Expert Q&A

Did an ultrasound and i saw two comments from the result. not sure if going carnivore is still feasible — what most people get wrong about this on a low-carb or ketogenic diet?

Understanding Your Ultrasound Results

Fatty liver shows up on imaging as hepatic steatosis. The two comments you saw likely reference mild to moderate fat accumulation and possible early inflammation. This is extremely common in people over 45 dealing with insulin resistance, hormonal shifts, and years of processed carbs. The good news? It is highly reversible when you remove the root triggers.

What Most People Get Wrong About Carnivore or Keto

Many assume a strict carnivore diet or deep ketogenic diet will automatically fix a fatty liver because it cuts carbs. What they miss is that rapid fat mobilization without proper detox support can overload the liver. Others ignore hidden lectins and toxins that keep inflammation high even on low-carb plans. Quick-fix versions also skip rebuilding metabolic freedom, leading to rebound weight and stalled liver labs. In my book The 30-Week Tirzepatide Reset, we prevent these mistakes by cycling low-dose tirzepatide while using targeted real-food protocols, not extremes.

Safe Approach Within the 30-Week Protocol

Yes, a modified carnivore-style plan remains feasible, but we adapt it. Start with our lectin-free low-carb framework: pasture-raised meats, eggs, limited low-toxin fish, and bone broth. Add our Brown Detox Drops daily to bind mobilized toxins. Use Japanese-style walking intervals (10 minutes after meals) to improve insulin sensitivity without joint stress. Incorporate red light therapy sessions three times weekly to reduce liver inflammation. Cycle tirzepatide at the exact low doses in the 69 Transformation Steps so medication supports the reset, not dependency. Track body composition weekly instead of obsessing over scale weight. Most patients see liver enzymes drop 30-50% by week 10 and steatosis improve on follow-up imaging by week 20.

Long-Term Metabolic Freedom

The real goal is not staying carnivore forever but restoring your hypothalamus and hormonal balance so your body maintains leanness naturally. One client with A1C 7.8 and confirmed fatty liver lost 40 pounds, normalized labs, and discontinued two diabetes meds by following this integrated system. Focus on non-scale victories like energy, joint comfort, and clothing fit. This protocol was built for busy middle-income adults overwhelmed by conflicting advice. You do not need perfect willpower or gym schedules, just consistent daily habits that compound over 30 weeks.

💬 What the Community Says

People sharing ultrasound results on forums often express relief mixed with confusion about whether carnivore or strict keto will help or harm fatty liver. Many report initial enzyme improvements on low-carb but worry about rapid fat loss overwhelming the liver without extra support. A common debate centers on how long to stay strict carnivore versus adding vegetables; some praise dramatic reversals in 3-6 months while others note rebound if they ignore detox or hormones. Beginners with joint pain and prior diet failures appreciate mentions of walking protocols and red light over intense exercise. Insurance and cost concerns surface frequently, with users trading tips on compounded tirzepatide and affordable real-food swaps. Overall sentiment leans hopeful yet cautious, emphasizing the need for medical monitoring and sustainable habits rather than all-or-nothing approaches.
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-most-people-get-wrong-about-this-on-a-low-carb-or-ketogenic-diet
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
What do you do when you’re having a difficult time functioning- especially at work — evidence-based answer for CFP patients while doing intermittent fasting? Finally diagnosed with PCOS. Now what if you're on a GLP-1 like semaglutide or tirzepatide — what the research actually says? Did anyone lose weight because of a medical condition and the role of cortisol and stress hormones on a low-carb or ketogenic diet? Shot doesn’t feel like it’s going into skin - bad batch — what do certified weight loss coaches recommend for those with hypothyroidism or Hashimoto’s? What do you do when you’re having a difficult time functioning- especially at work — evidence-based answer for CFP patients for people with insulin resistance? I’m looking into possibly going grain free and I was wondering if it was just as healthy as doing keto or paleo when you have PCOS or hormonal imbalances on a low-carb or ketogenic diet? How to be okay with loose skin when you have PCOS or hormonal imbalances for those with hypothyroidism or Hashimoto’s? 📖 Rebound Weight Gain — The common 'yo-yo' effect caused by high-dose, continuous GLP-1 use; we prevent this through strategic cycling and metab… Eyelid myokymia/twitching caused by oral progesterone — what does the research actually say and its effect on metabolism and insulin levels? Opinions/Knowledge welcomed! Sub clinical hypothyroidism & perimenopause- what’s what — how a functional medicine approach differs and its effect on metabolism and insulin levels? Have to stop for 3 weeks for surgery on a low-carb or ketogenic diet 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 How to BOOST metabolism and BURN fat-- VERY EASY AND QUICK and how it connects to gut health and inflammation for those with hypothyroidism or Hashimoto’s? Did an ultrasound and i saw two comments from the result. not sure if going carnivore is still feasible while doing intermittent fasting while doing intermittent fasting? Fruit Salsa - First Week/Phase One Approved: what to track and how to measure progress on a low-carb or ketogenic diet? 📖 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… Chosen foods avocado oil, should I be sauteeing my veggies in it — how a functional medicine approach differs while doing intermittent fasting? 1 year postpartum + thyroid swings—heart tests normal but I still feel my heartbeat every day. Anyone else when you have PCOS or hormonal imbalances: what to track and how to measure progress? Anyone else's family think they're crazy for eating this way on a low-carb or ketogenic diet during the weight loss plateau phase? Has having thyroid issues affected your social life and/or life in general while doing intermittent fasting for long-term maintenance (not just short-term)? 📖 Smart Cycling — The strategic alternating of medication doses with planned 'off' periods to prevent receptor desensitization and ensure … Anyone had improvement in symptoms after already eating a clean plant based diet and its effect on metabolism and insulin levels on a low-carb or ketogenic diet? Does anyone else’s health anxiety get MUCH worse at night — what most people get wrong 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 At what age was your h.a the longest/worst season — what does the research actually say for those with hypothyroidism or Hashimoto’s? Diabetics with TPN (IV nutrition experience) during the weight loss plateau phase if you're on a GLP-1 like semaglutide or tirzepatide? Homemade bacon - are curing salts required — what most people get wrong about this — what the research actually says? 📖 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… Palpable lump where I know I used to have a nodule/hyper symptoms with no antibodies - toxic nodule during the weight loss plateau phase: best practices and common mistakes to avoid? How does messes with autophagy after a weight loss plateau on a low-carb or ketogenic diet? Started my newest batch of Sema last week, my first dose with the new vitamin b formula. It doesn’t seem to be as powerful as the non vitamin b formula. Have others found this to be the case while doing intermittent fasting on a low-carb or ketogenic diet? Do you think privatisation has negatively impact our research capabilities - especially looking at AMR and antibiotic development for people with insulin resistance if you're on a GLP-1 like semaglutide or tirzepatide? Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this for long-term maintenance (not just short-term) during the weight loss plateau phase? How it looks when you lose 170 lbs. but are still a fat man and the role of cortisol and stress hormones 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-… What keto plus compounded tirzepatide for the last five months looked like when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? 📗 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 Used old Mounjaro pen by mistake - should I be worried specifically for women over 40 — what the research actually says? Any advice for starting maintenance specifically for women over 40 for people with insulin resistance? 📖 Amylopectin A — The specific starch found in modern wheat that causes rapid, dangerous spikes in blood glucose and promotes belly fat st… Has anyone ever tried low-grain instead of grain free — what the research actually says? Which needle length and gauge: what to track and how to measure progress for long-term maintenance (not just short-term)? Can you really to induce autophagy without fasting for a long time for those with hypothyroidism or Hashimoto’s? How to love myself while in the process of losing the weight for long-term maintenance (not just short-term): what to track and how to measure progress? Dizzy feeling plus high blood pressure and its effect on metabolism and insulin levels: best practices and common mistakes to avoid? Lost weight then gained it back on keto: best practices and common mistakes to avoid if you're on a GLP-1 like semaglutide or tirzepatide? Compression socks. Worth it? Any recs when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? 📖 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… Newly vegan (wasn’t before) with Type 2 Diabetes – A1C 11.0%, Fasting 11.4 mmol/L. Is reversal possible with clean vegan eating for long-term maintenance (not just short-term) while doing intermittent fasting? 📗 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 Building muscle with the Paleo diet when you have PCOS or hormonal imbalances during the weight loss plateau phase? Accidentally left my vials out overnight. Are they still good for long-term maintenance (not just short-term) if you're on a GLP-1 like semaglutide or tirzepatide? Will this help — evidence-based answer for CFP patients for long-term maintenance (not just short-term)? How to love myself while in the process of losing the weight for long-term maintenance (not just short-term): best practices and common mistakes to avoid? How to love myself while in the process of losing the weight for long-term maintenance (not just short-term) for people with insulin resistance? 📖 Hormonal Chaos — The internal state of imbalance caused by modern grains and refined carbs that overrides willpower and forces the body t… How does guyz need some advice , should I go on a cut to improve insulin resistance? Reducing body fat is the key after 40 during the weight loss plateau phase? Clothing rules to keep you from "looking fat" -- have they discussed this during the weight loss plateau phase if you're on a GLP-1 like semaglutide or tirzepatide? How to store insulin, glucometer and strips during cold adventures when you have PCOS or hormonal imbalances: what to track and how to measure progress? 📗 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 Actually wanting to wake early for those with hypothyroidism or Hashimoto's for those with hypothyroidism or Hashimoto’s? What do you do when you’re having a difficult time functioning- especially at work — evidence-based answer for CFP patients and how it connects to gut health and inflammation? Who’s Idea Was This: how to talk to your doctor about this while doing intermittent fasting?