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Which is the Best Vitamin K2 to Take? A Guide to MK-4 vs. MK-7

4 min read

According to one study, higher dietary intake of vitamin K2 (MK-7) was associated with a lower risk of coronary heart disease. For those considering supplementation, it’s essential to understand the key differences between the two primary forms, MK-4 and MK-7, as they function differently in the body.

Quick Summary

This guide compares the MK-4 and MK-7 forms of vitamin K2, examining their bioavailability, sources, and respective benefits for bone and cardiovascular health. It provides a comprehensive overview to help you select the right supplement for your specific wellness objectives.

Key Points

  • Choose MK-7 for most needs: The MK-7 form of vitamin K2 has superior bioavailability and a longer half-life, making it the most effective option for general supplementation.

  • Understand MK-4's role: MK-4 is the form that accumulates in certain tissues but requires very high, multi-dose regimens to be effective from supplements.

  • Pair with Vitamin D3: Vitamin K2 works synergistically with vitamin D3 to ensure calcium is properly utilized for bone health and kept out of arteries.

  • Opt for oil-based formulas: Since vitamin K is fat-soluble, consuming a supplement in an oil-based softgel or with a fat-containing meal improves absorption.

  • Consult a professional: Always talk to your doctor before starting vitamin K2, especially if you are on blood-thinning medication.

  • Check for quality sourcing: Look for MK-7 supplements derived from quality sources like fermented natto or chickpeas.

In This Article

Vitamin K is a fat-soluble vitamin best known for its role in blood coagulation, a process that relies on the activation of specific vitamin K-dependent proteins. The 'K' in vitamin K comes from the German word 'koagulation'. However, beyond its critical role in clotting, vitamin K, specifically the K2 subtype, plays an equally vital part in directing calcium metabolism to support bone and heart health. Vitamin K2, or menaquinone, exists in several forms, with MK-4 and MK-7 being the most important for supplements and nutrition. Choosing the best form requires understanding their unique metabolic pathways, sources, and biological activities.

The Fundamental Difference: MK-4 vs. MK-7

While both MK-4 and MK-7 are forms of vitamin K2, their chemical structures—specifically the length of their side chain—affect how they are absorbed, transported, and utilized in the body.

MK-4 (Menaquinone-4):

  • Source: Found primarily in animal products like egg yolks, butter, and organ meats, particularly from pasture-raised animals. In the body, MK-4 is the predominant form that accumulates in specific tissues, including the brain, pancreas, and arterial walls. The body can also convert other forms of vitamin K (like K1 and MK-7) into MK-4.
  • Absorption and Half-Life: MK-4 has a very short half-life, lasting only a few hours in the bloodstream. Due to its rapid clearance, it must be taken in much larger, more frequent doses (typically milligram quantities) to maintain consistent blood levels. At nutritional supplement doses, MK-4 doesn't significantly raise blood levels.

MK-7 (Menaquinone-7):

  • Source: Found in fermented foods, with the highest concentration in natto, a traditional Japanese dish of fermented soybeans. MK-7 used in supplements is often derived from natto or chickpeas.
  • Absorption and Half-Life: MK-7 is absorbed more efficiently than MK-4 at nutritional doses and has a significantly longer half-life, staying in the bloodstream for several days. Its stability and prolonged availability allow it to accumulate and provide a steady, consistent supply to tissues throughout the body, including bones and blood vessels. This means effective doses can be much smaller (microgram quantities) and taken once daily.

MK-4 vs. MK-7: A Comparison

Feature MK-4 (Menaquinone-4) MK-7 (Menaquinone-7)
Primary Source Animal products (egg yolks, butter, meat) Fermented foods (natto, fermented chickpeas)
Half-Life Short (cleared in hours) Long (up to 72 hours or more)
Bioavailability Lower at nutritional doses; doesn't accumulate significantly in the blood High; accumulates in the bloodstream and tissues
Standard Dose High, milligram-level doses (e.g., 45mg) required for therapeutic effects Low, microgram-level doses (e.g., 50-200mcg) are effective
Primary Benefit Accumulates in various organs like the brain, pancreas, and arteries; historically used for osteoporosis in Japan Systemic delivery to bones and arteries; superior for sustained support of bone mineral density and cardiovascular health
Convenience Less convenient due to high, multi-dose regimen needed More convenient with a once-daily, low-dose regimen

The Synergy with Vitamin D3

An important factor when considering vitamin K2 is its relationship with vitamin D3. Vitamin D3 enhances the absorption of calcium, while vitamin K2 directs that calcium to where it’s needed (bones and teeth) and prevents it from being deposited in soft tissues, such as arteries and kidneys. Taking a vitamin D3 supplement without adequate vitamin K2 can be counterproductive, as it increases calcium absorption without ensuring its proper utilization. This is why many high-quality supplements combine both nutrients in a synergistic formula.

Choosing the Right Vitamin K2 Supplement

When selecting a supplement, consider the following practical tips:

  • Prioritize MK-7: For most individuals seeking consistent, systemic benefits for bone and cardiovascular health, MK-7 is the superior choice due to its longer half-life and greater bioavailability. It’s a much more convenient and effective option at standard supplement doses.
  • Look for a Combination with Vitamin D3: Many reputable brands offer supplements that combine MK-7 with D3, ensuring both vitamins work in harmony. A common ratio is about 45 mcg of K2 for every 1000 IU of D3.
  • Opt for an Oil-Based Formula: Vitamin K is fat-soluble, so an oil-based supplement (such as a softgel) or taking it with a meal containing healthy fats will maximize absorption.
  • Verify the Source: Ensure the MK-7 is derived from a quality source, such as fermented chickpeas or natto.
  • Consult a Healthcare Provider: Always speak with a doctor before starting any new supplement, especially if you have an underlying health condition or are taking medications like anticoagulants, as vitamin K can interfere with blood thinners.

Conclusion

The most effective vitamin K2 for general supplementation is typically the MK-7 form, thanks to its superior bioavailability and longer half-life, which provide consistent, systemic support for bone mineralization and cardiovascular health. While MK-4 is the endogenous form that accumulates in certain tissues, it requires high, frequent doses in supplement form to be effective. Ultimately, for most consumers, a high-quality MK-7 supplement, ideally paired with vitamin D3, offers a convenient and effective way to ensure optimal vitamin K2 status. By understanding the differences between these forms, you can make an informed choice that best supports your long-term health goals.

Molecular Pathways and Roles for Vitamin K2-7 as a Health Biomolecule

Frequently Asked Questions

The main difference lies in their half-life and bioavailability. MK-7 has a longer half-life (up to 72 hours) and higher bioavailability, while MK-4 has a shorter half-life (a few hours) and doesn't accumulate well in the bloodstream at standard doses.

MK-7 is widely considered the best form for consistent bone health support. Its long half-life provides a steady supply to activate bone-building proteins, while MK-4 requires high, frequent dosing.

MK-7 is typically recommended for heart health due to its long half-life, which provides sustained activation of Matrix Gla Protein (MGP) to prevent arterial calcification. Observational studies have linked higher MK-7 intake to reduced coronary artery disease risk.

Vitamin K2 and D3 work together to regulate calcium metabolism. Vitamin D3 helps the body absorb calcium, while vitamin K2 ensures that calcium is directed to the bones and teeth rather than accumulating in soft tissues.

While MK-4 is found in animal products and MK-7 in fermented foods like natto, it can be challenging to get optimal amounts from diet alone, especially for MK-7, as natto is not a common Western food. Supplements are a reliable way to ensure adequate intake.

Vitamin K2 is generally considered safe and has no established upper toxicity level. However, some rare side effects like stomach upset have been reported. If you are on anticoagulant medication, you must consult a doctor due to potential drug interactions.

A standard daily dose for MK-7 typically ranges from 50 to 200 micrograms (mcg), but for specific health goals like advanced cardiovascular support, higher doses (up to 360 mcg) may be used. Always follow the supplement's instructions and consult a healthcare provider.

References

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Medical Disclaimer

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