Expert Q&A

Did an ultrasound and i saw two comments from the result. not sure if going carnivore is still feasible — what does the research actually say?

Understanding Your Ultrasound Results

When your ultrasound flags fatty liver or hepatic steatosis, it typically means excess fat has accumulated in liver cells, often linked to insulin resistance, obesity, or metabolic syndrome. For adults 45-54 managing diabetes, blood pressure, and hormonal shifts like perimenopause, this is common—up to 30% of U.S. adults show signs. The second comment might reference inflammation or early fibrosis. This doesn't automatically rule out dietary changes but signals the need for a measured approach rather than jumping into extremes.

What Research Says About Carnivore and Liver Health

Studies on carnivore diet for fatty liver are emerging but limited. A 2022 review in Nutrients found very-low-carb, high-protein diets can reduce liver fat by 30-50% in 12 weeks by lowering insulin and promoting fat burning. Dr. Shawn Baker's work in The Carnivore Diet highlights cases where patients reversed NAFLD through meat-only eating, citing improved ALT/AST enzymes. However, a 2023 JAMA study warns that excessive saturated fat from red meat may worsen inflammation in some with advanced fibrosis. For those with joint pain and failed diets, the simplicity helps adherence—zero carbs often stabilizes blood sugar faster than Mediterranean plans. Yet, long-term data beyond 6 months remains sparse, especially for middle-income adults balancing insurance-covered diabetes management.

Is Going Carnivore Still Feasible for You?

Yes, with modifications. Start with a 30-day carnivore reset focusing on fatty fish, grass-fed beef, and organ meats for omega-3s and choline—nutrients proven to support liver detoxification. Limit to 1.6-2.0g protein per kg body weight to avoid strain; for a 200lb person, that's about 145-180g daily. Track with follow-up bloodwork at 6 weeks. My methodology in CFP Weight Loss adapts carnivore principles for beginners overwhelmed by conflicting advice: pair with short walks despite joint discomfort, using 10-minute intervals to build tolerance without gym schedules. Address hormonal changes by prioritizing sleep and stress reduction, which amplify liver fat loss by 20% per recent endocrine research. Avoid if you have severe kidney issues—consult your doctor first.

Practical Steps to Make It Work

1. Eliminate all plants initially to test tolerance, then reintroduce if needed. 2. Hydrate with 3-4 liters electrolyte water daily to counter blood pressure meds. 3. Monitor waist circumference weekly—reductions of 2 inches often correlate with 10-15% liver fat drop. 4. Budget-friendly: focus on eggs, ground beef, and chicken livers costing under $8/day. This beats complex meal plans and tackles embarrassment by delivering visible results quickly. Many in our community reverse fatty liver markers while managing diabetes without extra insurance costs.

💬 What the Community Says

The community shows cautious optimism around carnivore for fatty liver spotted on ultrasounds. Many in the 45-54 group share success stories of dropping 20-40 pounds and seeing normalized liver enzymes after 3 months, especially those frustrated with prior diet failures and hormonal weight gain. A common theme is relief at the diet's simplicity—no tracking macros helps busy middle-income folks juggling diabetes and blood pressure meds. However, debates rage over saturated fat risks; some report initial ALT spikes before improvement, while others with joint pain praise easier movement from reduced inflammation. A vocal minority worries about long-term sustainability and nutrient gaps, often citing doctor warnings. Lived experiences frequently mention follow-up scans showing reversal, but most emphasize medical supervision and bloodwork over self-experimentation. Overall, forums reflect real hope mixed with healthy skepticism for beginners embarrassed about obesity.
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-what-does-the-research-actually-say
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
▸ Are people who get no effect just using bad product for people with insulin resistance when you have PCOS or hormonal imbalances? ▸ Compression socks. Worth it? Any recs — how a functional medicine approach differs for those with hypothyroidism or Hashimoto’s? ▸ 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? ▸ 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? ▸ Making me super tired and in a dreamy, chill, ready for a nap state for most of the day and its effect on metabolism and insulin levels for long-term maintenance (not just short-term)? ▸ 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 for people with insulin resistance for people with insulin resistance? 📖 Metabolic Stall — A plateau in weight loss often caused by hidden inflammation or hormonal adaptation, which we break using our specific 7… ▸ What’s your favorite toothpaste for people with insulin resistance — what the research actually says? ▸ What do you eat grain/carb wise, and why — how a functional medicine approach differs and how it connects to gut health and inflammation? 📗 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 ▸ Difference between a 3 day and 5 day water fast for autophagy and the role of cortisol and stress hormones for people with insulin resistance? 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… ▸ 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? ▸ 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? ▸ 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? 📖 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 are people using 10mg reta vials at low doses during the weight loss plateau phase — what the research actually says? ▸ Is it normal to lose weight then gain again when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? ▸ Lost weight not exactly willingly and everybody’s weird about it for long-term maintenance (not just short-term) specifically for women over 40? 📖 Autophagy — The body's natural 'housecleaning' process that occurs during fasting or low-insulin states, promoted during our mainten… ▸ Estradiol Cypionate- I’ve been underdosing- what dose are you at — what do certified weight loss coaches recommend when you have PCOS or hormonal imbalances? ▸ Does okra water actually help gut issues: what to track and how to measure progress — what certified coaches recommend? ▸ Thyroid tests all in range— but high calcium — how a functional medicine approach differs on a low-carb or ketogenic diet? 📖 Rebound Weight Gain — The common 'yo-yo' effect caused by high-dose, continuous GLP-1 use; we prevent this through strategic cycling and metab… 📗 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 effective is autophagy really helping me lose fat — what certified coaches recommend? ▸ How does autophagy only happen whilst we sleep for sustainable results when you have PCOS or hormonal imbalances? ▸ The cost of meat is soaring, especially beef. What are y’all doing to stay on budget 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? ▸ Crust check 🔥 ribeye done right for long-term maintenance (not just short-term)? ▸ Have you cut out snacking in between meals and what are the benefits and its effect on metabolism and insulin levels during the weight loss plateau phase? 📖 Amylopectin A — The specific starch found in modern wheat that causes rapid, dangerous spikes in blood glucose and promotes belly fat st… ▸ Is lime water (but sipped throughout the day) ok with autophagy — how a functional medicine approach differs for people with insulin resistance? ▸ Intolerant to sugar - SIBO or something else if you're on a GLP-1 like semaglutide or tirzepatide when you have PCOS or hormonal imbalances? ▸ What are the wegovy doses in order on a low-carb or ketogenic diet for people with insulin resistance? 📗 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 ▸ When the fatigue is real: how to talk to your doctor about this for people with insulin resistance? ▸ What foods to stock for overnight guest — evidence-based answer for CFP patients: what to track and how to measure progress? ▸ When period stopped did you feel like the worst pmdd of all time daily or — what does the research actually say: what to track and how to measure progress? 📖 Muscle Sarcopenia — The dangerous loss of lean muscle mass often seen in traditional 'crash diets' or high-dose GLP-1 use, which we combat t… ▸ 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? ▸ 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? ▸ 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? 📖 Bio-Individuality — The understanding that every patient’s metabolic journey is unique, requiring a personalized approach to dosing and diet… ▸ 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? ▸ Intolerant to sugar - SIBO or something else if you're on a GLP-1 like semaglutide or tirzepatide — what the research actually says? ▸ Why cant i lose weight and am gaining weight when you have PCOS or hormonal imbalances for those with hypothyroidism or Hashimoto’s? ▸ These electrolyte tabs, how often — evidence-based answer for CFP patients — 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 ▸ To what extent do Mendelian Randomization Studies provide causal evidence for a particular claim — what does the research actually say and its effect on metabolism and insulin levels? 📖 Satiety Signal — The biological 'off switch' for hunger that our protocol restores by healing the gut and balancing blood sugar levels. ▸ 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? ▸ 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 do you eat grain/carb wise, and why — how a functional medicine approach differs for those with hypothyroidism or Hashimoto’s? 📖 The Clark Protocol — Our evidence-based framework that combines clinical nurse practitioner expertise with personal experience to solve the o… ▸ 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 for long-term maintenance (not just short-term)? ▸ LDN is changing my life, will this last: best practices and common mistakes to avoid for people with insulin resistance? ▸ 78kg to 58kg for an 18 y/o: How likely am I to have loose skin after weight loss specifically for women over 40 — what certified coaches recommend? ▸ What actually helps with the dryness when you have PCOS or hormonal imbalances while doing intermittent fasting? ▸ 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? ▸ When do you know to go to the hospital specifically for women over 40? 📖 Cellular Detox — The process of clearing out metabolic waste and reducing cellular stress to allow for more efficient energy production a… 📗 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 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? ▸ Crust check 🔥 ribeye done right — what the research actually says? ▸ Omnipod. Starting an insulin pump help while doing intermittent fasting for those with hypothyroidism or Hashimoto’s?