2676: MCT Oil and Cholesterol
Optimal Health DailyAugust 23, 2024
2676
00:08:52

2676: MCT Oil and Cholesterol

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Episode 2676:

Tammy's concern about whether MCT oil raises cholesterol is addressed by explaining that MCTs, derived from processed coconut or palm oil, do not increase blood cholesterol levels according to meta-analyses. In contrast, unprocessed coconut or palm oil, which contains long-chain triglycerides, can raise LDL cholesterol. The importance of choosing high-quality MCT oil supplements and consulting with a doctor is also emphasized.

Quotes to ponder:

“MCT oil supplements do not seem to raise our blood cholesterol levels.”

“Saturated fats, like coconut oil and palm oil, do tend to increase blood cholesterol levels, specifically the 'bad' type of cholesterol - LDL cholesterol.”

“Medium-chain triglycerides, because they’re smaller, don’t take as long to get absorbed by the body.”

Episode references:

USP: https://www.usp.org

Labdoor: https://labdoor.com

ConsumerLab: https://www.consumerlab.com

NSF: https://www.nsf.org

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[00:00:40] [SPEAKER_00]: Health Daily, and I'm Dr. Neal Malik. Hey there, happy Friday and welcome to another Q&A edition

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[00:01:24] [SPEAKER_00]: Tammy writes, I have high cholesterol. It's over 200. I'm not on medication and I'm wondering if

[00:01:31] [SPEAKER_00]: MCT oil raises cholesterol. A while ago, I was drinking coffee with coconut milk

[00:01:36] [SPEAKER_00]: and my number increased and I'm wondering if MCT has that effect.

[00:01:42] [SPEAKER_00]: Thank you for taking the time to send in your question, Tammy. Let's start with what MCTs

[00:01:47] [SPEAKER_00]: are. MCT is an acronym for medium chain triglycerides. That's a mouthful, I know, so let's make sense of

[00:01:55] [SPEAKER_00]: this. The word triglyceride or triglycerides is a fancy way of saying fat. So medium chain

[00:02:02] [SPEAKER_00]: triglycerides are a type of fat. The medium chain part refers to the chemical properties of the

[00:02:09] [SPEAKER_00]: fat specifically. So if we were to look at medium chain triglycerides or medium chain fats

[00:02:15] [SPEAKER_00]: under a microscope, we'd find that they are smaller than their cousins. Long chain triglycerides or

[00:02:21] [SPEAKER_00]: long chain fats. A lot of the fats we consume each day are actually long chain triglycerides,

[00:02:29] [SPEAKER_00]: not so much medium chain triglycerides or MCTs. So examples of long chain triglycerides would be

[00:02:36] [SPEAKER_00]: your omega-3 fats like the fats found in fish, the ones we say are healthy and they certainly

[00:02:41] [SPEAKER_00]: are. These long chain triglycerides like omega-3 fats take some time for the body to break down.

[00:02:49] [SPEAKER_00]: This is again because they're such large compounds. Medium chain triglycerides or MCTs,

[00:02:55] [SPEAKER_00]: because they're smaller, don't take as long to get absorbed by the body. They tend to enter

[00:03:00] [SPEAKER_00]: the bloodstream pretty quickly. That means they may be more readily available to use

[00:03:06] [SPEAKER_00]: as fuel for the body or as energy. Okay, so now we know where long chain triglycerides come from.

[00:03:12] [SPEAKER_00]: Omega-3s are just an example and we consume mostly long chain triglycerides in our diets.

[00:03:18] [SPEAKER_00]: Where do medium chain triglycerides or MCTs come from? They're actually created by processing

[00:03:25] [SPEAKER_00]: certain oils specifically palm oil or coconut oil. So when we buy MCT oil as a supplement,

[00:03:33] [SPEAKER_00]: we're usually buying processed palm oil or coconut oil. So do these MCTs have any effect on our health?

[00:03:42] [SPEAKER_00]: And to your question, Tammy, does consuming them increase our blood cholesterol levels?

[00:03:47] [SPEAKER_00]: There are published meta-analyses that ask this very question. Remember a meta-analysis is basically

[00:03:53] [SPEAKER_00]: a type of large study. Researchers conducting a meta-analysis carefully review the results

[00:04:00] [SPEAKER_00]: of already published studies, but only those studies that looked at the very same topic.

[00:04:06] [SPEAKER_00]: This is what makes meta-analysis such a great resource. Anywho, here's what one meta-analysis

[00:04:12] [SPEAKER_00]: found. Consuming MCT oils as a supplement does not seem to raise our blood cholesterol levels.

[00:04:20] [SPEAKER_00]: Now, what about regular unprocessed coconut or unprocessed palm oil? Remember,

[00:04:26] [SPEAKER_00]: I said that MCTs are a form of processed coconut or palm oil. If we were to instead buy a jar of

[00:04:34] [SPEAKER_00]: unprocessed coconut oil or unprocessed palm oil from the grocery store, this would be very different.

[00:04:40] [SPEAKER_00]: Now we're talking about oils that again have not been processed. That means they are still

[00:04:47] [SPEAKER_00]: long chain triglycerides, not medium chain triglycerides or MCTs. In fact, they're specifically

[00:04:54] [SPEAKER_00]: a long chain saturated fat. Saturated fat, like coconut and palm oil,

[00:05:01] [SPEAKER_00]: do tend to increase blood cholesterol levels. Specifically, they tend to increase the bad

[00:05:07] [SPEAKER_00]: type of cholesterol or LDL cholesterol in our bloodstream. So back to your question, Tammy.

[00:05:14] [SPEAKER_00]: Could the coconut milk you're consuming increase your blood cholesterol levels?

[00:05:19] [SPEAKER_00]: Yes. Why? This is because you're not consuming a medium chain triglyceride,

[00:05:25] [SPEAKER_00]: you're actually consuming the full long chain triglyceride saturated fat. If you want to add

[00:05:33] [SPEAKER_00]: a medium chain triglyceride to your coffee, you have to buy an MCT oil supplement specifically.

[00:05:40] [SPEAKER_00]: Again, it's likely these MCT oil supplements will be made from coconut oil,

[00:05:45] [SPEAKER_00]: but now it's a processed version that the body treats differently. And if you choose to buy

[00:05:51] [SPEAKER_00]: an MCT oil supplement, as with any supplement, we have to be careful about buying one that meets

[00:05:57] [SPEAKER_00]: quality and purity standards. So look for some type of seal on the packaging that mentions

[00:06:02] [SPEAKER_00]: that the product was tested for quality and purity by an independent third party.

[00:06:08] [SPEAKER_00]: Examples of these independent third party seals would be NSF, USP, Labdoor or Consumer Lab. And

[00:06:17] [SPEAKER_00]: of course, let your doctor know that you plan on adding MCT oil to your cup of coffee just so

[00:06:22] [SPEAKER_00]: they're aware if you haven't already. And thank you again for taking the time to send in your

[00:06:31] [SPEAKER_00]: question, Tammy. Now, if you want to send in a question to be answered right here on the show

[00:06:36] [SPEAKER_00]: and get a copy of our workbook, you can email one to health at oldpodcast.com. Or if you want to hear

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[00:06:55] [SPEAKER_00]: even play back your message and do retakes before sending it in. Or you can do it

[00:07:00] [SPEAKER_00]: old fashioned way and call in your question. The number is 1-61-ILOV-OHD. That's 1-614-568-3643.

[00:07:13] [SPEAKER_00]: Thank you again so much for doing that. Answering your questions is my favorite part of the show.

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