Overview Vitamin K and Vitamin D
Vitamin K2 is similar to D3 in many ways
Both vitamins were initially confused with its lesser form (D2 ==> D3, K1 ==> K2)
Both vitamins appear to influence health in large number of ways
Both vitamins in the body are about 1/10 that of a century ago
- Example: Grass-fed beef has a lot more K2, D3, and Magnesium
Need very little of both vitamins: <1,000 micrograms daily
When Vitamin D3 is increased, it appears that Vitamin K2 should also be increased
Vitamin K2 understanding and research is about 20 years behind that of Vitamin D3
- One of the reasons: No simple blood test for K2 as of Dec 2024
K2 with some K1 - - - - -
Importance of K2
Makes for harder bones and softer arteries
Appears to increase the effectiveness (Bioavailability?) of Vitamin D by 10%
Perspective of the importance of Vit D and co-factors to health

See Vitamin D Life category: Vitamin K items
See Vitamin D Life
Perhaps should not take K2 concurrently with Vitamin D. Vitamin D decreases the uptake of Vitamin K1 by 50%
Better bones again associated with higher vitamin K intake – Nov 2015
If you must take statins and want to avoid hardening of arteries, take vitamin K2 – RCT May 2015
Vitamin K2-7 decreases arterial stiffness (cleans arteries) – RCT Feb 2015
Vitamin K-2 – bone biomarkers indicate at least 600 ug of MK-4 are needed daily – Sept 2014
Vascular calcification greatly reduced by 3 per week 1000 ug of Vitamin K2 MK-7 – Dec 2013
Increased Vitamin K2 reduces the problems of excess Calcium – Nov 2013
Vitamin K-2 (180 ug MK-7) helped both bone density and strength – RCT March 2013
Synergism between Vitamin D, Vitamin K-2, and Vitamin A: Masterjohn – Sept 2013
Hip fractures greatly reduced by sunshine, vitamin D, and Vitamin K – meta-analysis Sept 2012
Vitamin K2 is a vitamin D co-factor Dr Colgan, etc.
Cholesterol, Vitamins D3 and K2, heart disease, sulfates, LDL, – Masterjohn Interview Jan 2013
Vitamin K1 reduced hip fracture but Vitamin K2 did not – Aug 2011
All items in Bone-Health items
All items in category K2 items
Interview of Doctor who has authored books on Vitamin K2 and Magnesium – Mercola June 2015
Vitamin K2 in cells can vary 25% between individuals due to genes - July 2025
FYI: Vitamin D levels in cells vs plasma vary due to genes by a far larger amount
Mercola on Vitamin K levels in plasma and cells - July 2025
📄 Download the PDF from Vitamin D Life
Apparently K2-MK7 Trans form is much better than Cis (Super K etc.) - Nov 2024
Taking Vitamin D3? This Might Save Your Life YouTube 20 minutes]
Before this video I was unaware of differences between forms
Presenter warns that if supplier does not list the Trans form it might not be in the capsule
Not all K2 suppliers use the Trans form
Perplexity AI agrees, Trans is far better than Cis
SuperK at Amazon I have used Super K many years.
Vitamin K deficiency is only important at low ievels of Vitamin D - GRH 2020

Many benefit of vitamin K - Dr. Berg video- Fall 2022
13 sections on K2 and K1 - Mercola Feb 2025
Vitamin K2 for Bone Health, Heart Disease and Cancer
Different Forms of Vitamin K2
Vitamin K2's Role in Mitochondrial Energy Production
Vitamin K for Optimal Health During Menopause
Vitamin K Has Neuroprotective Properties and Protects Your Liver
Vitamin K for the Treatment of COVID-19
Vitamin K for Parathyroid Disorders and Cerebral Palsy
Vitamin K Enhances Sperm Motility
Vitamin K-Dependent Proteins in Biomineralization
The Interplay Between Lipids and Vitamin K Metabolism
Vitamin K and Its Impact on Other Nutrients
How to Optimize Your Vitamin K2 Levels
Egg Yolks Are Your Best Source of Vitamin K2 as MK-4
The Ultimate Vitamin K2 Resource- Chris Masterjohn Dec 2016
Nice overview
Statins restrict K1 conversion to K2
All animals convert K1 or K2-M7 to K2-M4 for use
Recommends 100 micrograms - which no mention of increasing dose with higher levels of vitamin D
Good review of the commercial K combinations available on the market - here is just a portion of it - without hyperlinks
Life Extension Super K With Advanced K2 Complex — 1 mg K1, 1 mg MK-4, 200 μg mK-7, with an additional 10 mg ascorbic acid from 25 mg ascorbyl palmitate. Sold by iHerb ($22.50) but cheaper at Amazon ($17.93). Eligible for Prime and Amazon Fresh. 20 cents per capsule, 3 cents per day to average 200 μg/d. Beware of the subscription button when buying on Amazon. The vitamins are synthetic. According to Life Extension, the MK-7 is synthesized in China and is bioidentical, but they could not verify for me that it is 100% all-trans, which is the natural form. The reason I do not advocate this supplement is because the high dose of K1 adds little value, and although there is no well-characterized risk of high doses, it is possible that multiple milligrams per day of vitamin K (this supplement itself provides 2.2 mg per capsule) may unnecessarily tax the body’s antioxidant system.
Maxx Labs Vitamin K2 Complex — 500 μg MK-4, 100 μg MK-7, 100 mg calcium from calcium citrate. 20 cents per capsule, 7 cents per day to average 200 μg/d. $17.98 on Amazon, where it is fulfilled by Amazon and eligible for Prime. Be careful to avoid the subscription setting if you only want to order one bottle. Free of GMOs and allergens.
Innovix Full-Spectrum K2 — 500 μg MK-4, 100 μg MK-7. 24 cents per capsule, 8 cents per day to average 200 μg/d. $21.97 on Amazon, fulfilled by Amazon and eligible for Prime. Both forms of K2 in this product appear to be synthetic but bioidentical. It contains caramel coloring derived from non-GMO corn, a potential source of allergens. I consider this the best choice for a mixed MK-4/MK-7 supplement.
Country Life Vegan K2 Strawberry Smooth Melt — 500 μg total K2. MK-4 and MK-7 in unidentified proportions. 19 cents per smooth melt, 8 cents per day to average 200 μg/d. Almost identical prices on Amazon ($16.65) and iHerb ($16.67). On Amazon, it is fulfilled by Amazon and eligible for Prime. It is not clear where the vitamins come from or whether the MK-7 is bioidentical. It is free of GMOs, soy, and other common allergens.
Pure Encapsulations Synergy K — 1,000 IU Vitamin D3, 1 mg MK-4, 500 μg K1, 45 μg MK-7. 47 cents per capsule, 9 cents per day to average 200 μg/d. $56 on Amazon, where it is fulfilled by Amazon and eligible for Prime. Free of GMOs and allergens. Taken to yield an average close to 200 μg K2, the amounts of vitamin D (200 IU) and MK-7 (9 μg) are rather low compared to the Innovix Full-Spectrum K2 (20 μg MK-7) or the Thorne Research D/K2 (1,000 IU vitamin D), but the unique combination of the three vitamins may be optimal for some people whose nutritional needs fit it just right.
MK-4 Supplements
Thorne Research Vitamin K2 — 1 mg MK-4. 5 cents per drop, 1 cent per day to average 200 μg/d. Similarly priced at Amazon ($64.62) and iHerb ($64.65), and if ordered on Amazon it is fulfilled by Amazon and eligible for Prime. It is dissolved in a base of nothing but MCT oil and mixed tocopherolsd. This is the least expensive option in the list.
Thorne Research D/K2— 1000 IU vitamin D and 200 μg MK-4. 4 cents per day to obtain 200 μg from each two-drop serving. Although available on Amazon from third party shippers at prices ranging from $36-$70, it is not eligible for Prime and it is much less expensive ($23.70) through iHerb. This is a great option for someone who also needs to improve their vitamin D status. When compared to the Thorne Vitamin K2, it has the added benefit that the dose of MK-4 is smaller so it is easier to take a consistent dose of 200 μg every day. However, don’t be fooled by the price difference: the bottle costs less (hardly more than a third the price), but on a per 200 μg basis it is four times as expensive.
Superior Source Sublingual MK-4 Tablets — 500 μg MK-4. 29 cents per tablet and 12 cents per day to average 200 μg per day. Similar price from Amazon ($17.59), where it is shipped and sold by Amazon as well as eligible for Prime, and iHerb ($17.79). The company claims that the sublingual formulation offers superior absorption but I’m not aware of any specific evidence of this. It contains lactose, so should be avoided by people with lactose intolerance.
Vitamin K2 and the Calcium Paradox - 2012 book
Vitamin K2 and the Calcium Paradox – 2012 book review by Vitamin D Life
Interview of author by Mercola Dec 2012
- Same interview and perhaps updated data Mercola Nov 2017
- CLICK HERE for transcript with highlights by Vitamin D Life
#F00:Highlight from interview: GUESS 100 ug of vitamin K2PER 1000 IU of vitamin D- Which would be 1500 ug of K2 (1 Super K capsule) per 15,000 IU Vitamin daily
Some suppliers of large amounts of K2
- Thorne liquid 10 drops = 1000 mcg K2 (MK4) and 5,000 IU vitamin D3
- 125 servings (of 10 drops) per $22 bottle
- Bone restore with K2 Life Extension (improved)
- 4 capsules: Vitamin D3 1000 IU (low) ; MK-7 200 mcg, Ca 700 mg, Magnesium (citrate) 300 mg, Zinc 2 mg, Manganese 1 mg, Silicon 5 mg, Boron 3 mg
- Natures Life Vitamin K-2 Menatetrenone — 5000 mcg - 60 Tablets $17
- Comment by admin of Vitamin D Life: taking this about once every 4 days with vitamin D, and hoping that the half-life of K2 is long enough
See on web
- http://vitamink2.org/ International Health and Science Foundation, Poland
Effects of vitamin K in postmenopausal women: Mini review Nov 2013
- interesting abstract which finishes with MK-4 seems safe even at doses as high as 45mg/day.
Strong bones recommendation by Vitamin D Life admin - approx 2005
Mercola video interview of Vermeer 10 parts July 2010
CLICK HERE for transcript of the interview]
CLICK HERE for Mercola's summary after? the interview
- Includes the following charts

- how Vitamin K (1, 2, or 5) combined with Sorafenib treats Pancreatic Cancer perhaps 20X better than either item by itself
- Journal Cell Physiology, 2010, full text on-line
Mark' Daily Apple on Vitamin K2 Feb 2009
- Extensive description of all of the vitamin K around the world, lack of RDA for K2, etc.
- Phylloquinone and vitamin D status: associations with incident chronic kidney disease in the Framingham Offspring cohort. 2012
- Higher K1 associated with an increased risk of incident CKD. - by 2x
Vitamin K1 intake cuts risk of diabetes in the elderly by 50 percent Natural News Dec 2012
Coronary artery calcification in Japanese men in Japan and Hawaii. 2007 full text online
- The Japanese living in Hawaii (and not eating Natto as much) had 4X more Coronary Artery Calcification.
- Those in Hawaii also happened to smoke 4X less than those in Japan
Mercola long article on importance of Vitamin K2 and Vitamin D March 2011
Vitamin K status and cognitive function in healthy older adults Neurobiology of Aging, Sept 2013
- Vitamin K1 (not K2) improved 20 minute recall. Details of how much K1 and how much improvement are behind a paywall
- Intracranial haemorrhage is linked to late onset vitamin K deficiency in infants aged two to 24 weeks Feb 2014
- ALL infants with Intracranial haemorrhage had significantly low vitamin K level.
Huge overview of Vitamin K Examine.com; here are just the topic areas covered
- Examine.com update June 2018
- Sources and Structure ; Sources and Origin; Structure and Properties; Mechanisms and the Vitamin K Cycle; Mechanisms Independent of the Vitamin K Cycle; Recommended Intake; Deficiencies; Supplemental Forms of Vitamin K;
- Pharmacology ; Absorption; Distribution; Serum; Tissue/Cellular Uptake; Colonic Kinetics and Fermentation; Excretion; Topical Application;
- Longevity ; Mitochondria; Aging;
- Neurology ; Mechanisms; Neuroprotection; Neuroinflammation; Cognition; Multiple Sclerosis;
- Cardiovascular Health ; Cardiac Tissue; Coagulation and Clotting; Calcification;
- Interactions with Glucose Metabolism ; Insulin; Insulin sensitivity;
- Fat Mass and Obesity ; Mechanisms;
- Skeleton and Bone Metabolism ; Mechanisms Independent of the Vitamin K Cycle; Mechanisms via the Vitamin K Cycle (Osteocalcin); Bone Mineral Density; Fractures; Joint Health;
- Inflammation and Immunology ; Cytokines;
- Interactions with Hormones ; Sex Hormone Binding Globulin; Testosterone; Cortisol;
- Interactions with Organ Systems ; Liver; Pancreas; Male Sex Organs;
- Interactions with Cancer Metabolism ; Mechanisms; Hepatocellular Carcinoma;
- Interactions with Aesthetics ; Skin;
- Interactions with Pregnancy ; Requirements (Pregnancy); Requirements (Lactation);
- Interactions with Disease States ; Cystic Fibrosis; Pseudoxanthoma elasticum;
- Nutrient-Nutrient Interactions ; Vitamin C; Vitamin D; Vitamin E; Sesamin; Anticoagulants;
- Safety and Toxicology ; General; Case Studies; Menadione;
- Examine.com update June 2018

EFSA (European Food Satefy Agency) no Vit K change Nutraingredients May 2017
- Still 70 micrograms for adults, still lump K1 and K2 together
- Vitamin K deficiency: What you need to know Medical News Today Dec 2017
Mortality and Low Vitamin K studies
Items in Vitamin D Life in both categories Vitamin K and Mortality are listed here:
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Combination of Low Vitamin D AND Low Vitamin K increased mortality by 1.5X Aug 2020, FREE PDF
Cardiovascular Mortality much worse if lacking Vitamin K2 from MenaQ7.com


The above is their advertisement
Vitamin K1 is Inversely Associated with Mortality Risk, K2 is also good - March 2014
Dietary Intake of Vitamin K Is Inversely Associated with Mortality Risk.
J Nutr. 2014 Mar 19
Juanola-Falgarona M1, Salas-Salvadó J, Martínez-González MA, Corella D, Estruch R, Ros E, Fitó M, Arós F, Gómez-Gracia E, Fiol M, Lapetra J, Basora J, Lamuela-Raventós RM, Serra-Majem L, Pintó X, Muñoz MA, Ruiz-Gutiérrez V, Fernández-Ballart J, Bulló M.
Vitamin K has been related to cardiovascular disease and cancer risk. However, data on total mortality are scarce. The aim of the present study was to assess the association between the dietary intake of different types of vitamin K and mortality in a Mediterranean population at high cardiovascular disease risk. A prospective cohort analysis was conducted in 7216 participants from the PREDIMED (Prevención con Dieta Mediterránea) study (median follow-up of 4.8 y). Energy and nutrient intakes were evaluated using a validated 137-item food frequency questionnaire. Dietary vitamin K intake was calculated annually using the USDA food composition database and other published sources. Deaths were ascertained by an end-point adjudication committee unaware of the dietary habits of participants after they had reviewed medical records and linked up to the National Death Index. Cox proportional hazard models were fitted to assess the RR of mortality.
Energy-adjusted baseline dietary phylloquinone intake was inversely associated with a significantly reduced risk of cancer and all-cause mortality after controlling for potential confounders (HR: 0.54; 95% CI: 0.30, 0.96; and HR: 0.64; 95% CI: 0.45, 0.90, respectively).
In longitudinal assessments, individuals who increased their intake of phylloquinone or menaquinone during follow-up had a lower risk of
cancer (HR: 0.64; 95% CI: 0.43, 0.95; and HR: 0.41; 95% CI: 0.26, 0.64, respectively) and
all-cause mortality (HR: 0.57; 95% CI: 0.44, 0.73; and HR: 0.55; 95% CI: 0.42, 0.73, respectively)
than individuals who decreased or did not change their intake.
Also, individuals who increased their intake of dietary phylloquinone had a lower risk of cardiovascular mortality risk (HR: 0.52; 95% CI: 0.31, 0.86).
However, no association between changes in menaquinone intake and cardiovascular mortality was observed (HR: 0.76; 95% CI: 0.44, 1.29).
An increase in dietary intake of vitamin K is associated with a reduced risk of cardiovascular, cancer, or all-cause mortality in a Mediterranean population at high cardiovascular disease risk.
This trial was registered at http://www.controlled-trials.com as ISRCTN35739639, PMID: 24647393
Natto starter kit
Make your own Vitamin K2 / Natto at home from a starter kit
Called Natto in Japan and Thau-nao in Thailand this cultured whole bean soy food has a strong, somewhat persistent, unique flavor.
The bacteria, Bacillus subtilis var natto, that culture the cooked soybeans make a sticky, viscous polymer during the 6-12 hours of incubation.
This creates wispy threads evident when the cultured soybeans are pulled apart.
A good source of protein, this robust soyfood adds zest to any grain or noodle dish, soup or sandwich.
A little goes a long way, so what is not intended for use in a day or two may be easily frozen.
Our Natto starter, imported from Japan, has a 6 month or more shelf life.
Natto Starter Kit:
This 11gm packet contains culture directions, recipes, and enough spore to start 3 batches of natto, each making 5 cups or 1.5 pounds.
$3.00 + $3.00 shipping in the US. As of July 2011 the supplier only accepts check of money order, no on-line sales
Cees Vermeer (64) is Associate Professor of Biochemistry at the Maastricht University and since 10 years also CEO of VitaK, a spin-off company focusing on research on vitamin K and vitamin K-dependent proteins. VitaK employs 14 researchers (Ph.D., MSc, and BSc) who are all working on a) clinical trials to demonstrate health effects of vitamin K, b) development of new biomarkers based on vitamin K-dependent proteins and c) analysis of K-vitamins in foods and body fluids. Cees Vermeer has been the supervisor of 16 Ph.D. students and is an author in over 300 papers in the international scientific press. VitaK is specialized in bone and cardiovascular health and has a long-standing R&D; collaboration with NattoPharma; we have demonstrated the quality and health effects of MenaQ7 in several independent clinical trials and also act as consultant for scientific and regulatory affairs as well as for designing and defending IPR.
Dr. Vermeer studied Biochemistry at Leiden, where he also presented his Ph.D. thesis (1974) on the initiation of protein biosynthesis in E coli. In 1975 Dr. Vermeer was appointed at the Department of Biochemistry of the Universiteit Maastricht, where he has founded the Division on Vitamin K In 1984 he was appointed as an Associate Professor of Biochemistry and Principal Investigator at CARIM. In 1994 Dr. Vermeer was appointed as a temporary adviser of the World Health Organization and in 2001 he received the honorary title of Doctor honoris causa at the University of Medicine and Pharmacy "Iuliu Hatieganu" of the city of Cluj-Napoca, Romania. Moreover, in 2001 Dr. Vermeer founded the company VitaK BV, where he became the first CEO of the company.
Slide show for Vita K from Dec 2010 is attached at the bottom of this page
The following are some of the slides



Cees Vermeer, PhD; Associate Professor of Biochemistry; BioPartner Center Maastricht; [email protected]
RCT 1500 micrograms daily K2 preserves bone - 2013
6 month Random Controlled Trial: Control group with no K-2 had decreased forearm BMD, 1.5-mg K-2 MK-4 has no decrease
Appears that Vitamin K is needed to prevent bone loss - 2012
Vitamin K-Dependent Carboxylation of Osteocalcin: Friend or Foe?
Caren M. Gundberg3, [email protected], Jane B. Lian4, and Sarah L. Booth (see also below) 5
3Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
4Department of Cell Biology, University of Massachusetts Medical School, Worcester, MA; and
5Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA
Adv Nutr March 2012 Adv Nutr vol. 3: 149-157, 2012
Osteocalcin originates from osteoblastic synthesis and is deposited into bone or released into circulation, where it correlates with histological measures of bone formation. The presence of 3 vitamin K-dependent ? carboxyglutamic acid residues is critical for osteocalcin’s structure, which appears to regulate the maturation of bone mineral. In humans, the percentage of the circulating osteocalcin that is not ?-carboxylated (percent ucOC) is used as a biomarker of vitamin K status. In contrast, when ucOC is not corrected for total osteocalcin, the interpretation of this measure is confounded by osteoblastic activity, independent of vitamin K. Observational studies using percent ucOC have led to the conclusion that vitamin K insufficiency leads to age-related bone loss. However, clinical trials do not provide overall support for the suggestion that vitamin K supplementation of the general population will reduce bone loss or fracture risk. More recently, results from in vitro and in vivo studies using animal models indicate that ucOC is an active hormone with a positive role in glucose metabolism. By inference, vitamin K, which decreases ucOC, would have a detrimental effect. However, in humans this hypothesis is not supported by the limited data available, nor is it supported by what has been established regarding osteocalcin chemistry. In summary, the specific function of osteocalcin in bone and glucose metabolism has yet to be elucidated.
Dr. Sarah Booth Jan 2014
PDF including all images is attached at the bottom of this page
here are some of the images



Her 2008 PDF is attached at the bottom of this page
MK7 is a natural form and is more effective in the body and teeth

The long half-life of MK-7 results in significantly better accumulation compared to MK-4. Research shows that in only 8 days MK-7 has 6 times better absorption. Hence, smaller quantities and less frequent intakes of MK-7 is sufficient in order to supply all of the tissues.

MK-7 is much more effective than MK-4 at doses that do not exceed the present recommended intake for vitamin K. MK-4 has to be applied in very high pharmacological doses (milligrams) to demonstrate benefits for bone and heart health. In case of MK-7, doses in micrograms – 1000x less - are sufficient for significant bioactive effect.
Vitamin K2 is good for cardiovascular - July 2015


📄 Download the PDF from Vitamin D Life
Dr Price in 1930's found people with good teeth consumed 10X more fat-soluable vitamins 8 minute video
Citizen petition to increase Vitamin K2 to 200 micrograms/day - Feb 2016
Citizen Petition asking the National Academy of Sciences to set a designated reference index for vitamin K2 of 200 micrograms/day Dr. David Cundiff
Vitamin K2 content of foods (US - 2015)
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Vitamin K2 (menaquinone) Supplementation and its Benefits in Cardiovascular Disease, Osteoporosis, and Cancer - 2016
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...Differences between Vitamin K1 and K2 in Health and Disease - 2019
📄 Download the PDF from Vitamin D Life
Natto, which is a good source of Vitamin K2, treats nasal polyps in sinus - Feb 2018
Nattokinase for Nasal Polyps and as a Mucolytic Green Med Info.
Note: The word VITAMIN does not occur once in the article.
There are many articles on the web about Vitamin K2 reducing nasal polyps
K1 compared to K2 - Sept 2018

k-vitamins.com - learned of it Jan 2023
lots of information
Founder was saved by Vitamin K disolving plaques in his arteries
huge amount of Vitamin K information
He also sells a very high dosage combination Vitamin K pill
Vitamin K1 (5 mg) , MK4 (25 mg) , and MK7 (0.5 mg), and Astaxanthin (2 mg)
Research tab has

VitaminK2.ORG
Vitamin D Life became aware ofthis nice site in Sept 2019
Site Table of Contents

Vitamin K Myths
1.Myth: Vitamin K is a single vitamin.
2.Myth: I eat a lot of green leafy vegetables, so I am getting my vitamin K2.
3.Myth: With all the green leafy vegetables I eat, I am getting the benefits of vitamin K2.
4.Myth: I feed my children packaged cheese because I want to make sure they get plenty of vitamin K2.
5.Myth: I can follow adequate daily intake levels of vitamin K so I am sure I am getting enough vitamin K2.
6.Myth: I am taking a blood-thinning medication so I absolutely should not eat foods with vitamin K or take vitamin K supplements.
7.Myth: I feel great so I am definitely not vitamin K2 deficient.
Deficiency
|
Rare, except in newborns.|
Common
Daily Value (RDA)
|
90 micrograms for women
120 micrograms for men|
Not yet established, but experts recommend 100 to 200 micrograms of K2 daily.
Toxicity
|
No known toxicity if taken at recommended levels.|
No known toxicity if taken at recommended levels.
Deficiency symptoms
|
Bruises
Increased bleeding time
Small blood clots under nails
Increased bleeding in mucous membranes.
|
Weak bones
Increased plaque deposits along gumline
Increase in cavities
Arterial calcification
Causes of deficiency
|
Lack of green leafy vegetables in diet
Anticoagulant medications (Warfarin/Coumadin)
Antibiotics
Fat malabsorption disorders.
|
Lack of fermented foods and organ meats in diet.
Circulation in blood
|Brief (hours)|
Prolonged (days).
Due to Vitamin K2's longer molecule, it is transported by different carriers in the blood than K1 and therefore, to different locations in the body.
Effect on bone health
|
Minimal|
Moderate
Effect on heart health
|Minimal|Moderate
Present in brain
|No|
Yes.
The MK-4 form of Vitamin K2 is the predominant form found in the brain, but we don't yet know what it does there.
What happens after consumption?
|
Vitamin K1 travels to liver more effectively than to bones.
Liver uses Vitamin K1 to activate proteins needed for blood clotting.
|
Vitamin K2 travels to bone more effectively than K1.
Bones use K2 to produce Osteocalcin, a bone-building protein hormone, which also supports metabolic health.
The MK-4 form of Vitamin K2 is effective at reaching tissues other than liver and bones.
Life Extension: K2 prescribed in Japan to prevent bone loss for several decades - March 2022
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Vitamin K and Cardiovascular studies
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Vitamin K and Bone studies
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Vitamin K and Calcium studies
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Vitamin K and Falls/Fracture studies
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Vitamin K and Kidney studies
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Vitamin K and Magnesium studies
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All 22 associations with the category Vitamin K
Vitamin K associations with: Bone - Health28; Cardiovascular25; Magnesium23; Top news16; Omega-315; Calcium14; Vitamin A11; Falls and Fractures8; Vitamin B127; Osteoporosis7; Seniors7; Boron6; Zinc6; Virus6; Supplement6; Vitamin C5; Diabetes5; Iron5; Iodine4; Cancer4; Meta-analysis4; Kidney4 As of Nov 2022 Click below to see detailed current associations
Close Associations
K1 compared to K2 - - - - - - -
Overview of K1 vs K2 controversy
| K1 | K2 M-4 | K2 M-7 | |
| Supplement Synthetic/Natural | Synthetic | Synthetic | Natural |
| Food Source | Green leafy vegetables | Cheese, animal fat, egg yolk, natto, free-range lard | |
| Bone | Slight ability to activate osteocalcin | Strong ability to build strong bones | |
| Duration in body | Days | Hours | days |
| Recycled in body | Yes - so not need much deficiency is uncommon | Not recycled | |
| Ability to activate MGP and reduced arterial plaque | Slight | Strong | |
| Amount needed for health | 90 ug | not specified 90 -300 -1000ug Japanese have 45,000 ug |
Vitamin K1 = phylloquinone = phytomenadione = phytonadione
(memory aid: K1 = P = Plant)
Vitamin K2 = menaquinone = menatetrenone
Both K1 and K2 promote blood clotting (Koagulations vitamin, from German)
Controversy, but appears that
K2 better than K1 at building bones
Coumadin (warfarin) blocks all forms of vitamin K
2007 – vitamin K2 is the most bioavailable, bioactive and longest lasting form of vitamin K
Extensive interaction between Vitamin K, Vitamin D, and Calcium (bones, prostate, arteries, . . . )
Vitamins K1 and K2 - Schwalfenberg 2017
Vitamins K1 and K2: The Emerging Group of Vitamins Required for Human Health - 2017
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Medical studies - Vitamin K in title: 8,700 as of Aug 2025
"vitamin k" OR "vitamin k1" OR "vitamin k2" OR "Vitamin K(2)" OR phylloquinone OR phytomenadione
OR phytonadione OR menaquinone OR menatetrenone in Title
Vitamin K and women's health: a review - July 2025 FREE PDF
- "Despite the promising role of vitamin K, findings are mixed on its role in bone mineral density and fracture prevention, cardiovascular protection, protection against vascular calcification, diabetes prevention, cancer risk, kidney dysfunction, and its role in maternal and child health."
Vitamin K2 Needs an RDI Separate from Vitamin K1 2020 Jun doi: 10.3390/nu12061852. FREE PDF
Calcium, vitamin D, vitamin K2, and magnesium supplementation and skeletal health - 2020 Oct doi: 10.1016/j.maturitas.2020.05.020
Vitamin K2-a neglected player in cardiovascular health: a narrative review 2021 Nov: 10.1136/openhrt-2021-001715 free pdf
Vitamin K Deficiency Jan 2022 free book
Vitamin K Jan 2022 Free book
Effect of vitamin K2 on type 2 diabetes mellitus: A review 2018 Feb doi: 10.1016/j.diabres.2017.11.020
Role of Vitamin K in Intestinal Health 2022 Jan doi: 10.3389/fimmu.2021.791565. eCollection 2021. FREE PDF
The Medical Benefits of Vitamin K2 on Calcium-Related Disorders 2021 Feb doi: 10.3390/nu13020691.FREE PDF
2017 Prevalence and Effects of Functional Vitamin K Insufficiency: The PREVEND Study
- 2017Vitamin K and bone
2017 Effect of vitamin K2 on type 2 diabetes mellitus: A review - DOI: 10.1016/j.diabres.2017.11.020
2016|What Is Vitamin K2 and Does It Have an Impact on Bone Health?
2014 K2 reduces Osteoporosis for postmenopausal women: a meta-analysis]
2012 Vitamin k and the nervous system: an overview of its actions -full text on-line
2012 Vitamin K-antagonists create arterial plaque. Vermeer full text on-line
2012 The role of vitamin k in soft-tissue calcification. -full text on-line Vermeer
2012 Vitamin k status and vascular calcification: evidence from observational and clinical studies -full text on-line
2012 Vitamin K, an emerging nutrient in brain function
2012 Vitamin K: the effect on health beyond coagulation - an overview - PDF at bottom of this page (Vermeer)
2011 Conclusion: A low intake of vitamin K1, but not K2, was associated with an increased risk of hip fractures.
- This is the opposite of current belief
2011 Bone quality in diabetics improved with vitamin K2
2011 Vitamin K, bone fractures, and vascular calcifications in chronic kidney disease: an important but poorly studied relationship.
Clinical Trials for "vitamin K" 568 as Feb 2023
Effect of Vitamin K Supplementation on Markers of Diabetes Risk in Overweight Children
The Efficacy of Vitamin K2 n Human Osteoporosis, Blood-vessel Calcification and Sclerosis
Vitamin K-absorption From Dairy
The Effects of Vitamin K2 Supplementation on the Progression of Coronary Artery Calcification (VitaK-CAC)
Beneficial Effects of Long Term Menaquinone-7: 180 µg menaquinone-7 daily for three years; Bone Loss & Arteriosclerosis
Comparison of Absorption of Vitamin K2: softgel capsules containing 180 µg MK-7 and 750 IU vitamin D3 + 120 µg MK-4
The Effect of Vitamin K2 on Bone Turnover
Green Medical Info has many medical references for Vitamin K1 and K2
Menaquinone-7, a form of vitamin K2, may prevent age-related bone loss.
Dietary intake of menaquinone is associated with a reduced risk of coronary heart disease, cardiac mortality, aortic calcification and all-cause mortality.
Vitamin K may reduce the risk for artherosclerosis.
Vitamin K may be effective in preventing and treating osteoporosis and arterial calcification.
Evidence shows that deficiency of Vit. K may contribute to the development of cardiovascular plaque (increased intima media thickness)
- and supplementation may reverse or forestall the process of calcification.
Vitamin K supplementation inhibits the progression of coronary artery calcification in older men and women.
High dietary menaquinone (Vitamin K2) intake is associated with reduced coronary calcification.
Vitamin K(2) may represent a new agent for the treatment of rheumatoid arthritis.
Vitamin K supplementation in postmenopausal women wih osteopenia appears to protect against bone fractures and cancers.
Vitamin K1 and K2 exhibit anti-fracture activity.
The intake of natto, an excellent source of vitamin K2, may reduce bone fracture risk.
Menaquinone-7 (vitamin K2) supplementation increases osteocalcin carboxylation associated
High-dose vitamin K supplementation reduces fracture incidence in postmenopausal women.
Vitamin K2 (MK-4) may be beneficial in the maintenance of bone health in postmenopausal women.
Supplementation with phytonadione (Vitamin K1) and menaquinone (Vitamin K2) , particularly menaquinone-4, is associated with increased BMD and reduced fracture incidence.
vitamin Vitamin (2) works synergistically with alendronate on improving both osteocalcin carboxylation and BMD of femoral neck in postmenopausal women with osteoporosis.
Low vitamin K status is associated with abnormal cartilage, bone mineralizations and osteoarthritis in the hand and knee.
Vitamin K3 induces programmed cell death in breast cancer cells.
Vitamin K2 inhibits cell growth in cholangiocellular carcinoma cell lines.
Pharmacological Actions : Apoptotic, Cell cycle arrest
Supplementation of vitamin K antagonists with 100 mcg of vitamin K improves stability of anticoagulant therapy and reduces side effects.
High dietary intake of vitamin K rich foods is associated with a lower risk of coronary artery disease.
Research indicates that vitamin K2 intake reduces coronary heart disease events.
A high vitamin K2 (menaquinone) intake reduces the incidence of coronary heart disease.
Vitamins K2 and D3 have a protective effect on prednisolone-induced loss of bone mineral density in the lumbar spine.
High dose vitamin K is efficacious in correcting vitamin K deficiency in cystic fibrosis.
Vitamin K2 may improve bone quality in type 2 diabetes.
Low levels of vitamin D and K are highly prevalent and independent of overall malnutrition in the institutionalized elderly.
Vitamin K2 induces cell cycle arrest and programmed cell death in gastric cancer cell lines.
Levels of menaquinone-7 and vitamin D are lower in those with hip fracture, indicating they may have a role in fracture prevention.
Higher Vitamin K1 intake reduces type 2 diabetes risk by over 30 percent in a 20-year study - May 2023
https://doi.org/10.1210/clinem/dgad293 FREE PDF