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Particularly, decanoic acid (C10), which is one of the main components of MCT oil, is recognized for its capacity to optimize mitochondrial functionality, modulate astrocyte activity, increase neuronal GABA production through augmented glutamine supply, and inhibit mTORC1 activity, contributing to improved neurological function ( Previous studies have shown that MCT ketogenic diet (KD) has comparable therapeutic efficacy to the classic KD ( Our group previously demonstrated the therapeutic effects of a liquid ketogenic formula (Classic Ketonia) containing C10 at 0.4% of total fat ( We conducted a pilot study, using an open-label, randomized, controlled, crossover design to evaluate the therapeutic efficacy and safety of a C10-enriched KD, incorporating C10-enriched Ketonia, developed by Namyang Dairy Products