What is the downside of MCT?: Digestive discomfort
One of the most common issues with MCT oil is gastrointestinal distress. Rapid absorption can overwhelm the digestive system, especially with large or quickly introduced amounts. Symptoms can include diarrhea, cramps, gas, bloating, and nausea. Starting with a small quantity and gradually increasing it, as well as taking it with food, can help mitigate these effects.
Liver and metabolic health risks
Excessive, long-term MCT oil use may pose risks to liver health. High amounts metabolized in the liver could contribute to fat buildup (fatty liver disease). This is particularly risky for individuals with pre-existing liver conditions. While some studies suggest benefits, animal studies indicate potential liver damage, especially when combined with other factors like fructose.
Cardiovascular concerns and cholesterol impact
As a source of saturated fat, MCT oil's effect on heart health is debated. While some studies showed positive effects on cholesterol, a 2021 meta-analysis found no significant impact on total or LDL cholesterol compared to other saturated fats, but a small increase in triglycerides. Compared to unsaturated fats, MCT oil intake was linked to increased total and LDL cholesterol. Those with hyperlipidemia or heart conditions should be cautious and seek medical advice.
Potential for weight gain and appetite issues
MCT oil is calorie-dense. Adding it to a regular diet without reducing other calorie sources can lead to weight gain. While it may promote fullness for some, research suggests it can also stimulate the hunger hormone ghrelin, potentially leading to overeating.
Essential fatty acid deficiency
MCT oil primarily contains C6, C8, and C10 fatty acids and often lacks essential fatty acids (EFAs) like omega-3s and omega-6s, which are crucial for health. Over-relying on MCT oil without a balanced diet including other fat sources can lead to EFA deficiency.
Contraindications and specific health warnings
Certain individuals should avoid or use MCT oil cautiously:
- Liver disease: The liver processes MCTs, so avoid with conditions like cirrhosis.
 - Uncontrolled diabetes: Increased ketone production can be risky for those with uncontrolled diabetes.
 - Pregnant or breastfeeding women: Limited research exists; caution is advised.
 - Fat malabsorption disorders: May still cause issues despite easier absorption.
 - Allergies: Avoid if allergic to coconut or palm oil.
 
Practical tips for safe MCT oil consumption
Minimize risks with these guidelines:
- Start with a small amount and gradually increase.
 - Take with food for better digestion.
 - Replace other fats with MCT oil to manage calories.
 - Avoid high-heat cooking due to a low smoke point.
 - Ensure intake of various healthy fats for EFAs.
 
MCT oil vs. olive oil: a comparison
| Feature | MCT Oil | Olive Oil | 
|---|---|---|
| Fatty Acid Type | Medium-Chain Triglycerides (C6-C12) | Long-Chain Triglycerides (LCTs) | 
| Saturated Fat Content | Very high (typically 100%) | Low (primarily monounsaturated fat) | 
| Digestion Speed | Rapid; directly metabolized in the liver for quick energy | Slower; requires bile and enzymes | 
| Effect on Cholesterol | Mixed; may increase LDL compared to unsaturated fats | Generally favorable impact on cholesterol | 
| Source | Coconuts or palm kernel oil, processed for concentration | Olives, extracted through pressing | 
| Use in Cooking | Low smoke point; not suitable for high heat | Medium smoke point; suitable for moderate heat cooking | 
Conclusion
Despite its benefits, the downsides of MCT oil are noteworthy. High caloric density, potential digestive upset, and risks to liver and cardiovascular health with excessive intake are key concerns. As a concentrated saturated fat, it should be used in moderation as part of a balanced diet that includes diverse fat sources. Consulting a healthcare professional is recommended before adding MCT oil to your routine, especially with pre-existing health conditions. Informed and moderate use is essential to maximize potential benefits while minimizing negative side effects.
Learn more
For detailed information on the metabolic and cardiovascular effects of MCT oil, see the study in The American Journal of Clinical Nutrition.
Learn more
For detailed information on the metabolic and cardiovascular effects of MCT oil, see the study in The American Journal of Clinical Nutrition.