Coconut Oil and Medium Chain Triglycerides (MCT) Oil
Review – Semi-Solid and Liquid Oils & Supplements
Find the Best Coconut Oil
and MCT Oil. See How These Oils Compare on Medium Chain Triglycerides (MCTs),
Quality, and Value.
Medically reviewed and
edited by Tod Cooperman, M.D.
Last Updated: 03/23/2021 | Initially Posted:
03/03/2019
Table of Contents
Summary
·
What is it? Medium chain triglycerides (MCTs) made from caprylic,
capric, and, predominantly, lauric acids, make up more than half of virgin ("cold
pressed") coconut oil, which also contains long chain triglycerides that
cause it to be semi-solid at room temperature. The long chain triglycerides, as
well as much of the lauric acid (which can act like a long chain triglyceride),
can be removed to create refined coconut oil which is liquid
and comprised mostly (about 85%) of caprylic and capric acids, or further
refined to just MCT oil (about 95% or more of caprylic and/or
capric acids). The oils can also be mixed with fibrous ingredients and sold as
powdered oils. (See What It Is).
·
How is it used? Both virgin coconut oil and refined
coconut oil can be used in foods and cooking or applied to the skin and hair.
Refined coconut oil and MCT products have been consumed as part of diets
because they are used mainly for energy rather than fat storage, and
preliminary research suggests possible uses in treating Alzheimer's disease,
epilepsy, fat-malabsorption, and other conditions, although benefits have yet
to be proven. See What It Does.
·
What did CL find? All of the products passed ConsumerLab's tests, but some provided much better value
than others. In fact, the cost to get 8 grams of MCTs ranged from just 7 cents
to $1.68 — meaning you could pay more than 20 times as much to
get the same amount of MCTs from one product than from another. (See What CL Found and use the Results table to compare amounts and
costs of MCTs in products).
·
Top Picks — ConsumerLab selected Top Picks for
virgin coconut oils, refined coconut oils, and MCT oils based on quality and
cost.
·
What to look for? With virgin coconut oils, we found that
it's not worth paying much, if anything, more for "extra" virgin. For
higher concentrations of MCTs, make sure the product is a liquid (otherwise
it's not really refined) and lists amounts of "Total MCTs" which
should be at least 85% of the serving of oil, e.g., a 14-gram serving of oil
should provide at least 12 grams (12,000 mg) of MCTs. If you want mostly MCTs
made of caprylic and/or capric acids -- the shorter MCTs, make sure the amounts
of these are listed and comprise 95% or more of the oil. (See ConsumerTips™).
·
How much to take and when? Serving sizes have ranged from 1
teaspoon to several tablespoons daily, depending on the use. See the What It Does section for the dosage for
specific uses.
·
Cautions: MCTs are saturated fats, so most of the fat in coconut oil
is saturated fat. Although some evidence suggests that MCTs are less likely to
be stored as fat than oils made from longer chain fatty acids, they may cause
an increase in "bad" cholesterol. For details, see Concerns and Cautions.
What It Is:
Medium
chain triglycerides (MCTs) are composed of glycerol attached to fatty acids of
medium length chains of carbon atoms: caprylic, capric, and lauric acids which,
respectively, are 8, 10, and 12 carbon atoms in length. Virgin ("cold
pressed") coconut oil contains each of these MCTs, although predominantly
lauric acid, as well as long chain triglycerides that cause it be semi-solid at
room temperature. The long chain fatty triglycerides, as well as much of the
lauric acid (which can act like a long chain triglyceride), can be removed
(using heat, additional filtering, and solvent extraction) to create refined
coconut oil which is liquid (and blander tasting than virgin coconut
oil) and comprised mostly (85% or more) of caprylic and capric acids, or
further refined to just MCT oil (about 95% or more) of
caprylic and/or capric acids. These oils can also be mixed with fibrous
ingredients and sold as powdered oils.
On a technical note, most of the weight (92% or more) of an MCT is from the
fatty acids, rather than the glycerol. When laboratories analyze these oils,
they hydrolyze them (break them apart) and measure the fatty acids, but in this
report we have converted those amounts back into triglyceride values, as this
is usually how they are reported on product labels.
The MCTs are saturated fats unlike fats comprised of longer chain triglycerides
that can be mono- or polyunsaturated and may be more healthful from a
cardiovascular perspective (see Concerns and
Cautions).
What It Does:
Weight loss
During digestion, the MCTs in coconut oil caprylic and capric acid are
primarily transported directly to the liver, and can also enter muscle cells
quickly. This makes MCTs less likely to be deposited as fat and more readily
available as a source of energy than longer-chain fatty acids. Due to their
rapid absorption, MCTs may also help to increase satiety (i.e., making you feel
"full" faster) (Clegg, Eur J Clin Nutr 2017).
For these reasons, the MCTs in coconut oil have been promoted as a healthy
source of fat, and a source of fat and energy in ketogenic diets for
weight loss. Ketogenic diets are high in fat and very low in carbohydrates,
which supposedly forces the body to use glucose that is stored in the liver and
muscles for energy. When these stores of glucose are reduced, the body
eventually enters ketosis, a metabolic state in which fat in the body is
converted into compounds (ketones) that can be used as an alternative source of
energy.
In clinical studies, a dose of 5 grams or more of MCTs has been found to
increase satiety, thermogenesis ("fat-burning") and decrease body fat
compared to other types of fat. For example, a study among 64 men and women in
Japan found that those who consumed margarine containing 5 grams of MCTs
(caprylic and capric acids only) daily for three months while maintaining a
diet of 2,100—2,400 kcal per day lost more body weight (9.3 lbs. vs 6.4 lbs.)
and visceral fat (fat around the organs) than those on the same diet who
consumed margarine containing 5 grams of long-chain triglycerides (LCT) (from
vegetable oil) instead of MCTs (Nosaka, J Atheroscler Thromb 2003).
A study of 29 obese men (average age 37) in Brazil on a
calorie-controlled diet (2,500 calories per day) found that those who consumed
one tablespoon (about 13.5 grams) of extra virgin coconut oil with
dinner (added to food but not used in cooking) for 45 days did not lose more
weight than those who consumed one tablespoon of soybean oil with dinner. Both
groups had similar, slight decreases in body mass index (BMI) (about - 0.8 kg/m2) and waist circumference (about 1/3 of an
inch). Those who consumed coconut oil had modest increases in HDL cholesterol
compared to those who consumed soybean oil (average increase of 3.67 mg/dL vs a
decrease of 3.79 mg/dL), although the cardiovascular benefit of such an increase is
not known. There were small but not statistically signification decreases in
LDL cholesterol in both groups (Vogel, Food Funct 2020).
Blood sugar and insulin control
Although animal studies have suggested that MCTs help lower blood sugar levels
and improve insulin function (Kochikuzhyil, Indian J
Pharmacol 2010; Murata, Am J Physiol
Endocrinol Metab 2019), the effect in
people seems fairly limited. One small study in five men and women with
non-insulin dependent type 2 diabetes found that consuming
approximately one tablespoon of MCT oil (58% octanoic acid, 22% decanoic acid,
8% oleic acid, 7% linoleic acid, and 2% palmitic acid) three times daily with
meals for one month reduced increases in blood sugar levels by an average of
140 mmol/L right after eating compared to consuming about the same amount of
long-chain triglyceride oil with meals, but it did not decrease fasting blood
sugar levels or improve insulin function (Yost, J Am Coll Nutr 1994).
Similarly, a study in China among 40 adults with type 2 diabetes and taking
anti-diabetes medications who consumed approximately 1 tablespoon daily of
either MCT oil or long-chain triglyceride oil (corn oil) for three months found
that MTC oil modestly improved insulin resistance (as measured by HOMA-IR), but
did not improve fasting blood sugar or insulin levels, compared to corn oil (Han, Metabolism 2007).
High blood pressure
Studies in animals suggested that coconut oil consumption
might lower high blood pressure (Alves, Appl Physiol Nutr Metab 2015; Alves, Basic Clin Pharmacol Toxicol 2017). However, a study in Brazil among
45 men and women (average age 41) with mild high blood pressure (average 133/89
mmHg) found that taking 10 mL (about 9.14 grams) daily of extra virgin coconut
oil as capsules with meals for one month, alone or in combination with aerobic
exercise training, did not decrease systolic or diastolic blood pressure
compared to placebo. During the study, those taking coconut oil capsules had
similar caloric and nutrient intakes as those taking placebo, with the
exception of greater intakes of saturated fat, including lauric acid, from the
coconut oil (Junior, Nutrients 2021).
Sports Performance
Several clinical trials have investigated the use of MCTs for improving
high-intensity or endurance exercise performance, but the results have been
inconsistent (Van, J Appl Physiol
(1985) 1996; Misell, J Sports Med Phys Fitness 2001). In one small trial
among cyclists, consuming a beverage containing a combination of carbohydrates
and a high dose of MCTs (85 grams) during exercise worsened performance,
most likely because it caused intestinal cramping (Jeukendrup, Am J Clin Nutr 1998). Another
small study found that 15 g (about 1 tablespoon) of extra virgin coconut oil
plus caffeine (6 mg/kg body weight -- amounting to over 400 mg) added to decaffeinated
coffee ingested 60 minutes prior to a 1 mile run did
not improve the running times or influence the perceived exertion ratings or
lactate levels in thirteen recreational runners as compared to a placebo (warm
water). The results surprised the researchers, as caffeine alone or from coffee
has generally been found to improve treadmill and endurance performance (Borba, Nutrients 2019).
Muscle Strength and Function in Older Adults
A 3-month study in Japan in which nursing home residents were
put on an exercise program (20 minutes twice weekly) suggested that adding MCTs
(6 grams daily) to their diets resulted in greater increases in muscle strength
and function than if given the same amount of a control oil (long-chain fatty
acids) (Abe, Am J Clin Nutr
2019). However, long-chain fatty acids are a poor choice as a
control, as research in animals has shown that LCTs can impair exercise
performance (Murray, Nutr
Metab 2011). Consequently, the gains
achieved by the nursing home residents could have been due to exercise alone
and not MCTs.
Cognitive impairment and Alzheimer's disease
Coconut oil and, more specifically, MCTs, have sometimes been promoted as
beneficial in Alzheimer's disease by providing an "alternative" fuel
source for the brain. This is based on the premise that a reduced uptake of
glucose in the brain has been found in conditions known to be risk factors for
Alzheimer's disease, such as age (> 65 yrs),
family history of Alzheimer's disease, and insulin resistance, as well as the
premise that ketones can be a source of energy in the brain when glucose levels
are low. Several preliminary studies suggest limited benefits.
One clinical study conducted in two phases, both of which
were placebo-controlled, found that consuming a drink containing 30 grams of
MCTs daily for 6 months 1) improved brain ketone metabolism (Fortier, Alzheimers Dement 2019)
and 2) improved some measures of cognitive function in people with mild
cognitive impairment (MCI). The clinical improvements were seen in measures
of episodic memory, executive function, and language and were associated with
increased plasma ketone levels and brain ketone uptake. However, the improvements
were small, e.g., the number of words remembered on a free recall trial test (a
measure of episodic memory) increased by one word out of 16 for the treatment
group compared to 0.2 words for the placebo group. There was no improvement in
measures of attention, and effects on processing speed were inconsistent (Fortier, Alzheimers Dement 2020). Interestingly, a follow-up analysis of data from this
study showed that MCT supplementation had improved energy supply to white
matter (brain tissue made up of nerve fibers that deteriorate in mild cognitive
impairment or Alzheimer's disease) by increasing ketone uptake 2.5- to 3.2-fold
compared to placebo. The increase in energy supply directly correlated with
improved processing speed but not episodic memory, language or executive
function. The researchers speculated that increased ketone uptake induced by
MCT supplementation may play a role in the structural integrity of myelin, the
covering of nerve fibers in white matter that deteriorates in MCI; however,
this was not confirmed (Roy, medRxiv
2021 — preprint). The MCTs in the drink consisted of 60%
caprylic acid and 40% capric acid (Captex
355, Abitec Corp) blended with lactose-free milk.
Half the drink was consumed with breakfast and the other half with dinner, and
the amount consumed daily was gradually increased to 30 grams during the
initial two weeks of the study, most likely to minimize gastrointestinal side
effects. It remains uncertain whether this product can slow the progression of
MCI to Alzheimer's disease.
Similarly, two other clinical studies funded by the maker of a "medical
food" containing caprylic acid triglycerides (Axona,
Accera) found that supplementation with MCTs
increased ketone levels and improved certain measures of cognitive function in
some individuals with probable or mild to moderate Alzheimer's disease (Henderson, Nutr Metab (Lond) 2009; Reger, Neurobiol Aging 2004).
The standard daily dose given in these studies provided 20 to 40 grams of MCTs
(95% of which was as caprylic acid triglycerides). However, an FDA warning
letter sent to Accera in 2013 noted that "there
are no distinctive nutritional requirements or unique nutrient needs for
individuals with mild to moderate Alzheimer's disease," and other experts
emphasize there is not enough evidence to know whether ketones produced from
consuming coconut oil or MCT oil have a beneficial effect in Alzheimer's
disease (Fernando, Br J Nutr
2015).
Epilepsy
Supplementation with MCT oil was reported to reduce seizure frequency in a
43-year-old man with drug-resistant partial epilepsy. One month after beginning
supplementation with 100% MCT oil (one tablespoon taken twice daily, gradually
increased to four tablespoons twice daily), seizure frequency was reduced from
six per day to one seizure every four days. The MCT oil was taken after
breakfast and dinner with 8 ounces of water, to increase palatability. An
attempt to increase the dose to five tablespoons twice daily was not tolerated
due to excessive flatulence and diarrhea. The reporting physician noted that
there is evidence MCT supplementation may modestly increase ketosis even in
individuals who are not consuming a ketogenic diet (which has been shown to be
an effective treatment in people with drug-resistant epilepsy), although ketone
levels were not measured in this case (Azzam, Case Rep Neurol Med 2013).
Skin and hair
Applied topically, virgin coconut oil can be an effective moisturizer
for dry skin (Agero, Dermatitis 2004).
Virgin coconut oil (5 mL applied twice daily over most of the body) was shown
to reduce symptoms of atopic dermatitis (AD) by 68% in a
two-month study that compared its effects to that of mineral oil which lead to
only a 38% decrease (Evangelista, Int J Dermatol 2014).
Virgin coconut oil (5 mL applied twice daily to affected skin) has also been
shown to inhibit the growth of the bacteria Staphylococcus aureus on
the skin in adults with AD, as compared to extra virgin olive oil (Verallo-Rowell, Dermatitis 2008).
Lauric acid has also been shown to inhibit the growth of P. acnes,
the bacterium that causes acne. In fact, one study in mice found
lauric was more effective in inhibiting P. acnes than benzoyl
peroxide (Nakatsuji, J Invest
Dermatol 2009). However, coconut oil is also comedogenic,
meaning that it can clog pores. Therefore, it could potentially worsen acne
is some people.
Coconut oil may slightly protect against UV radiation, having an estimated SPF
value between 1 and 8 (Gause, Int J Cosmet Sci 2016; Kaur, Pharmacognosy Res 2010). However,
it should not be used as a substitute for sunscreen, as the American Academy of Dermatology recommends
using a product with an SPF of 30 or higher. There do not appear to by any
published clinical studies on the effects of consuming coconut oil or applying
it topically for antiaging effects or for preventing or reducing
wrinkles.
Preliminary studies suggest that applying coconut oil to hair can help to prevent
protein loss in hair strands, and, used as a pre-wash conditioner, coconut
oil may help to prevent cuticle damage. It appears to do this by
reducing the amount of water that is absorbed by, and subsequent swelling of,
the hair shaft during washing, as well as by providing lubrication when
brushing (Rele,
J Cosmet Sci 1999; Rele,
J Cosmet Sci 2003).
Fat-malabsorption
There is preliminary evidence that supplementation with MCTs may be helpful for
individuals with conditions that interfere with the body's ability to absorb
fat, such as AIDS-related fat malabsorption and pancreatitis.
Quality Concerns and
Tests Performed:
Neither
the Food and Drug Administration (FDA) nor any other federal or state agency
routinely tests supplements for quality prior to sale. ConsumerLab.com tested
coconut oils and MCT oils to determine the amounts of MCTs and whether those
matched the amounts listed on product labels. Products were also tested for
rancidity and contamination with heavy metals. See How Products Were Evaluated for more
information on testing.
What CL Found:
All of the products passed testing, containing their expected
amounts of MCTs and found not to be rancid or contaminated with heavy metals.
The virgin (i.e.,
semi-solid "cold pressed") and refined (i.e., liquid) coconut oils
were very similar in chemical composition to the competing products in their
categories, but there was a great range in prices. There was greater chemical
variation among the MCT products.
MCT fatty acids
As shown in the graph below, MCTs were found to represent about 62% of the
triglycerides in virgin coconut oils and most of this was from
lauric acid. In contrast, more than 85% of the triglycerides in the refined coconut
oils and more than 95% of triglycerides in the MCT oils were caprylic and
capric acids — which some people consider more desirable than lauric acid as
they may be more readily used as energy.
Cost
As shown in the graph below, among virgin coconut oils, the cost to get 8 grams
of MCTs (based on caprylic, capric, and lauric acids), which is roughly the
amount in one tablespoon of oil, ranged from just 7 cents to a whopping
$1.68. Only about two-thirds as much oil was
needed to get the same amount of MCTs from refined coconut oils for which the
cost ranged from 30 to 44 cents. Slightly less oil was needed to get 8 grams of
MCTs from the MCT oils and more of this was as caprylic and/or capric acids.
The cost to get 8 grams of MCTs from MCT oil ranged from 40 to 44 cents for
oils and up to $1.53 from an MCT oil powder.
Top Picks:
Virgin (Semi-solid) Coconut Oils:
Top Pick: Kirkland Signature [Costco] Organic Virgin Coconut
Oil
The virgin coconut oils (all of which are "cold pressed") were very
similar to one another. Each was a white, translucent, semi-solid with a
buttery texture and a mild coconut fragrance and flavor. The fatty acid
composition was also very similar -- about 70% MCTs, most of which was lauric
acid (Sports Research and Viva Naturals were a bit
higher due to slightly more caprylic and capric acid). Cost-wise, however, a
bargain was to be had with Kirkland Signature: One tablespoon (13.8
grams) provided 8.9 grams (8,927.7 mg) of MCTs for just 7 cents. The next least
expensive product was Trader Joe's Organic Virgin Coconut Oil (17
cents per tablespoon), and most others cost 24 to 36 cents per tablespoon, except
for Sports Nutrition Organic Coconut Extra Virgin Oil in which
the oil was in softgels and you would need to take
about 11 softgels (costing about $1.54) to get an
equivalent amount of MCTs from a tablespoon of the other products.
One product (Puritan's Pride Coconut Oil) was a virgin coconut oil with
added MCTs. As a result, it had double the amounts of caprylic and capric acids
relative to the virgin coconut oils. The added MCTs were noted on the label
under Other Ingredients. This product is a softgel
and, like the other oil in pill form -- Sports Research, is a more
expensive way to get MCTs than from oils.
Note, two of the "extra" virgin coconut oils (Sports Research and Viva
Naturals) contained only slightly more caprylic acid than the other virgin
coconut oils and a third "extra" virgin oil (Vitacost)
was no different than regular virgin oils. It does not seem worthwhile to pay
much, if anything, extra for "extra" virgin coconut oil.
Refined (Liquid) Coconut Oils:
Top Pick: Nature's Way Coconut Premium Oil
The refined coconut oils were very similar to one another. Each was a clear
liquid with a faint coconut fragrance and flavor. The fatty acid composition
was nearly identical across products -- about 85% MCTs, broken out as 50%
caprylic acid, 38% capric acid, and 7% lauric acid. Cost-wise, however, Nature's
Way was the least expensive at 47 cents per tablespoon versus 62 to 69
cents, respectively, for Garden of Life or Nutiva.
MCT Oils:
Top Pick: Zenwise
Health MCT Oil
Although 92 to 100% of the triglycerides in the three of the MCT oil products
were caprylic and/or capric acids, the ratios of these varied by product. Bulletproof
Brain Octane Oil was, as labeled, 100% caprylic acid. Zenwise Health MCT Oil and Perfect
Keto MCT Oil Powder were, respectively 68% and 53% caprylic acid, with
most of the remainder being capric acid.
Zenwise was, by far, the least expensive
of the MCT oils, making it our Top Pick in this
category. Zenwise cost 40 cents per
tablespoon versus 73 cents for Bulletproof. Perfect Keto (containing
acacia fiber to bind the oil) was several times more expensive per gram of MCTs
than the other MCT Oils. Only if you are seeking MCT oil exclusively for
caprylic acid (the shortest of the MCTs and, perhaps, the easiest to convert to
energy) would it be worth paying more for Bulletproof.
Test Results by Product:
Listed
below are the test results for 13 products, organized by type of coconut oil.
Eleven were selected by ConsumerLab.com and two others (each denoted with a CL
flask) are included for having passed the same evaluation through the Quality Certification Program.
Also shown are the suggested, labeled serving sizes and amounts of MCTs listed
on the product labels. Products listed as "Approved" contained their
expected amounts of MCTs and met ConsumerLab.com's
additional quality criteria (see Passing Score). The full list of ingredients
is available for each product by clicking on the word "Ingredients"
in the first column, although some notable features are listed in the last
column as are price and cost comparisons.
RESULTS OF CONSUMERLAB.COM TESTING OF COCONUT AND MCT OILS |
|||||
Product Name, Serving
Size, and Suggested Daily Serving on Label |
Claimed Amount of Oil
and Medium Chain Triglycerides (MCTs) Per Labeled Serving |
--TEST RESULTS-- |
Cost For Suggested
Serving On Label |
||
OVERALL RESULTS: |
Contained Labeled or
Expected Amount of MCTs Per Labeled Serving |
Did Not Exceed
Contamination Limit for Heavy Metals and Rancidity |
|||
Virgin Coconut Oil: |
|||||
Barlean's Organic Virgin Coconut Oil (1 tbsp. [15 mL],
no recommended daily serving) |
Coconut oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.37 |
Kirkland Signature™ [Costco] Organic Virgin
Coconut Oil (1 tbsp. [15 mL], no recommended daily serving) |
Coconut oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.08 |
Sports Research™ Organic Coconut Extra Virgin
Oil (4 veggie softgels, once daily) |
Coconut oil: 4 g |
APPROVED |
✔
|
✔ |
$0.60 |
Trader Joe's® Organic Virgin Coconut Oil (1
tbsp. [15 mL], no recommended daily serving) |
Coconut oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.17 |
Vitacost® Certified Extra Virgin Organic Coconut Oil
(1 tbsp. [15 mL], no recommended daily serving) |
Coconut oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.24 |
Viva Naturals® Organic Extra-Virgin Coconut
Oil (1 tbsp. [15 mL], no recommended daily serving) |
Coconut oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.34 |
Coconut Oil With MCT
Oil: |
|||||
Puritan's Pride® Coconut Oil 1,000 mg (2 softgels, twice daily) |
Coconut oil: 2 g |
APPROVED |
✔
|
✔ |
$0.25 |
Refined (Liquid) Coconut Oil: |
|||||
Garden of Life® Dr. Formulated Brain Health
100% Organic Coconut MCT Oil (1 tbsp. [15 mL], no recommended daily
serving) |
MCT oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.62 |
Nature's Way® Coconut Premium Oil (1 tbsp. [15
mL], no recommended daily serving) |
MCT oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.47 |
Nutiva® Organic Liquid Coconut Oil - Classic (1
tbsp. [15 mL], no recommended daily serving) |
MCT oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.69 |
MCT Oil: |
|||||
Bulletproof™ Brain Octane® Oil (1 tbsp. [15
mL], no recommended daily serving) |
MCT oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.73 |
Perfect Keto MCT Oil Powder (1 scoop [10 g],
no recommended daily serving) |
MCT oil: 10 g |
APPROVED |
✔
|
✔ |
$1.30 |
Zenwise® Health MCT Oil (1 tbsp. [15 mL], once to
three times daily) |
MCT oil: 15 mL |
APPROVED |
✔
|
✔ |
$0.40 |
Solgar® Quercetin Complex (250 mg quercetin per
vegetable capsule; 2 vegetable capsules, twice daily) |
1,000 mg quercetin |
APPROVED |
✔ |
✔ |
$0.79 |
Tested through CL's Quality Certification Program prior
to, or after initial posting of this Product Review. |
|||||
Unless otherwise noted, information about the products
listed above is based on the samples purchased by ConsumerLab.com (CL) for
this Product Review. Manufacturers may change ingredients and label
information at any time, so be sure to check labels carefully when evaluating
the products you use or buy. If a product's
ingredients differ from what is listed above, it may not necessarily be of
the same quality as what was tested. |
|||||
Copyright ConsumerLab.com, LLC, 2019. All rights reserved.
Not to be reproduced, excerpted, or cited in any fashion without the express
written permission of ConsumerLab.com LLC. |
ConsumerTips™:
ConsumerLab's tests found virgin and
"extra virgin" coconut oils to be similar in chemical composition, so
it may not be worth paying more for "extra" virgin coconut oil.
Virgin coconut oils contain approximately 62% MCTs, but this is predominantly
from triglycerides of lauric acid. This would not be the right choice if you
are looking for a product high in caprylic acid and/or capric acid (see What It Does).
For higher concentrations of MCTs, make sure the product is a liquid (i.e.
refined coconut oil or MCT oil) and lists the amount of "Total MCTs,"
which should be at least 85% of the serving of oil, e.g., a 14-gram serving
should provide at least 12 grams (12,000 mg) of MCTs. If you only want MCTs of
caprylic and/or capric acids, make sure the amounts of these are listed on the
label and comprise 95% to 100% of the total oil.
Dosage:
Oral
For weight loss: 5 grams (about 1 teaspoon) of MCTs of caprylic and capric
acids taken daily for three months (Nosaka, J Atheroscler Thromb 2003).
This dose of MCTs may also increase satiety and stimulate thermogenesis (Clegg, Eur J Clin Nutr 2017).
Epilepsy: 1 to 4 tablespoons of 100% MCT oil twice daily was reported to reduce
seizure frequency in a man with drug-resistant partial epilepsy (Azzam, Case Rep Neurol Med 2013). However, if
you have a seizure disorder, consult your physician before using. Do not
attempt to treat a seizure disorder without medical supervision.
Alzheimer's disease: The standard daily dose given in studies provided 20 to 40
grams of MCTs (95% of which was as caprylic acid triglycerides).
Topical
Atopic dermatitis (AD): 5 mL (one teaspoon) of virgin coconut oil applied twice
daily to the affected area (Evangelista, Int J Dermatol 2014; Verallo-Rowell, Dermatitis 2008).
Hair: Apply coconut oil before washing to prevent protein loss in hair, or
after washing to help protect hair from brushing and styling (Rele,
J Cosmet Sci 1999; Rele,
J Cosmet Sci 2003).
Cooking and storage:
Coconut oil has a relatively low smoke point of 350°F compared to other common
cooking oils such as extra virgin olive oil (383°F), safflower (413°F) and
canola (460°F). It's low smoke point makes it less suitable for frying, but it
can be used for cooking and baking at temperatures below 350°F (Katragadda, Food Chem 2010; Foster Nutr
Bull 2009).
Coconut oil has a high saturated fat content, so you may want to
limit your daily intake. The saturated fats, however, make it (as well as MCT
oil) very stable, so that it does not require refrigeration -- although this
will give virgin coconut oil a harder consistency if that is desired.
Concerns and Cautions:
Although
coconut oil appears to be generally well-tolerated, it may cause diarrhea,
loose stools, stomach ache, nausea and vomiting in some individuals.
This is more likely to occur within the first week of consuming/supplementing
with coconut oil and when it is consumed on an empty stomach (Chinwong, Evid Based
Complement Alternat Med 2017). Diarrhea, vomiting, bloating,
and cramps can also occur when supplementing with MCT oil (Azzam, Case Rep Neurol Med 2013); (Liu, Biomed J 2013).
Although allergic and anaphylactic reactions can occur from
eating coconut fruit (i.e. coconut meat), this is unlikely to
occur with refined coconut oil , as coconut proteins (which
can trigger allergic reactions) are removed during the oil extraction process (Gomez, Allergol
Immunopathol (Madr).
Skin reactions such as rash and hives have been reported after
topical use of coconut oil (Anagnostou, Children (Basel) 2017).
Most of the fat in coconut oil (82%) is saturated
fat and the percentage approaches 100% as the oil is refined to just
MCT oils. The American Heart Association (AHA) recommends limiting saturated fats to 5% to 6%
of total daily calories, i.e., about 13 grams of saturated fat per
day for an adult, and this approximately the amount in one tablespoon (14
grams) serving of the coconut oil. The AHA advises against use of coconut oil
because it can increase LDL ("bad") cholesterol with,
in the opinion of the AHA, no favorable offsetting effects (Sacks, Circulation 2017). A review of 16 clinical trials that compared coconut oil
to nontropical vegetable oils (e.g. soybean, olive,
safflower or canola oil) found use of coconut oil (added to foods, in cooking,
or as a supplement) to be associated with an average increase of 14.69 mg/dL in
total cholesterol and 10.47 mg/dL in LDL cholesterol, although it was also
associated with a small increase (4 mg/dL) in HDL ("good")
cholesterol (Neelakantan, Circulation 2020). The increase
in HDL, however, may not mean much. Although high HDL levels are associated
with lower cardiovascular risk (which is why HDL is often referred to as
"good" cholesterol), interventions to raise HDL, such as with
high-dose niacin or fibrates, have not been shown to reduce cardiovascular risk
(Abbasi, JAMA 2020).
It should be noted that not all studies have found coconut oil to have negative
effects on cholesterol levels in healthy individuals. For example, a study in
Thailand among healthy young adults (average age 21) found that 15 mL of virgin
coconut oil taken twice daily for two months increased HDL cholesterol by 5.72
mg/dL, but did not significantly increase total cholesterol, LDL cholesterol or
triglyceride levels, compared to a control (Chinwong, Evid Based
Complement Alternat Med 2017).
To further assist consumers, ConsumerLab.com licenses its flask-shaped CL Seal
of Approved Quality (see The CL Seal) to manufacturers for use on
labels of products that have passed its testing. ConsumerLab.com will
periodically re-evaluate these products to ensure their compliance with ConsumerLab.com's standards.
Information on this site
is provided for informational purposes only. It is not an endorsement of any
product nor is it meant to substitute for the advice provided by physicians or
other healthcare professionals. The information contained herein should not be
used for diagnosing or treating a health problem or disease. Consumers should
inform their healthcare providers of the dietary supplements they take.
Latest Clinical Research Updates for Coconut and MCT Oils
MCT Oil for Mild Cognitive Impairment?
3/23/2021
Can medium chain
triglycerides (MCTs – from coconut oil) boost brain energy and improve thinking
in people with mild cognitive impairment? Find out what a recent study found in
the What It Does section of our Coconut and
MCT Oils Review. Also see our Top Picks among coconut and MCT oils.
Coconut Oil for Lowering Blood Pressure?
3/10/2021
Can coconut oil lower
blood pressure in people with mild hypertension? See what a new study found in
the What It Does section of our Coconut Oil
and MCT Oil Review. Also see our Top Picks among coconut and MCT oils.
MCTs for Cognitive Impairment?
10/27/2020
Can medium chain
triglycerides (MCTs) improve memory and cognition in people with mild cognitive
impairment? Find out what a recent study showed in the What It Does section
of our Coconut Oil and MCT Oil Review. Also see our Top Picks for MCT and coconut
oils.
Coconut Oil for Lowering Weight and Cholesterol?
7/14/2020
Can adding coconut oil to
dinner lower weight and/or lower cholesterol levels? See what a new study found
in the What It Does section
of the Coconut and MCT Oils Review. Also see our Top Picks among coconut oils and MCT oils.
4/11/2020
Coconut oil is known to
raise levels of LDL ("bad") cholesterol but also increase levels of
HDL ("good") cholesterol. Is one more important than the other? Find
out the latest information in the Cautions and Concerns section
of the Coconut Oil and MCT Oil Review. Also see our Top Picks for coconut and MCT oils.