Benefits
Body composition
Studied as generic MCT oil. In a meta-analysis of 13 small trials (749 adults), replacing long-chain fats with MCTs reduced body weight by about 0.5 kg more, and waist size by about 1.5 cm more, along with total and visceral fat. The authors found signs of commercial bias and called for larger independent trials. A later pooled analysis in adults with overweight found about 1.5% more weight loss.
Ketone production
In metabolic test days in healthy adults, single doses of MCT oil raised blood ketones, an alternative fuel for the brain. Caprylic acid (C8) was about three times more ketogenic than capric acid (C10), and the rise was larger without a meal. These studies measured blood ketones, not energy or thinking.
Lower insulin resistance score in MCT trials; lipid effects vary
Studied as generic MCT oil, not NEOBEE. Pooled trials in adults with overweight or obesity found MCT-enriched diets lowered HOMA-IR, an insulin resistance score, and blood triglycerides versus long-chain fat diets. A 90-day pilot trial in 40 overweight adults with type 2 diabetes (18 g a day versus corn oil) also lowered HOMA-IR. But a pooled analysis of 7 MCT oil trials found no cholesterol change and a small triglyceride rise.
Mechanism of action
Rapid oxidation
Medium-chain fatty acids are quickly broken down for energy (beta-oxidation), faster than the long-chain fats that make up most of the diet.
Ketone formation
Part of the medium-chain fat reaching the liver is turned into the ketones beta-hydroxybutyrate and acetoacetate; caprylic acid (C8) produces more ketones than capric (C10) or lauric (C12) acid.
Clinical trials
Systematic review and meta-analysis of randomized controlled trials longer than 3 weeks comparing MCTs (C8 and C10) with long-chain triglycerides in healthy adults. (Mumme et al. 2015, J Acad Nutr Diet)
13 trials with 749 adults.
MCTs reduced body weight by 0.51 kg more than long-chain fats, waist circumference by 1.46 cm, hip circumference by 0.79 cm, and total, subcutaneous and visceral fat, with no change in blood lipids. Many trials lacked quality information and commercial bias was detected.
Randomized pilot trial of 18 g/day MCT oil versus corn oil as part of daily food for 90 days. (Han et al. 2007, Metabolism)
40 moderately overweight free-living adults with type 2 diabetes in China.
At day 90 the MCT group had lower body weight, waist circumference and HOMA-IR insulin resistance score than the corn oil group. Energy intake fell without trying in the MCT group.