IntroductionRegular intake of dietary fiber (DF) can counteract the negative impacts of obesity on physical health and chronic disease risk. DF mitigates obesity by promoting fullness, reducing calories, slowing nutrient absorption, stabilizing glucose, preventing fat storage, and influencing gut microbiota. High-performance (HP) inulin, a highly fermentable water-soluble DF, shows promise, but its palatability is limited in powder form. Combining HP inulin with beneficial triglycerides like Medium Chain Triglycerides (MCT) could overcome this issue. Aim of studyThis study investigates the effects of HP inulin-MCT on lipid metabolism and immune modulation in high-fat high-sucrose (HFHS) diet-induced obese mice. MethodsObese mice were orally administered with 20 % (w/v) HP inulin-MCT ad-libitum for 30 days. We measured their peripheral blood lipid profile, including LDL, HDL, and triglycerides. Additionally, the atherogenic coefficient, a parameter for assessing cardiovascular disease risk, was determined by calculating the ratio of non-HDL-C to HDL-C. Flow cytometry was used to identify splenic regulatory CD4 + and CD8 + T cells (Tregs). The Non-Alcoholic Steatohepatitis Score was assessed through histological examination. ResultsSignificant reduced body mass index, improved lipid profiles, and reduced cardiovascular disease risk were observed in the obese mice treated with HP inulin-MCT. Moreover, HP inulin-MCT appeared to ameliorate non-alcoholic steatohepatitis, a liver condition associated with obesity. These health improvements were linked to immune system modulation, associated with an increase of CD4+ T-regulatory cells after HP inulin-MCT supplementation. ConclusionHP inulin-MCT is a promising and palatable dietary intervention to combat obesity-related noncommunicable diseases, offering the potential for better overall health outcomes.