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What is the best form of vitamin K?

3 min read

While vitamin K is an essential nutrient for functions like blood clotting, it is not a single compound but a family of fat-soluble vitamins. Understanding the differences between the major forms is key to determining what is the best form of vitamin K for specific health benefits beyond coagulation, such as bone and heart health.

Quick Summary

Different forms of vitamin K exist, primarily K1 (phylloquinone) and K2 (menaquinones), each with unique sources, functions, and bioavailability. The superior form depends on specific health goals, with K2, especially MK-7, being highly effective for extrahepatic tissues like bones and arteries due to its prolonged circulation.

Key Points

  • Two Primary Forms: Vitamin K exists primarily as K1 (phylloquinone) from plants and K2 (menaquinones) from fermented foods and animal products.

  • Bioavailability Matters: Vitamin K2, especially the MK-7 form, has a longer half-life and is more bioavailable for extrahepatic tissues like bones and arteries than K1.

  • K1 for Coagulation: The liver prefers vitamin K1 for its role in blood clotting, a function essential for preventing excessive bleeding.

  • K2 for Bone and Heart: K2 is particularly effective for bone mineralization and inhibiting arterial calcification, supporting long-term cardiovascular health.

  • Dietary Sources Vary: Rich sources of K1 are leafy greens, while K2 is found in natto, cheese, and meats. K2 content is proportional to the fat content in dairy.

  • MK-7 is Optimal: Among K2 subtypes, MK-7 offers superior benefits over MK-4 for bone and heart health due to its extended circulation time.

In This Article

Understanding the Different Forms of Vitamin K

Vitamin K is a fat-soluble nutrient that is not a single entity but a group of compounds. The two primary, naturally occurring forms are vitamin K1 (phylloquinone) and vitamin K2 (menaquinones). A third, synthetic form known as menadione (K3) is not used in human supplements due to toxicity concerns. The functional differences between the main forms, K1 and K2, largely stem from their distinct chemical structures, sources, absorption rates, and distribution within the body.

Vitamin K1 (Phylloquinone): The Coagulation Vitamin

Vitamin K1 is the most abundant form of vitamin K in the human diet, primarily sourced from green leafy vegetables. It is well known for its critical role in regulating blood clotting, with the liver preferentially using K1. K1 from plants has relatively low absorption, which improves when consumed with fat. K1 also has a much shorter half-life in the bloodstream compared to some forms of K2.

Common K1 Food Sources:

  • Kale
  • Spinach
  • Collard and turnip greens
  • Broccoli
  • Brussels sprouts
  • Lettuce
  • Vegetable oils

Vitamin K2 (Menaquinones): The Bone and Heart Health Vitamin

Vitamin K2 refers to a group of compounds synthesized by bacteria. K2 has a longer side chain than K1, influencing its absorption and transport. Unlike K1, which mainly functions in the liver, K2 is more widely distributed to tissues like bones and blood vessels. This makes K2 effective for activating proteins involved in bone metabolism and preventing vascular calcification.

Within the K2 family, two forms, MK-4 and MK-7, are commonly discussed.

MK-4 (Menaquinone-4)

MK-4 is a short-chain menaquinone found in animal products. It is also synthesized by the body from K1. However, supplemental MK-4 has a very short half-life and is often only effective at high, frequent doses.

MK-7 (Menaquinone-7)

MK-7 is a long-chain menaquinone primarily found in fermented foods, especially natto. Due to its longer chemical structure, MK-7 has a significantly longer half-life, circulating for several days. This extended bioavailability allows for more consistent activation of proteins for bone and cardiovascular health.

Common K2 Food Sources:

  • Natto (richest source of MK-7)
  • Fermented foods like sauerkraut and some cheeses
  • Egg yolks
  • Liver and other organ meats
  • Grass-fed butter
  • Salami and other cured meats

Comparison of Vitamin K Forms

Feature Vitamin K1 (Phylloquinone) Vitamin K2 (MK-4) Vitamin K2 (MK-7)
Primary Sources Leafy green vegetables, vegetable oils Animal products (meat, eggs, dairy) Fermented foods (natto, cheese, sauerkraut)
Primary Function Blood coagulation in the liver Extrahepatic support, primarily converted from K1 Extrahepatic support (bones, arteries)
Bioavailability Low absorption from plants, improved with fat Short half-life, requires high/frequent dosing High absorption and longer half-life (up to 72 hours)
Body Distribution Concentrated in the liver Wider tissue distribution Wider tissue distribution and stays in circulation longer
Impact on Bone Health May support bone quality, but evidence is mixed Requires high doses for significant effects Demonstrated strong effects on bone mineral density and strength
Impact on Heart Health Studies show mixed results Less effective due to short half-life Strongly associated with reduced vascular calcification

Which Form is Best for You?

For most people, a combination of both K1 and K2 is ideal through a varied diet. However, for specific health goals, one form may be more effective.

  • For Blood Clotting: Vitamin K1 is the most effective form for liver function. For those on blood thinners like warfarin, maintaining consistent K1 intake under medical supervision is crucial.
  • For Bone and Heart Health: Vitamin K2, especially MK-7, shows superior benefits for these tissues. Its long half-life allows it to activate proteins for strengthening bones and preventing arterial calcification. Since many Western diets are low in K2, MK-7 supplementation is often recommended for optimal benefits.
  • For Vegans: Vegans can get K1 from greens. The best vegan K2 source is natto; fermented vegetables contain some. A vegan MK-7 supplement can also be considered.

Conclusion

Both K1 and K2 are essential but have different primary roles. K1 is vital for blood clotting and found in greens. For bone and heart health, K2, particularly MK-7, is superior due to its bioavailability and longer half-life. The "best" form depends on your health needs and diet, often combining dietary K1 with supplemental K2. Consult a healthcare professional for personalized advice. Read more about vitamin K research from the National Institutes of Health.

Frequently Asked Questions

For bone health, Vitamin K2 is generally considered superior to K1. Specifically, the MK-7 subtype of K2 has been shown to be more effective in activating osteocalcin, a protein that binds calcium to bone, and inhibiting bone loss.

Studies have shown an association between higher intake of vitamin K2 and a reduced risk of coronary heart disease. K2 helps prevent calcium from depositing in arterial walls by activating Matrix Gla Protein, keeping blood vessels flexible.

MK-4 has a short half-life and low bioavailability, while MK-7 has a much longer half-life (around 72 hours) and is more efficiently utilized by the body, providing more consistent support for bone and cardiovascular health.

While it is possible to get enough vitamin K for blood clotting from a balanced diet, achieving optimal levels of K2 for extrahepatic benefits (bones and heart) is more difficult, especially in Western diets. Natto is the richest source of K2, but supplementation with MK-7 may be necessary for most people.

For most healthy individuals, vitamin K supplements are safe. However, those on blood-thinning medications like warfarin should not take vitamin K supplements without strict medical supervision, as it can interfere with medication effectiveness.

The Adequate Intake (AI) for adult men is 120 mcg per day, and for adult women, it is 90 mcg per day, based primarily on blood clotting function. However, some research suggests higher amounts may be needed for optimal bone and heart health.

Vegans can obtain plenty of K1 from leafy greens. For K2, the richest vegan source is natto. Those who don't eat natto can find some K2 in fermented vegetables or use a vegan MK-7 supplement.

References

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Medical Disclaimer

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