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Which form of vitamin K is best?

4 min read

An estimated 92% of the US population may have a vitamin deficiency, with vitamin K often being overlooked. Understanding which form of vitamin K is best is crucial, as its different types—K1 (phylloquinone) and K2 (menaquinones)—play distinct roles in the body's processes.

Quick Summary

This guide compares vitamin K1 and vitamin K2, including the MK-4 and MK-7 subtypes. It details their different functions, food sources, absorption rates, and impact on bone density and heart health to help you decide the best option.

Key Points

  • Vitamin K1 for blood clotting: Primarily found in leafy greens, K1 is absorbed mainly by the liver to activate clotting proteins, with a short half-life.

  • Vitamin K2 for bone and heart health: Found in fermented and animal foods, K2 distributes widely to activate proteins that direct calcium to bones and prevent arterial calcification.

  • MK-7 is superior to MK-4: Of the two main K2 subtypes, MK-7 is highly bioavailable and has a longer half-life, making it more effective for extra-hepatic tissues than MK-4.

  • Dietary fat improves absorption: Both K1 and K2 are fat-soluble, so consuming them with dietary fats (e.g., olive oil) enhances absorption.

  • Combination is beneficial: For optimal health, a diet rich in both K1 (from greens) and K2 (from fermented/animal foods) is recommended.

  • Consult a doctor on medications: Individuals on blood-thinning medication like warfarin must regulate their vitamin K intake and consult a doctor.

In This Article

Vitamin K1 vs. Vitamin K2: Understanding the Core Differences

Vitamin K is a group of fat-soluble vitamins essential for blood clotting and bone and heart health. The most significant forms are K1 (phylloquinone) and K2 (menaquinones). While they share a core structure, their varying side-chain lengths lead to major differences in how the body absorbs and utilizes them. K1 is primarily concentrated in the liver for blood coagulation, whereas K2 is distributed to extra-hepatic tissues like bones and arteries. This functional distinction is key to determining which form is best for your specific health goals.

Vitamin K1: The Coagulation Specialist

Vitamin K1, or phylloquinone, is the most abundant dietary form, primarily found in green leafy vegetables such as kale, spinach, and broccoli. Its main function is activating the clotting factors synthesized in the liver, which prevents excessive bleeding. While essential for coagulation, the body's absorption of K1 from plants is often low, and its short half-life means it doesn't circulate widely to other tissues.

Key Characteristics of Vitamin K1:

  • Primary Function: Blood clotting in the liver.
  • Food Sources: Dark, leafy greens, broccoli, Brussels sprouts, and some vegetable oils.
  • Bioavailability: Generally poor absorption from plant sources, though this improves when consumed with fats.
  • Half-Life: Short (a few hours), with most activity occurring in the liver.

Vitamin K2: The Bone and Arterial Health Regulator

Vitamin K2, or menaquinone, is a family of compounds (MK-4 to MK-13) found in animal products and fermented foods. K2's longer side chain and prolonged half-life allow it to circulate and reach extra-hepatic tissues, directing calcium to bones and teeth while preventing its deposition in arteries. This is a crucial function for bone and heart health, as K2 activates proteins like Matrix Gla Protein (MGP) and Osteocalcin.

Key Subtypes of Vitamin K2:

  • MK-4: Found in animal products like egg yolks and meat. It is also produced in the body from K1. However, supplemental MK-4 has a very short half-life and poor bioavailability at nutritional doses.
  • MK-7: Sourced primarily from fermented foods like natto, MK-7 is highly bioavailable with a long half-life (up to 72 hours). This makes it more effective at reaching and acting on extra-hepatic tissues.

The clear winner in terms of bioavailability and extra-hepatic action is MK-7. Its superior absorption and longer presence in the bloodstream allow for more effective activation of proteins critical for bone and heart health.

Comparison of Vitamin K Forms

Feature Vitamin K1 (Phylloquinone) Vitamin K2 (MK-4) Vitamin K2 (MK-7)
Primary Source Green leafy vegetables, plant oils Animal products (eggs, butter, meat); conversion from K1 Fermented foods (natto, some cheeses)
Key Functions Blood clotting in the liver Extra-hepatic tissue activation, bone health, specific neural functions Extra-hepatic tissue activation, bone mineralization, cardiovascular health
Absorption Poor absorption from plants; better with fats Poor absorption at nutritional doses Highly bioavailable and well-absorbed
Half-Life Short (hours) Short (hours) Long (days)
Distribution Primarily to the liver Limited distribution at nutritional doses Widespread to extra-hepatic tissues (bone, arteries)
Cardiovascular Effects Some effect; evidence less consistent Less effective than MK-7 Strong evidence for reducing arterial calcification
Bone Health Effects Mixed results in some studies High doses effective; poor absorption hinders nutritional impact Effective at improving bone strength and mineralization

Which Form is Right for Your Needs?

For most people seeking to address broad health needs beyond just blood clotting, focusing on vitamin K2 is often the more strategic approach, particularly the MK-7 subtype. For instance, studies have shown that supplemental MK-7 is far more effective at increasing serum levels and distributing to extra-hepatic tissues like bone and arteries compared to MK-4. Its longer half-life means a more consistent activation of key proteins that benefit heart and bone health. However, those taking blood-thinning medications like warfarin should consult a doctor before increasing vitamin K intake, as it can affect coagulation.

Conclusion

While vitamin K1 is critical for proper blood clotting and is readily available in a balanced diet, it is not the most effective form for supporting bone and cardiovascular health outside the liver. Among the different forms of vitamin K2, menaquinone-7 (MK-7) stands out due to its superior bioavailability, longer half-life, and extensive distribution throughout the body. It consistently demonstrates the most potent effects on bone mineralization and inhibition of arterial calcification. Therefore, for those prioritizing comprehensive bone and heart health, increasing dietary intake of MK-7 or supplementing with it is the most advantageous strategy. Combining both K1 and K2 is also a sound nutritional approach for robust overall health. The decision ultimately depends on individual health goals, but for targeted benefits beyond coagulation, MK-7 is the clear leader.

Learn more about the various functions of vitamin K from the National Institutes of Health.

Frequently Asked Questions

The main difference lies in their function and distribution. Vitamin K1 primarily focuses on blood clotting factors in the liver, while Vitamin K2 is more effective at activating proteins in extra-hepatic tissues, such as bones and arteries, for bone mineralization and cardiovascular health.

MK-7 is generally considered the superior form for nutritional supplementation due to its higher bioavailability and significantly longer half-life. This allows it to circulate longer and be more effective in extra-hepatic tissues compared to MK-4.

Vitamin K2, particularly the MK-7 subtype, has shown more potent effects on bone health. It plays a critical role in activating osteocalcin, a protein that binds calcium to the bone matrix, improving bone density and strength.

For many people, particularly in Western diets, obtaining sufficient K2 from food sources alone can be challenging. While animal products and cheeses contain some K2, the richest source is natto, a fermented Japanese food not widely consumed.

Supplementation can be beneficial, especially for targeting bone and heart health with Vitamin K2 (MK-7), as dietary intake can be low. However, individuals on blood-thinning medication should consult a doctor before starting any supplement.

Yes, they have different primary food sources. Vitamin K1 is mostly found in green leafy vegetables, while K2 is found in fermented foods (like natto) and animal products (like eggs, cheese, and liver).

Yes, Vitamin K2 is highly beneficial for heart health. It activates Matrix Gla Protein (MGP), which helps prevent the build-up of calcium in arteries, a key factor in cardiovascular disease.

References

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Medical Disclaimer

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