Vitamin K2, also known as menaquinone, is a fat-soluble vitamin that plays a crucial role in several physiological processes, primarily blood coagulation, bone metabolism, and cardiovascular health. It is one of two main forms of vitamin K, the other being vitamin K1 (phylloquinone), predominantly found in leafy green vegetables. Vitamin K2, however, is found in fermented foods, animal products, and is also produced by bacteria in the human gut. Within the vitamin K2 family, there are several sub-types, designated as MK-n, where 'n' represents the number of isoprenoid residues in the side chain. The most well-researched and common forms are menaquinone-4 (MK-4) and menaquinone-7 (MK-7).
MK-4 is found in some animal products, such as meat, eggs, and dairy, and its presence in tissues is partly due to conversion from K1. MK-7, on the other hand, is primarily found in fermented foods, with natto (a traditional Japanese fermented soybean dish) being a particularly rich source. MK-7 has a longer half-life in the body compared to MK-4, which allows for more stable blood concentrations and potentially greater bioavailability and biological activity. This has led to MK-7 being a common form used in dietary supplements (NIH Office of Dietary Supplements).
The primary function of vitamin K in the body is to act as a cofactor for the enzyme gamma-glutamyl carboxylase (GGCX). This enzyme is essential for the carboxylation of specific glutamic acid residues in certain proteins, converting them into active forms. These vitamin K-dependent proteins (VKDPs) are critical for processes like blood clotting (e.g., prothrombin) and calcium metabolism (e.g., osteocalcin and matrix Gla protein).
Deep dive
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Known interactions
Compound-pair rule
Synergy
K2 supports where calcium is directed while D3 raises calcium absorption; commonly paired.
Fine to pair.
Compound-pair rule
Avoid
Vitamin K directly opposes how warfarin works, which can make the blood thinner less effective.
Do not start vitamin K supplements on warfarin without your provider's guidance.
Category rule: vitamin × medication
Note
Certain vitamins interact with specific medications (e.g., vitamin K with blood thinners).
Specific pairs are checked against a licensed source; confirm with your provider.
Compound-pair rule
Caution
Vitamin K2 can shift INR on warfarin.
Discuss with prescribing clinician before adding K2.
Compound-pair rule
Caution
Vitamin K2 can shift INR on warfarin.
Discuss with prescribing clinician before adding K2.
Compound-pair rule
Caution
Vitamin K2 can shift INR on warfarin.
Discuss with prescribing clinician before adding K2.
Compound-pair rule
Caution
Vitamin K2 can shift INR on warfarin.
Discuss with prescribing clinician before adding K2.
Compound-pair rule
Caution
Vitamin K2 can shift INR on warfarin.
Discuss with prescribing clinician before adding K2.
Compound-pair rule
Caution
Vitamin K2 can shift INR on warfarin.
Discuss with prescribing clinician before adding K2.
Compound-pair rule
Synergy
K2 directs calcium mobilized by D3 into bone rather than soft tissue.
Take D3 and K2 (MK-7 100–200 mcg) together with a fat-containing meal.
Frequently asked
Sources referenced
- NIH Office of Dietary Supplements
- MedlinePlus
- PubChem
- Examine.com
- Mayo Clinic
- Cochrane Library
Stackwise compiles summaries from publicly available scientific and regulatory references. Always verify important decisions with a licensed clinician.
Related compounds
Others in the vitamin category or studied for the same goals.