Skip to content

Should Nattokinase Be Taken with Vitamin K2? The Definitive Guide

3 min read

In Japan, a single serving of the traditional dish natto provides both the enzyme nattokinase and a significant amount of vitamin K2. This fact is crucial for understanding why many people ask, "Should nattokinase be taken with vitamin K2?" and for understanding their complementary benefits for cardiovascular health.

Quick Summary

This guide examines the distinct and complementary roles of nattokinase and vitamin K2, exploring how their combined use supports balanced cardiovascular health and why they do not necessarily cancel each other out.

Key Points

  • Distinct Functions: Nattokinase dissolves blood clots by breaking down fibrin, while vitamin K2 regulates calcium, preventing it from hardening arteries.

  • Synergistic Partnership: Rather than canceling each other out, the two compounds work together to support overall cardiovascular health, managing blood flow and vascular elasticity.

  • Found Together Naturally: The traditional Japanese food natto is a natural source of both nattokinase and vitamin K2, indicating their co-existence is beneficial.

  • Consult a Doctor for Co-administration: Individuals on anticoagulant medications like warfarin or with bleeding disorders must consult a healthcare provider before combining these supplements.

  • Consider Timing for Absorption: For optimal absorption, nattokinase is often taken on an empty stomach, while fat-soluble vitamin K2 is best taken with a meal.

  • Check Supplement Formulations: Be aware that some nattokinase supplements are manufactured to remove vitamin K2, so check the product label carefully.

In This Article

The Core Functions of Nattokinase and Vitamin K2

To understand why you can, and in many cases, should take nattokinase and vitamin K2 together, it's essential to first differentiate their primary mechanisms within the body. While they both play a role in cardiovascular health, their specific functions are like two different departments of a company, each with its own specialized task working towards a common goal.

Nattokinase: The Fibrinolytic Agent

Nattokinase is a potent enzyme derived from the fermentation of soybeans with Bacillus subtilis. Its primary function is its fibrinolytic activity, meaning it breaks down fibrin, a protein that forms the meshwork of blood clots. By dissolving excess fibrin, nattokinase helps to thin the blood and improve overall circulation.

  • Blood Clot Prevention: Nattokinase reduces the risk of unnecessary clot formation by degrading fibrin.
  • Blood Pressure Support: Studies have indicated that nattokinase supplementation can have a modest blood pressure-lowering effect.
  • Circulation Improvement: Its ability to break down clots and reduce blood viscosity aids in better blood flow throughout the body.

Vitamin K2: The Calcium Regulator

In contrast to nattokinase's role in blood flow, vitamin K2 (specifically the MK-7 form often found in natto) is a fat-soluble vitamin primarily responsible for regulating calcium. It activates proteins that direct calcium to where it is needed (bones and teeth) and, importantly, away from where it can cause harm (arteries and soft tissues).

  • Prevents Arterial Calcification: Vitamin K2 prevents the buildup of calcium in the arteries, which can lead to arterial stiffness and cardiovascular issues.
  • Supports Bone Health: By directing calcium into the bone matrix, vitamin K2 promotes strong and healthy bones, working synergistically with vitamin D.

The Synergy: Why They Don't Cancel Each Other Out

The initial concern that a blood-thinner like nattokinase might be counteracted by the clotting-factor vitamin K is understandable but largely misplaced when considering K2's specific role.

  • Distinct Pathways: Nattokinase works by directly dissolving the fibrin that forms clots, while vitamin K2's main action is calcium regulation, which affects vascular elasticity and bone health.
  • Natural Co-existence: Natto, the food source for nattokinase, is naturally rich in vitamin K2 (MK-7), proving their simultaneous presence is not counterproductive.
  • Balanced Regulation: Together, they maintain the delicate balance of the cardiovascular system. Nattokinase ensures blood flows freely by managing clots, while vitamin K2 ensures arteries remain clear of harmful calcium deposits. This partnership supports overall heart health from different angles, rather than opposing each other.

Potential Drug Interactions and Safety Precautions

Despite their synergistic benefits, combining nattokinase and vitamin K2, especially in supplement form, requires medical guidance, particularly if you are on other medications.

Important considerations

  • Blood-Thinning Medications: Individuals taking anticoagulant medications like warfarin should be extremely cautious. Warfarin is a vitamin K antagonist, so introducing a vitamin K-containing supplement can interfere with its effectiveness. In contrast, combining nattokinase with warfarin could excessively increase bleeding risk. Medical supervision is essential.
  • Bleeding Disorders: Those with pre-existing bleeding disorders should avoid nattokinase unless specifically advised by a doctor due to the increased risk of bleeding.
  • Surgery: Nattokinase and vitamin K2 supplements should be discontinued at least one to two weeks before any scheduled surgery, as they can affect blood clotting.

Comparison Table: Nattokinase vs. Vitamin K2

Feature Nattokinase Vitamin K2 (MK-7)
Source Fermented soybeans (natto) Fermented foods (natto, cheese, sauerkraut), some animal products
Primary Function Dissolves fibrin to prevent/break down blood clots Directs calcium to bones and away from arteries
Vascular Benefit Supports healthy blood flow and circulation Reduces arterial stiffness and calcification
Effect on Clotting Inhibits excessive clotting Supports proper, localized clotting when needed (unlike warfarin)
Speed of Effect Relatively quick acting, with initial effects potentially within hours Longer-term effects, often taking weeks or months to impact bone and vascular health

Conclusion

For most healthy individuals, taking nattokinase and vitamin K2 together is not only safe but can also be a synergistic combination for robust cardiovascular and bone health. Nattokinase and vitamin K2 each contribute to heart health in unique and complementary ways, managing blood flow and regulating calcium respectively, rather than directly opposing each other. However, the crucial takeaway is the importance of medical consultation, especially for those on blood-thinning medications or with existing health conditions. Always talk to a healthcare professional before starting any new supplement regimen to ensure it aligns with your specific health needs and circumstances.

Frequently Asked Questions

Yes, for many healthy individuals, nattokinase and vitamin K2 can be taken together. They have complementary effects on cardiovascular health, with nattokinase supporting healthy blood flow and vitamin K2 regulating calcium distribution.

No, they do not work against each other in healthy individuals. While nattokinase is a 'blood thinner' and vitamin K is associated with clotting, they act on different pathways. Nattokinase dissolves existing fibrin, while vitamin K2 directs calcium to the bones and away from the arteries.

Some nattokinase supplements are produced with vitamin K2 removed to avoid potential interactions with blood-thinning drugs like warfarin. For healthy individuals, a combined supplement may be beneficial, but it is important to know if the K2 is present. Always check the label and consult a doctor, especially if on other medications.

Nattokinase directly breaks down fibrin, a component of blood clots, thus thinning the blood. Vitamin K2's primary role is calcium metabolism, which impacts the long-term health of blood vessel walls and bone structure, not immediate blood clotting.

Yes, natto, the traditional Japanese fermented soybean dish, is a natural whole-food source that contains both the enzyme nattokinase and a significant amount of vitamin K2 (MK-7).

Individuals taking warfarin or other anticoagulant medications, those with bleeding disorders, or anyone scheduled for surgery should avoid this combination unless under strict medical supervision. Always consult a healthcare provider for personalized advice.

Nattokinase is often recommended to be taken on an empty stomach for optimal absorption. Since vitamin K2 is fat-soluble, it is best taken with a meal containing some fat for better absorption. This may mean taking the supplements at different times of the day.

While natto is a source of both, many Western diets lack sufficient fermented foods. Therefore, supplementation is often considered for those seeking therapeutic levels, especially for vitamin K2. A supplement can be a more convenient and consistent source.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.