Vitamin K2 (and vitamin K)

D3+K2, MK-7, Menaquinone, Menaquinone-7, MK-4, Menatetrenone, Vitamin K1, Phylloquinone

Forms: K1 (phylloquinone, also a medicine) and K2 as MK-7 or MK-4 (menatetrenone), alone or in D3+K2 products. Vitamin D3 has its own card.

SupplementsOver the counter (varies by country)Evidence: limited human data

Vitamin K activates clotting proteins and calcium-binding proteins of bone and arteries; K2 (menaquinones such as MK-7) is the form added to D3. Even small amounts weaken warfarin-type blood thinners.

What it gives

What people use it for and what the sources report. Strength is a general category from the literature: mild, clear or strong.

Purpose

Taken with vitamin D3 'to send calcium to the bones, not the arteries', and for bone and heart health. The mechanism is plausible, but benefit in healthy people is unproven. On warfarin-type blood thinners even small amounts lowered the INR in a trial, so the doctor managing the INR must know.

What people seek and what studies show

Supplements lower blood levels of inactive matrix Gla protein, a calcification marker. In the AVADEC trial, K2 with D3 did not slow aortic valve or coronary calcification in older men; in a smaller trial in people with coronary disease, MK-7 alone slowed coronary calcification. Fewer heart events have not been shown. Data in athletes are sparse (see the note for women).

Effects

Organ & health-marker support

Evidence: Limited human data — some human studies, small or short

Sought effects by goal (as reported)

Health
Sought for: organ & health-marker support

Possible side effects

Possible does not mean certain: whether they appear depends on dose, duration, individual response and monitoring. Below — what to watch for and how to notice it early.

1 possible side effect

level · how often it is reported
Low
Black-market quality risk (fakes, contamination)
Lab tests of MK-7 supplements found less active vitamin than the label claimed in most products, and none in one; prefer third-party-tested products.
How to notice: Unexpected effects, pain or infection, a stronger or weaker effect than expected.
possible

What the levels mean

Lowbackground — just be aware
Moderatewatch for signs
Elevatedneeds regular control
Highcritical — can be life-threatening or permanent

Level: general category from the literature, not your personal risk

How often

common
reported often
possible
reported in some people
rare
reported occasionally

How to lower the risks

General ways to lower the chance of each side effect. No measure removes a risk completely.

Low-level side effects

Product quality
Products obtained without a prescription are often fake, mislabeled or non-sterile, and there is no way to check at home. For legal supplements, third-party testing (Informed Sport, NSF) lowers, but does not remove, the risk of a positive doping test.

Check-ups and blood tests

Which tests and check-ups to do and when. This is a guide — agree the exact schedule with a sports physician.

The sources list no specific tests for this substance on its own. Together with other substances, the stack check shows the tests for the whole combination.

For women

Hard training with too little energy intake can lead to amenorrhea, low estrogen and bone loss (REDs). In 8 female elite athletes, a month of vitamin K improved bone-turnover markers in those with amenorrhea; it does not treat the cause, which needs a sports physician.

Myth & fact

Myth

“Vitamin D3 must be taken with K2, or calcium will end up in the arteries.”

Fact

The idea rests on a plausible mechanism, not on outcomes. In the AVADEC trial K2 with D3 did not slow valve or artery calcification versus placebo, and no trial has shown fewer heart events from adding K2 to D3.

Combinations

No specific combination notes for this substance yet. The stack check still adds up side effects that several substances share.

Check combinations →

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