Understanding Vitamin K2: Forms and Functions
Vitamin K encompasses two main types: K1 (phylloquinone) and K2 (menaquinones). K1, found in leafy greens, primarily aids blood clotting. K2, present in fermented foods and some animal products, is crucial for directing calcium into bones and preventing its accumulation in soft tissues like arteries. K2 exists in different forms (MK-4, MK-7, etc.), with MK-7 noted for its longer half-life and sustained benefits for bone and cardiovascular health.
General Dosage Recommendations for Adults
While there's no official RDA for vitamin K2, suggested daily intakes for healthy adults typically focus on the MK-7 form to activate essential proteins. A common recommendation for general health and bone/cardiovascular support is 100 to 200 mcg of vitamin K2 (MK-7) daily. Some research on cardiovascular benefits has used doses like 180 mcg daily. MK-4 often requires much higher doses, with some osteoporosis studies in Japan using up to 45 mg (45,000 mcg) daily.
Is There a Tolerable Upper Limit?
Both the European Food Safety Authority and the National Institutes of Health report no established tolerable upper intake level (UL) for vitamin K1 or K2 due to a lack of evidence of toxicity from high doses. Studies, even with high oral doses of MK-4, have shown good tolerance in healthy individuals without negative effects on blood coagulation.
The Synergy with Vitamin D3
Vitamin K2 and vitamin D3 work together. Vitamin D3 increases calcium absorption, and vitamin K2 helps ensure that calcium is deposited in bones and not in arteries, by activating proteins like osteocalcin and Matrix Gla Protein. Combining D3 and K2 is often recommended, especially with higher D3 doses, to help prevent calcium buildup in soft tissues.
Special Considerations and Drug Interactions
Individuals taking anticoagulant medications like warfarin should be cautious, as vitamin K directly interferes with their action. Consulting a doctor is essential before starting K2 supplementation if on warfarin. Interactions are also possible with certain antibiotics and cholesterol-lowering drugs. Those with conditions affecting vitamin K absorption may need different dosages.
K2 Supplements vs. Dietary Sources
Getting enough vitamin K2 from food can be difficult, as rich sources are not common in all diets. This makes supplementation a practical option.
Comparison Table: Dietary vs. Supplemental K2
| Feature | Dietary K2 (e.g., Natto, cheese) | Supplemental K2 (e.g., MK-7 capsules) |
|---|---|---|
| Convenience | Variable; requires consistent intake of specific foods. | High; easy to take a standardized dose daily. |
| Dosage Control | Difficult to measure exact intake from food. | Precise and reliable dosage per capsule. |
| Bioavailability | Depends on food source; long-chain MK-7 from fermented foods is highly bioavailable. | High, especially with oil-based softgels. |
| Form | Mixed forms (MK-4, MK-7, etc.); proportions vary. | Can be specific forms, most commonly MK-7 or a blend. |
| Consistency | Varies with diet, making consistent intake hard. | Reliable and consistent intake daily. |
| Cost | Can be more expensive, depending on food choices. | Generally more cost-effective for a therapeutic dose. |
Conclusion: Finding Your Optimal K2 Intake
While there isn't a universal daily recommendation, 100-200 mcg of MK-7 is often suggested for healthy adults for bone and cardiovascular health. Vitamin K2 has an excellent safety profile, with minimal risk of toxicity even at high intakes in healthy individuals. However, those on blood-thinners like warfarin must use K2 supplements under strict medical guidance. Combining K2-rich foods with a quality MK-7 supplement, often with vitamin D3, can support health. Always consult a healthcare provider for personalized advice.