1. I now have at least 140 calories, and sometimes 280 calories, of pharmaceutical grade MCT powder. The first 140 calories are consumed right after I wake up.
2. I have strictly limited my diet to 15% of calories from (long chain) fat at a maximum.
I've felt CPT2 symptoms hint that they were coming on. One day I forgot to eat breakfast and lunch and by dinner I had some shaking. But it never progressed beyond the worrisome early signs. As far as I can tell (mostly from looking at my urine), I haven't had significant muscle breakdown since I started MCT and lowered my fat intake to under 15%.
Will this work for everyone? Probably not. Is it unlimited protection from CPT2 episodes? Surely not. But it is still the best my muscles have done since I became an adult.