Medium-Chain Triglyceride (MCT) Oil Supplement (less strict approach)
The MCT Oil Supplement diet is often used in England and Canada, yet seldom used in the United States. The MCT diet is more flexible and a larger variety of food can be included due to the higher carbohydrate and protein allowance. MCT refers to the type of oil (medium-chain triglyceride), which produces ketones more easily than LCT (long-chain triglyceride) fat. This means that less total fat is needed, thus allowing more carbohydrate and protein to be included in the regimen.
Exchange lists divide up the allocated food groups for the day, giving the flexibility of planning individually-designed meals, choosing from the lists in the allocated quantities. Experience has shown that better ketone levels are reached and tolerance obtained if the MCT supplement is divided up evenly across the day between both snacks and meals, ie all food must be accompanied by a proportion of MCT.