Juliegee wrote:George, can you give us more information? Dr. Gundry has probably collected the most evidence on this of anyone in the world given his recommendations and subsequent data collections. Previously, he had recommended capryllic acid, the C8 version of MCT for E4s. Is he backing off of that as well?
From this FB post
, those who are members of that group can access the post directly. For others:
Question: "I sat in on my daughters appointment a few weeks ago. At my last appt with him he said no coconut oil. At the end of this visit I asked Dr G if 4/4s could have MCT oil hoping that whatever was in coconut oil that is not good for 4/4 was not in the MCT oil. He said - well, it's coconut, isn't it. So I assume no MCT oil. Because it wasn't really my appt I did not ask any follow up questions but I am wondering - does this mean no coconut flour, coco ghee, coco milk, coco cream, coco condensed milk, etc?"
From another patient: "I know that he had been vacillating about the coconut oil for 4's because some of us have elevation in sdLdl's when using it. Last week he didn't mention anything to us about not using MCT oil. Previously he said it was neutral. I don't think that it means you can't have coconut products, but it wouldn't hurt to send an email for clarification. Now my curiosity is peaked! We haven't shown elevated levels so maybe that is the difference and we use MCT daily."
Answer - Steven Gundry: "Just watch my YouTube video on Apo E 4. I am still suspicious of coconut oil for 4's. Also suspicious of MCT oil, but as you will see in the new book
, MCT may behave differently. Coconut flour is totally different in behavior. Dr G" Assume he means the AHS16 presentation.
So my take would be the verdict is not yet in and if you use it and you test OK on sdLDL-C, then fine, otherwise no. Though C-8 may be viable as it does act differently & that may be what he talks about in his book.
As an aside, I'm a guinea pig for Marty Kendall's Nutrient Optimizer program
. As such I'm doing a detailed food diary for 14 days, weighing most everything on a gram scale. I will post here when I get the results. In any case, I've sampled a few morning serum ketone levels the evening after my daily meal. Eating my normal large bowl of salad, ketones were at 1.8 mmol/L. Last night we had yucca fries, which is a resistive starch and fairly carby, by ketone level was still 1.0. So I'm maintaining a reasonable ketone level even with a fair amount of carb intake. To use Marty's program, I first have to input everything into Cronometer
then export to a csv file. I'll be interested to see what the level of carbs/fiber (fibre) turn out to be.