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What is the best vitamin K supplement?

5 min read

Recent research reveals that Vitamin K isn't a single entity but a family of vitamins, with different forms offering distinct health benefits beyond just blood clotting. Understanding the distinction is key, as the best vitamin K supplement depends on your specific health goals, with Vitamin K2, particularly the MK-7 subtype, emerging as a superior choice for supporting bone and cardiovascular health.

Quick Summary

Vitamin K is vital for health, existing in forms like K1 and K2. K2, especially the MK-7 subtype, offers superior bioavailability and long-term benefits for bone strength and arterial health. The best supplement for most users contains MK-7, often combined with vitamin D3, and should be taken with food for optimal absorption.

Key Points

  • Superior Bioavailability: Vitamin K2 as MK-7 is the best form for a supplement due to its superior absorption and longer half-life compared to K1 and MK-4.

  • Supports Bone Density: MK-7 activates osteocalcin, a protein crucial for binding calcium to bone tissue, improving bone density and strength.

  • Protects Arterial Health: MK-7 activates Matrix Gla Protein (MGP), which helps prevent calcium from building up in arteries, supporting cardiovascular health.

  • Enhances Vitamin D3: Taking K2 (MK-7) alongside Vitamin D3 is highly effective, as K2 directs the calcium absorbed with D3 to the bones and away from arteries.

  • Optimal Absorption with Fat: As a fat-soluble vitamin, any K supplement, particularly K2, should be taken with a meal containing some fat for maximum absorption.

  • Crucial for Specific Groups: While K deficiency is rare in adults, supplements can benefit those with malabsorption issues or bone density concerns.

  • Consider D3 Combination: For holistic bone and arterial support, a supplement combining K2 (MK-7) with Vitamin D3 is a highly recommended option.

In This Article

The Two Forms of Vitamin K: K1 vs. K2

Vitamin K is a fat-soluble vitamin crucial for several physiological processes, but it exists in two primary natural forms: Vitamin K1 (phylloquinone) and Vitamin K2 (menaquinones). Both are important, but they have different roles and distribution in the body.

Vitamin K1: The Coagulation Factor

Vitamin K1 is predominantly found in leafy green vegetables like kale, spinach, and broccoli. Its primary function, and the one historically most well-known, is facilitating blood coagulation. It is rapidly cleared from the body and preferentially used by the liver to synthesize blood clotting factors. For most healthy adults, a regular diet is sufficient to meet K1 needs for blood clotting functions.

Vitamin K2: The Bone and Heart Champion

Vitamin K2 is a more complex group of compounds, known as menaquinones (MKs), produced by bacteria and found in fermented foods like natto, certain cheeses, and some animal products. Unlike K1, which is concentrated in the liver, K2 is distributed to extrahepatic tissues like bones and arteries, where it activates proteins that manage calcium. This is why K2 is highly regarded for its benefits to bone and cardiovascular health.

The Key Distinction: MK-4 vs. MK-7

Within the Vitamin K2 family, two subtypes, MK-4 and MK-7, are most commonly discussed in supplementation. Their difference in chemical structure significantly impacts their bioavailability and effectiveness.

MK-4 (Menaquinone-4)

MK-4 is a short-chain menaquinone found in animal products like meat, eggs, and liver. It has a very short half-life in the bloodstream, meaning it is cleared quickly from the body. While MK-4 is active in tissues, its short plasma half-life makes it less effective for supplementation compared to longer-chain forms, requiring multiple high doses daily to maintain consistent levels. Some MK-4 in the body is converted from K1, though this process is not always efficient.

MK-7 (Menaquinone-7)

MK-7 is a long-chain menaquinone found in fermented foods, especially natto. Its longer side chain allows it to circulate in the bloodstream for a much longer period—up to several days—which gives it superior bioavailability and efficacy at lower, once-daily doses. This longer half-life allows MK-7 to effectively activate extrahepatic proteins, ensuring calcium is directed to the bones and away from arteries. For this reason, MK-7 is widely considered the best vitamin K2 subtype for supplements aimed at supporting bone density and cardiovascular health.

Benefits of the Best Vitamin K Supplement (K2 MK-7)

  • Promotes Bone Mineral Density: MK-7 helps activate osteocalcin, a protein that binds calcium to the bone matrix, promoting stronger and denser bones. Studies in postmenopausal women have shown MK-7 supplementation can improve bone mineral density and strength.
  • Supports Cardiovascular Health: K2, and specifically MK-7, activates the matrix Gla protein (MGP), which helps prevent the buildup of calcium in soft tissues and arteries. Arterial calcification is a major risk factor for heart disease, and research suggests higher K2 intake is correlated with a lower risk of cardiovascular events.
  • Synergistic with Vitamin D3: Many supplements combine K2 with vitamin D3 because they work together to manage calcium. Vitamin D3 improves calcium absorption, while K2 directs that calcium to where it is needed most (the bones) and keeps it out of the arteries.
  • Enhances Calcium Utilization: By properly regulating calcium, MK-7 ensures the body uses this vital mineral efficiently, benefiting not only bones and arteries but also other bodily functions.

Choosing the Right Vitamin K Supplement

Selecting a high-quality supplement involves considering the form of vitamin K, combination with other nutrients, and the manufacturer's reputation.

  • Opt for K2 as MK-7: Given its superior bioavailability and longer half-life, a supplement containing Vitamin K2 as MK-7 is the best choice for targeted bone and cardiovascular health benefits.
  • Consider a D3 Combination: For those also taking Vitamin D, a combination supplement containing both D3 and K2 MK-7 can simplify your regimen and ensure these synergistic vitamins are taken together.
  • Check the Dosage: Dosages can vary, so consult a healthcare professional, especially for specific conditions. Standard nutritional doses for MK-7 are often in the 90-180 mcg range per day.
  • Source and Quality: The sourcing of MK-7 matters. High-quality supplements often use naturally derived MK-7, for instance, from fermented chickpeas, rather than synthetic versions. Inquire about the manufacturer's quality control standards.

Comparison of Vitamin K Forms

Feature Vitamin K1 (Phylloquinone) Vitamin K2 (MK-4) Vitamin K2 (MK-7)
Primary Source Leafy green vegetables, plant oils Animal products (meat, eggs, butter) Fermented foods (natto, hard cheeses)
Primary Function Blood clotting in the liver Bone and extrahepatic tissue activation Bone and extrahepatic tissue activation
Bioavailability Poorly absorbed from plants (~10%). Variable; low bioavailability at nutritional doses. Very high; excellent absorption.
Half-Life Short (hours). Very short (6-8 hours). Very long (several days).
Circulation Primarily used by the liver. Cleared quickly from the blood. Stays in circulation much longer.
Supplement Efficacy Limited for bone/heart health from supplements. Requires very high, frequent dosing. Highly effective with once-daily dosing.

Maximizing Your Supplement's Effectiveness

Since Vitamin K is fat-soluble, it's best absorbed when taken with a meal that contains some dietary fat. Taking your supplement with breakfast or dinner is often the most convenient and effective way to ensure optimal absorption. For combination supplements, like K2 with D3, taking them together is best due to their synergistic relationship. However, those on blood-thinning medications should not change their vitamin K intake without consulting a doctor, as it can interfere with medication efficacy.

Conclusion

While Vitamin K1 is vital for blood clotting and readily obtained from a healthy diet, the evidence points to Vitamin K2, specifically the MK-7 subtype, as the superior choice for a vitamin K supplement targeting bone and cardiovascular health. Its high bioavailability and long half-life mean it effectively distributes to extrahepatic tissues, helping to mineralize bones and prevent arterial calcification. When choosing a supplement, look for one containing MK-7, possibly combined with D3, and always take it with a fatty meal to ensure you are getting the most from your investment in your long-term health.

For more detailed information on vitamin K and its functions, refer to the National Institutes of Health Office of Dietary Supplements.

Frequently Asked Questions

Vitamin K1 (phylloquinone) is found in plants and primarily functions in the liver for blood clotting, with a short half-life. Vitamin K2 (menaquinones) is found in fermented and animal foods, circulates longer, and is more active in extrahepatic tissues like bone and arteries.

MK-7 has a significantly longer half-life (lasting days) and superior bioavailability compared to MK-4, which is cleared from the bloodstream in a matter of hours. This makes MK-7 much more effective at consistent activation of key proteins in bone and arterial tissue with once-daily dosing.

Yes, taking Vitamin K2 with Vitamin D3 is beneficial. Vitamin D3 helps with calcium absorption, while Vitamin K2 ensures that this calcium is properly utilized and deposited in your bones rather than in your arteries.

The best time to take a vitamin K supplement is with a meal that contains fat, such as breakfast or dinner. As a fat-soluble vitamin, it requires dietary fat for optimal absorption.

No, you should not take a vitamin K supplement without consulting your doctor first if you are on blood-thinning medications like warfarin. Vitamin K directly interferes with the function of these medications, and changes in intake can be dangerous.

Natural forms of Vitamin K (K1 and K2) are generally non-toxic, and side effects from oral supplements at recommended doses are rare. However, excessive, long-term intake via injections, particularly with synthetic forms, can cause serious side effects.

While deficiency is rare, supplementation may be beneficial for individuals with conditions affecting nutrient absorption, those with bone density concerns, and anyone looking to enhance their cardiovascular health.

The richest food source of K2 (MK-7) is natto (fermented soybeans). Other good sources of K2 include hard cheeses, some soft cheeses, egg yolks, and liver.

References

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Medical Disclaimer

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