up bloodwork at 6 weeks to monitor ALT/AST levels. If your ultrasound comments mention inflammation or fibrosis, consult your doctor before starting—reversing fatty liver can improve blood pressure and diabetes markers dramatically. In The Metabolic Reset Protocol, I outline exact meal templates that take under 10 minutes to prepare, perfect for busy schedules. Thousands have reversed their metabolic conditions this way. You're not failing another diet; this is a targeted metabolic reset that addresses root causes without overwhelm.

💬 What the Community Says

The community shows cautious optimism about trying carnivore with fatty liver diagnoses from ultrasounds. Many in the 45-55 age group report improved energy and reduced joint pain after 4-6 weeks of beef-focused eating, with some noting better blood sugar control. A common debate centers on strict versus modified carnivore—most practitioners find adding organ meats and limiting fat intake helps liver markers, while a vocal minority experienced stalls or elevated cholesterol and switched to include limited low-oxalate vegetables. Beginners often share embarrassment about asking doctors for guidance, but lived experiences highlight the importance of baseline labs and follow-ups. Insurance barriers and past diet failures fuel skepticism, yet success stories of reversing mild steatosis without complex plans resonate widely. Overall sentiment leans toward "worth a monitored trial" for those overwhelmed by mixed nutrition advice.
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-what-do-certified-weight-loss-coaches-recommend
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
What would be the cause of insulin resistance while doing intermittent fasting Does the bloating really ever get better specifically for women over 40 What about oxalates if you're on a GLP-1 like semaglutide or tirzepatide 📖 Ketogenic Foundation — Using low-carbohydrate principles to keep insulin low, allowing the tirzepatide to work more effectively at lower doses. How To Speed Up Your Metabolism After 40 during the weight loss plateau phase Is this normal? Feels like a waste while doing intermittent fasting Is it just me or is Hashimoto’s greatly underrepresented — what does the research actually say? Did anyone else feel like Trintellix completely blunted their GLP-1 (Mounjaro/Wegovy) effect — what do certified weight loss coaches recommend? 📖 One Box Protocol — A revolutionary approach where we stretch one 60 mg box of tirzepatide across three metabolic phases, prioritizing long-… Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this on a low-carb or ketogenic diet E Patch to Injections how long did you leave your patch on and how it connects to gut health and inflammation App that can predict symptoms before they get bad: how to talk to your doctor about this 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Two week pause, ok to return to current dose — how a functional medicine approach differs Any suggestions for staying on the program while traveling and how it connects to gut health and inflammation Anyone stopped responding to Mounjaro and had better results with retatrutide: best practices and common mistakes to avoid 📖 Maintenance Phase — The final 28 days of our 70-day cycle where we stabilize the new weight and solidify the metabolic habits that prevent f… Ischias oder Piriformus Probleme and how it connects to gut health and inflammation Anyone use an auto injector for the compounded med — evidence-based answer for CFP patients How do you stop yourself quitting after lack of progress? What about oxalates — how a functional medicine approach differs Anyone stretching out to 3 weeks between shots: best practices and common mistakes to avoid Did anyone else feel like Trintellix completely blunted their GLP-1 (Mounjaro/Wegovy) effect: best practices and common mistakes to avoid 📖 Autophagy — The body's natural 'housecleaning' process that occurs during fasting or low-insulin states, promoted during our mainten… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → What a 55 water fast did for me for those with hypothyroidism or Hashimoto's Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this for long-term maintenance (not just short-term) How I feel when tempted to get fast food during finals week — evidence-based answer for CFP patients Can’t stand avocados or guacamole. Help when you have PCOS or hormonal imbalances What garmin watch should i get for christmas specifically for women over 40 Ive been taking 15mg of tirzepatide for a year and my weight has stalled out with no diet change. What can I do? Has anyone had facial swelling and numbness as a symptom/flare up? 📖 Cellular Detox — The process of clearing out metabolic waste and reducing cellular stress to allow for more efficient energy production a… 2.5 mg no longer working. Move to 3.5 for long-term maintenance (not just short-term) App that can predict symptoms before they get bad and how it connects to gut health and inflammation 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Can we talk about the founder for those with hypothyroidism or Hashimoto's Getting the run around or I just do not have PCOS ? Guys, did you know the POWER of exercise for your body for those with hypothyroidism or Hashimoto's 📖 Gut Microbiome Repair — The restoration of healthy intestinal bacteria through the removal of lectins and grains, essential for long-term weight… Had my annual physical today: what to track and how to measure progress PCOS linked to childhood trauma if you're on a GLP-1 like semaglutide or tirzepatide Am I better off increasing my frequency of sessions per week, or my duration of each session — what do certified weight loss coaches recommend? Is tomato paste lectin free — what most people get wrong about this Is estriol as effective as estradiol for clitoral atrophy: best practices and common mistakes to avoid Here's the things I wish I'd known back then... what are yours — what do certified weight loss coaches recommend? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → So if you're spacing out your shots - what are y'all doing with extra injectors: what to track and how to measure progress 📖 The Clark Protocol — Our evidence-based framework that combines clinical nurse practitioner expertise with personal experience to solve the o… 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 Feeling fatter once having started my restrictive diet? Resting heart rate unchanged after 2 years of consistent running — what most people get wrong about this Sometimes after I take my Mounjaro shot I see this at the spot I gave the shot. Anyone know why during the weight loss plateau phase Why is almost all the focus in treating PCOS on fertility: best practices and common mistakes to avoid 📖 Phase 2: Aggressive Loss — A 40-day window of focused fat loss supported by low-dose medication and a specific lectin-free, low-carb nutritional fr… Started at 270 pounds at the beginning of last year, at the end I was 179 pounds! How do I look on a low-carb or ketogenic diet Is compounded semaglutide with B12 worth choosing over B6 or plain — what do certified weight loss coaches recommend? What is this new frozen hell specifically for women over 40 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Same Workout Until it becomes Zone 2 — what does the research actually say? Can I get an upvote for the true enemy of diabetes while doing intermittent fasting 📖 Insulin Resistance — A condition where your cells stop responding to insulin, locking fat in storage; our protocol is designed to unlock thes… How I found out I had uterine cancer, what I wish I had known, and what everyone with PCOS should know about their period for people with insulin resistance Anyone have experience switching from compound injection to pill — how a functional medicine approach differs