Understanding Vitamin K2: The Menaquinone Family
Vitamin K is a group of fat-soluble vitamins crucial for blood coagulation and calcium metabolism. Vitamin K2 (menaquinone) is particularly important for directing calcium to bones and preventing its accumulation in soft tissues. The two most common and supplemented forms of K2 are menaquinone-4 (MK-4) and menaquinone-7 (MK-7), which differ in structure, sources, and how the body uses them.
MK-4 vs. MK-7: Key Differences Explained
MK-4 is a short-chain menaquinone found in animal products and can be produced by the body. MK-7 is a long-chain menaquinone sourced mainly from fermented foods like natto and produced by bacteria.
Bioavailability and Half-Life
A key difference is how well they are absorbed and used by the body. At typical supplement doses, MK-7 is highly bioavailable and has a long half-life, staying in the body for days and providing stable levels. MK-4, however, has a very short half-life and is poorly absorbed at nutritional doses, requiring much larger and more frequent intake for any potential therapeutic effect.
Targeting Different Tissues
MK-7's excellent bioavailability allows it to reach tissues outside the liver, activating proteins like osteocalcin for bone health and Matrix-Gla Protein (MGP) for preventing arterial calcification. While the body can convert MK-7 to MK-4 for use in specific tissues like the brain, oral MK-4 supplements don't effectively reach these extra-hepatic tissues at typical doses.
Health Benefits: MK-7 vs. MK-4
The clinical effectiveness of MK-4 and MK-7 varies due to their bioavailability and dosing.
MK-7 Benefits:
- Bone Health: Its long half-life supports consistent osteocalcin activation, crucial for bone mineralization and strength.
- Cardiovascular Health: Activates MGP to help prevent arterial calcification.
- Effective at Low Doses: Achieves significant effects with a single daily dose (90-180 mcg).
MK-4 Benefits:
- High-Dose Therapeutic Use: Evidence for bone benefits primarily comes from studies using extremely high doses (45 mg/day) not practical for typical supplementation.
- Tissue-Specific Functions: Naturally found in tissues like the brain and reproductive organs, suggesting specific local roles, likely from conversion of other K forms.
Comparison Table: MK-4 vs. MK-7
| Feature | Menaquinone-4 (MK-4) | Menaquinone-7 (MK-7) | 
|---|---|---|
| Half-Life | Very short (approx. 2 hours) | Very long (approx. 72 hours or more) | 
| Bioavailability | Poor at nutritional doses | Excellent | 
| Dosing | Requires large, frequent doses (e.g., 45 mg/day, split) | Requires much smaller, once-daily dose (e.g., 90-180 mcg) | 
| Primary Source | Animal products (e.g., meat, eggs, dairy) | Fermented foods (e.g., natto), bacterial synthesis | 
| Body Accumulation | Does not accumulate in the blood at nutritional doses | Accumulates in the bloodstream for sustained activity | 
| Effectiveness at Nutritional Doses | Limited, based on poor absorption and short half-life | High, providing consistent support for bone and heart health | 
| Recommended for General Supplementation | Not recommended due to dosing requirements | The preferred choice for most people | 
Making the Best Choice for Your Needs
For most people looking to supplement, MK-7 is the better choice for supporting bone and heart health. Its high bioavailability and long half-life allow a small, once-daily dose to effectively activate key proteins. This is far more practical and reliable than the high, frequent doses of MK-4 needed for similar effects. While the body makes MK-4 for specific tissue needs, oral MK-4 supplements at nutritional levels aren't effective for general support. Choosing a high-quality MK-7 supplement provides a steady, effective supply of K2.
Conclusion
While both are vitamin K2 forms, MK-7 is superior for supplementation due to its better bioavailability and longer half-life. It provides consistent activation of proteins for bone and cardiovascular health at practical doses, unlike MK-4 which requires very high doses. For optimal vitamin K2 benefits from a supplement, MK-7 is the clear choice.
Clinical Evidence on Vitamin K2 (Menaquinone) Benefits