Natto: The Unquestioned Vitamin K King
Without a doubt, the fermented Japanese soybean dish known as natto holds the title for the food with the highest concentration of vitamin K. This is not just any vitamin K, but the highly bioavailable menaquinone-7 (MK-7) form, which is a type of vitamin K2. One small, 3-ounce serving of natto can provide over 700% of the recommended Daily Value (DV) of vitamin K. While its pungent smell and acquired taste mean it isn't a staple in most Western diets, its nutritional value is undeniable. The fermentation process is responsible for producing these potent levels of K2, which studies suggest may be particularly beneficial for bone health.
The Two Types of Vitamin K: K1 vs. K2
To understand the full spectrum of vitamin K sources, it's important to distinguish between the two primary types: phylloquinone (K1) and menaquinones (K2).
Vitamin K1 (Phylloquinone)
Found primarily in leafy green vegetables, K1 is the most common dietary form. It plays a critical role in the liver's production of blood-clotting proteins. Some of the best K1 sources include:
- Cooked leafy greens (kale, spinach, collards, turnip greens)
- Raw leafy greens (Swiss chard, dandelion greens)
- Cruciferous vegetables (broccoli, Brussels sprouts)
- Herbs (parsley, basil, thyme)
Vitamin K2 (Menaquinones)
K2 is less common in the average diet and is found in fermented foods and animal products. It is thought to be more involved in bone and cardiovascular health. Aside from natto, other sources include:
- Hard cheeses (Gouda, Emmental)
- Goose liver
- Egg yolks
- Chicken meat
- Certain cured meats
The Best Vitamin K Sources for a Standard Diet
For those not planning to incorporate natto into their meals, numerous other foods offer substantial vitamin K. The key is to include a variety of these foods regularly, as the vitamin is fat-soluble and best absorbed with a source of fat.
| Food (per 100g) | Vitamin K (mcg) | Form of Vitamin K | Notes | 
|---|---|---|---|
| Natto | 998 | K2 | Highest concentration, strong taste. | 
| Raw Swiss Chard | 830 | K1 | Excellent, accessible plant source. | 
| Cooked Collard Greens | 623 | K1 | Extremely high per serving when cooked. | 
| Cooked Mustard Greens | 593 | K1 | Another high-potency cooked green. | 
| Cooked Spinach | 541 | K1 | Versatile and easily added to many dishes. | 
| Raw Spinach | 483 | K1 | Good raw source for salads and smoothies. | 
| Cooked Kale | 419 | K1 | A popular green with great vitamin K content. | 
| Goose Liver | 369 | K2 | A potent animal source of K2. | 
| Hard Cheeses | 43-73 | K2 | Content varies by type and processing. | 
| Broccoli | 141 | K1 | Common cruciferous vegetable. | 
Health Benefits of a Vitamin K-Rich Diet
Proper intake of vitamin K is associated with several key health benefits, primarily related to its function in binding calcium.
- Blood Coagulation: Vitamin K acts as a cofactor for enzymes that produce coagulation factors II, VII, IX, and X in the liver, which are crucial for the blood clotting process. This is why deficiencies can lead to increased bleeding.
- Bone Health: Vitamin K is a co-factor for the protein osteocalcin, which is integral to building and maintaining strong bones. Adequate levels are linked to reduced risk of osteoporosis and fractures, especially in postmenopausal women.
- Cardiovascular Health: The vitamin K-dependent protein MGP (Matrix Gla Protein) helps to prevent the calcification of arteries and soft tissues. Therefore, a sufficient intake may contribute to a reduced risk of cardiovascular disease.
Who Needs to Be Careful with High Vitamin K Foods?
While high vitamin K intake is generally safe for most people, a very specific group needs to monitor their consumption closely: individuals on blood-thinning medication like warfarin. Warfarin works by antagonizing, or inhibiting, vitamin K activity. A sudden increase or decrease in vitamin K intake can disrupt the medication's effectiveness, making consistent intake crucial. Any dietary changes for someone on warfarin should be discussed with a doctor. For the general population, no toxicity has been reported from high doses of K1 or K2 through food.
Conclusion
From the concentrated power of natto to the more accessible abundance in leafy greens like spinach and collards, the options for increasing your vitamin K intake are plentiful. This essential fat-soluble vitamin plays a vital role in keeping your blood healthy and your bones strong. By incorporating a variety of these nutrient-rich foods into your diet, most individuals can easily meet their daily needs. Remember to pair plant-based sources with a healthy fat, like olive oil, for optimal absorption. For those on blood thinners, consulting a healthcare provider to manage intake is always the safest approach to benefiting from vitamin K's many advantages.
NIH Office of Dietary Supplements provides additional trusted information on vitamin K and its sources.