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A study on a MCT-supplemented ketogenic diet in a population with mild cognitive impairment was recently published ( Taylor et al., 2018). At 70% fat, the diet was already ketogenic, but the added MCTs made it highly ketogenic. This may be because as cognitive function declines, so does the ability of the brain to use glucose and ketone use parallels their level in the blood ( Croteau et al., 2017).
Ergo, elevating ketones with MCT-supplemented ketogenic diet improves brain fuel availability.