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Vitamin K2 (MK-7)

Essential vitamin for proper calcium utilization, bone health, and cardiovascular protection

Scientific nameMenaquinone-7 FormulaC46H64O2 Molecular weight648.99 g/mol CAS2124-57-4
80 absorption score
9 safety / 10
25 USD per month
5 documented interactions

Check it against something

Evidence level A

Vitamin K2 (MK-7) with:

Compatibility score 66 out of 100
66 out of 100
Needs attention Separate by 2-4 hours to avoid the interaction below.

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What it does

mechanism and evidence for each claim

Bone health optimization

Activates osteocalcin for proper bone mineralization

Gamma-carboxylation of osteocalcin protein Evidence A-grade 12-24 weeks

Cardiovascular protection

Prevents arterial calcification and stiffening

Activates matrix Gla protein (MGP) Evidence B-grade 12-52 weeks

Improved calcium utilization

Ensures calcium goes to bones, not soft tissues

Activates vitamin K-dependent proteins Evidence A-grade 8-16 weeks

Dental health

Supports tooth mineralization and gum health

Activates osteocalcin in dental tissues Evidence B-grade 8-12 weeks

Reduced fracture risk

May reduce hip fracture risk by up to 77%

Improved bone quality and mineral density Evidence A-grade 12-24 months

Others take these for the same thing

Same goal, different mechanism — check any of them against this one

Every pair we checked

12 combinations scored by the engine
Vitamin K2 (MK-7) + Vitamin D3 High doses may interfere with K2 function Needs attention 66
Vitamin K2 (MK-7) + Vitamin C (Ascorbic Acid) High doses may interfere with K2 function Needs attention 70
Vitamin K2 (MK-7) + Vitamin B12 (Methylcobalamin) High doses may interfere with K2 function Needs attention 70
Vitamin K2 (MK-7) + Caffeine No documented interaction either way No known interaction 70
Vitamin K2 (MK-7) + Creatine Monohydrate No documented interaction either way No known interaction 70
Vitamin K2 (MK-7) + Whey Protein No documented interaction either way No known interaction 70
Vitamin K2 (MK-7) + Turmeric No documented interaction either way No known interaction 70
Vitamin K2 (MK-7) + Lactase Improved calcium absorption when consuming dairy Works better together 82
Vitamin K2 (MK-7) + Bovine Collagen Essential for collagen synthesis and cross-linking Works better together 82
Vitamin K2 (MK-7) + DHA Prevents oxidation of DHA and enhances stability Works better together 82
Vitamin K2 (MK-7) + Magnesium Oxide Required for vitamin K-dependent protein function Works better together 90
Vitamin K2 (MK-7) + Calcium Carbonate K2 optimizes calcium utilization and placement Works better together 99

Dosage

With fat meal
Daily100-200 mcg
Maintenance100-180 mcg
Therapeutic180-360 mcg
Maximum1000 mcg
ToxicNo established toxicity level

Before you take it

VeganYes

When to expect it

First Effects4-8 weeks for protein activation
Peak Benefits12-24 weeks for bone and cardiovascular benefits
Deficiency DevelopmentWeeks to months with inadequate intake
Toxicity OnsetNo known toxicity at supplemental doses

How to measure it

$100-150
MarkerUndercarboxylated osteocalcin (ucOC)
Optimal<20% of total osteocalcin
FrequencyBaseline and 3-6 months after starting supplementation

What people actually reported to the FDA

CAERS, 33 reports naming it as the suspect

Most reported effects

Pain 3
Chest pain 3
Death 3
Nephrolithiasis 3
Atrial fibrillation 3
Named as the suspect 33 reports of 92 that mention it at all
Serious outcome 85% hospitalisation, emergency room or worse
Other Serious or Important Medical Event21
Hospitalization17
Visited Emergency Room8

Reports are voluntary and unverified — they record what someone experienced while taking something, not what the compound caused. Counts skew towards products people take a lot of, and a serious outcome is more likely to be reported than a mild one, so these are not rates. How we filter them →

What actually reaches you

The label counts the carrier, your body does not
Absorption Very high 80 of 100 · best absorbed form of this compound
Delivered daily 0.1 mg
Cost per 1 mg delivered $6.94 comparative — uses the absorption score, not a measured percentage

Works better with

3 documented
+
Vitamin D3

D3 increases calcium absorption, K2 directs it to bones

Complementary calcium metabolism pathways · level A
+
Magnesium

Required for vitamin K-dependent protein function

Cofactor for gamma-carboxylase enzyme · level B
+
Calcium

K2 optimizes calcium utilization and placement

Activates proteins that bind and direct calcium · level A

What not to take with Vitamin K2 (MK-7)

2 documented
!
Vitamin A Excess

High doses may interfere with K2 function

Competition for similar metabolic pathways · mild significance
!
Vitamin E Excess

Very high doses may reduce K absorption

Competition for fat-soluble vitamin absorption · mild significance

Medication interactions

Discuss these with a pharmacist before combining
warfarin-coumadin Major

May reduce anticoagulant effectiveness

What to do: Consult physician, may need dose adjustment

antibiotics-broad-spectrum Mild

May reduce vitamin K2 production by gut bacteria

What to do: Consider K2 supplementation during antibiotic use

Available forms

bioavailability compared

Ranks 2 of 4 among vitamin k forms. Vitamin K2 (MK-9) absorbs better — 85%. Compare all forms →

MK-7 (Menaquinone-7) 80
MK-4 (Menaquinone-4) 60
All-trans MK-7 85

MK-7 (Menaquinone-7): Longest half-life, Best studied, Most bioactive

MK-4 (Menaquinone-4): Less expensive, Some research support, Shorter half-life

All-trans MK-7: Highest bioactivity, Most stable form, Better absorption

Food sources

before you supplement
Natto (fermented soybeans) 1103 mcg/100g · 85
Goose liver 369 mcg/100g · 80
Hard cheeses 50-76 mcg/100g · 75
Egg yolks (pasture-raised) 32 mcg/100g · 70

Too little

deficiency signs
  • Easy bruising and bleeding
  • Poor bone mineralization
  • Increased arterial calcification
  • Dental problems
  • Increased fracture risk
  • Subclinical vitamin K deficiency is common
  • May manifest as cardiovascular disease

Too much

toxicity signs
  • No known toxicity from natural forms
  • Potential interaction with blood thinners
  • Mild digestive upset at very high doses
  • Theoretical hemolysis (not observed)
  • No upper limit established by authorities

Who benefits most

postmenopausal-women

Increased bone loss and cardiovascular risk

100-200 mcg daily
elderly-men

Increased arterial calcification and bone loss

100-200 mcg daily
vitamin-d-users

Vitamin D increases calcium absorption, K2 directs it properly

100-180 mcg daily
osteoporosis-risk

Essential for bone matrix formation

180-200 mcg daily
heart-disease-risk

May prevent arterial calcification

100-200 mcg daily

Where to buy it

compare forms first

Look for Vitamin K2 (MK-7) at 100-200 mcg per serving. The form that matters here is MK-7 (Menaquinone-7).

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How it works

  • Gamma-carboxylation of vitamin K-dependent proteins
  • Activation of osteocalcin for bone mineralization
  • Activation of matrix Gla protein (MGP) for vascular health
  • Regulation of calcium deposition in tissues
  • Supports proper blood clotting factor function
  • Modulates inflammatory pathways

Key findings

what the evidence supports
  • Reduces hip fracture risk by 77% (meta-analysis 2013)
  • Improves arterial elasticity in postmenopausal women (2015)
  • Activates osteocalcin more effectively than K1 (2007)
  • May reverse coronary artery calcification (2009 study)

Sources: NIH Examine.com · data reviewed 2026-08-02

Compiled by Denis, who maintains this database and holds no medical qualification — every figure here is sourced or derived, never asserted. How we calculate it →

Common questions

What are the benefits of Vitamin K2 (MK-7)?

Documented effects: Bone health optimization; Cardiovascular protection; Improved calcium utilization; Dental health. Activates osteocalcin for proper bone mineralization

How much Vitamin K2 (MK-7) should you take per day?

The common daily range is 100-200 mcg. By goal — maintenance: 100-180 mcg; therapeutic: 180-360 mcg; maximum: 1000 mcg; toxic: No established toxicity level.

When is the best time to take Vitamin K2 (MK-7)?

With fat meal. First effects are typically reported within 4-8 weeks for protein activation.

What are the side effects of Vitamin K2 (MK-7)?

At excessive doses: No known toxicity from natural forms, Potential interaction with blood thinners, Mild digestive upset at very high doses, Theoretical hemolysis (not observed), No upper limit established by authorities. Safety rating at normal doses is 9 out of 10.

What should you not take with Vitamin K2 (MK-7)?

Separate it from Vitamin A Excess, Vitamin E Excess by two to four hours. High doses may interfere with K2 function

Does Vitamin K2 (MK-7) interact with medications?

Documented interactions with warfarin-coumadin, antibiotics-broad-spectrum. Discuss these with a pharmacist before combining.

How do you know if you need Vitamin K2 (MK-7)?

The marker is Undercarboxylated osteocalcin (ucOC), optimal range <20% of total osteocalcin. Common deficiency signs: Easy bruising and bleeding, Poor bone mineralization, Increased arterial calcification, Dental problems.

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