What is Vitamin K?
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Biomedical scientist Dr. Rhonda Patrick emphasizes Vitamin K1’s critical role in blood coagulation and Vitamin K2’s importance for bone and vascular health, recommending dietary sources like Natto for their bioavailability and suggesting supplementation as a secondary option FoundMyFitness: Differences between vitamin K1 and K2.
Longevity physician Dr. Peter Attia highlights Vitamin K2’s synergy with Vitamin D3 to support bone and vascular health, advocating for its use in longevity-focused regimens and recommending testing and professional consultation before supplementation Mito Health: Peter Attia’s Supplement Routine.
Genetics professor Dr. David Sinclair incorporates Vitamin K2 into his supplement routine for vascular health, supported by research linking it to reduced heart disease risk and potential cognitive benefits, emphasizing its role in healthy aging Hone Health: Everything in David Sinclair’s Supplement Stack.
For optimizing brain function and energy, studies suggest a Vitamin K1 intake above 200 mcg/day may enhance cognition, while 100-200 mcg/day of Vitamin K2 (MK-7) is commonly used in supplements, ideally taken with fat for better absorption. This exceeds the Recommended Dietary Allowance (RDA) of 90-120 mcg/day, which targets deficiency prevention rather than performance enhancement. No upper limit is established, but caution is advised for those on anticoagulants, and consulting a healthcare professional is recommended to personalize intake safely.
For pregnancy, the Recommended Dietary Allowance (RDA) for Vitamin K is 90 mcg/day, essential for preventing bleeding disorders in both mother and baby. Maintaining adequate levels through diet (e.g., leafy greens, Natto) is crucial, though no evidence supports higher intakes for fetal brain development. Excessive supplementation should be avoided, especially for those on medications affecting Vitamin K metabolism, and healthcare provider consultation is advised to ensure safety.
Vitamin K is essential for blood clotting and bone health. There is no established upper limit for Vitamin K due to its low toxicity profile. However, individuals taking anticoagulant medications (e.g., warfarin) should maintain consistent Vitamin K intake and consult their healthcare provider before making significant changes. Pregnant and lactating women should adhere to the Adequate Intake (AI) levels, as data on high intakes is limited. | |
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Age Group | Nutrient Range |
Child (1-3 years) Recommended (RDA): 30 μg/day Optimal range: 30 - 150 μg/day Upper limit (UL): 300 μg/day | 30 μg/day 1200 μg/day 30 150 |
Child (4-8 years) Recommended (RDA): 55 μg/day Optimal range: 55 - 275 μg/day Upper limit (UL): 550 μg/day | 30 μg/day 1200 μg/day 55 275 |
Child (9-13 years) Recommended (RDA): 60 μg/day Optimal range: 60 - 300 μg/day Upper limit (UL): 600 μg/day | 30 μg/day 1200 μg/day 60 300 |
Male (14-18 years) Recommended (RDA): 75 μg/day Optimal range: 75 - 375 μg/day Upper limit (UL): 750 μg/day | 30 μg/day 1200 μg/day 75 375 |
Male (19-50 years) Recommended (RDA): 120 μg/day Optimal range: 120 - 600 μg/day Upper limit (UL): 1200 μg/day | 30 μg/day 1200 μg/day 120 600 |
Male (51+ years) Recommended (RDA): 120 μg/day Optimal range: 120 - 600 μg/day Upper limit (UL): 1200 μg/day | 30 μg/day 1200 μg/day 120 600 |
Female (14-18 years) Recommended (RDA): 75 μg/day Optimal range: 75 - 375 μg/day Upper limit (UL): 750 μg/day | 30 μg/day 1200 μg/day 75 375 |
Female (19-50 years) Recommended (RDA): 90 μg/day Optimal range: 90 - 450 μg/day Upper limit (UL): 900 μg/day | 30 μg/day 1200 μg/day 90 450 |
Female (51+ years) Recommended (RDA): 90 μg/day Optimal range: 90 - 450 μg/day Upper limit (UL): 900 μg/day | 30 μg/day 1200 μg/day 90 450 |
Female (Pregnant) Recommended (RDA): 90 μg/day Optimal range: 90 - 450 μg/day Upper limit (UL): 900 μg/day | 30 μg/day 1200 μg/day 90 450 |
Female (Lactating) Recommended (RDA): 90 μg/day Optimal range: 90 - 450 μg/day Upper limit (UL): 900 μg/day | 30 μg/day 1200 μg/day 90 450 |
Summary
Section titled SummaryOptimal Intake (male 85kg/181cm / female 52kg/171cm)
- Cognitive optimization male: 100-200 μg K2 daily + adequate K1 (120 μg/day)
- Cognitive optimization female: 100-200 μg K2 daily + adequate K1 (90 μg/day)
- Energy optimization male: 100-200 μg K2 daily (basic), 150-300 μg K2 daily (athletic performance)
- Energy optimization female: 100-200 μg K2 daily (basic), 150-300 μg K2 daily (athletic performance)
- Cardiovascular & bone health: 100-200 μg K2 (preferably MK-7) daily for both sexes
Five best animal sources:
- Goose liver: 100g (3.5 oz) provides 369 μg K2 (100 μg optimal K2 reached with 27g/1 oz)
- Hard cheeses (Gouda): 100g (3.5 oz) provides 32-75 μg K2 (100 μg optimal K2 reached with 133-313g/4.7-11 oz)
- Soft cheeses (Brie): 100g (3.5 oz) provides 50 μg K2 (100 μg optimal K2 reached with 200g/7 oz)
- Egg yolk, pasture-raised: 100g (about 5 yolks) provides 32 μg K2 (100 μg optimal K2 reached with 313g/16 yolks)
- Grass-fed butter: 100g (7 Tbsp) provides 21 μg K2 (100 μg optimal K2 reached with 476g/33 Tbsp)
Five best non-animal sources:
- Natto (fermented soybeans): 100g (3.5 oz) provides 1000+ μg K2 (100 μg optimal K2 reached with 10g/0.35 oz)
- Kale, raw: 100g (3.5 oz) provides 817 μg K1 (120 μg AI reached with 15g/0.5 oz)
- Spinach, raw: 100g (3.5 oz) provides 483 μg K1 (120 μg AI reached with 25g/0.9 oz)
- Collard greens, cooked: 100g (3.5 oz) provides 440 μg K1 (120 μg AI reached with 27g/1 oz)
- Swiss chard, raw: 100g (3.5 oz) provides 316 μg K1 (120 μg AI reached with 38g/1.3 oz)
Consistent intake required? Relatively consistent intake is beneficial as vitamin K is stored in limited amounts in the liver and other tissues, with faster turnover than other fat-soluble vitamins. K1 is preferentially retained in the liver for blood clotting, while K2 (especially longer-chain forms like MK-7) has a longer half-life (3 days vs. 1-2 hours for K1 and MK-4).
Are higher doses dangerous? No established upper limit exists for natural forms of vitamin K (K1 and K2), as no adverse effects have been consistently observed even at high doses. Clinical studies have used doses up to 45 mg (45,000 μg) without reported toxicity. Only synthetic vitamin K3 (menadione) can cause toxicity, but this form is not available in supplements for human use in most countries.
Optimal timing for daily intake:
- With meals: Take with dietary fat to enhance absorption
- Morning: Consider morning dosing alongside vitamin D for optimal daytime energy
- With largest meal: Evidence suggests taking K2 supplements with the largest meal of the day improves absorption
- Consistency: Maintain regular intake rather than occasional high doses for best results
- With synergistic nutrients: Combine with vitamin D, calcium, and magnesium for enhanced benefits
Introduction
Section titled IntroductionVitamin K is a fat-soluble vitamin essential for blood clotting, bone metabolism, and cardiovascular health. It exists in two main forms:
- Vitamin K1 (Phylloquinone): Found primarily in plant foods, especially leafy green vegetables
- Vitamin K2 (Menaquinones): A family of compounds (MK-4 through MK-13) found in animal foods and fermented products, produced by bacteria
The body stores limited amounts of vitamin K in the liver and other tissues, with faster turnover than other fat-soluble vitamins. While K1 is preferentially retained in the liver for blood clotting, K2 (especially longer-chain forms like MK-7) circulates in the bloodstream longer and is more effectively delivered to bones, vessels, and other tissues.
According to Dr. Paul Saladino, a carnivore diet advocate, the K2 forms found in animal foods may have superior bioavailability and unique benefits compared to K1 from plant sources. The body can convert some K1 to K2, but this conversion is inefficient in many individuals, making dietary K2 particularly valuable.
Recent research has expanded our understanding of vitamin K beyond its classic role in blood coagulation. It’s now recognized as a key player in calcium metabolism, cardiovascular health, and potentially cognitive function through its role in sphingolipid metabolism in the brain.
Effects at Different Vitamin K Levels
Section titled Effects at Different Vitamin K LevelsOptimal Levels
Section titled Optimal Levels- Efficient blood clotting
- Proper calcium utilization (directing calcium to bones rather than soft tissues)
- Healthy bone formation and maintenance
- Cardiovascular protection with reduced calcification
- Optimal cell growth regulation and function
- Support for cellular energy metabolism
- Healthy insulin sensitivity
- Proper nerve signaling and brain function
- Enhanced mitochondrial function
- Reduced inflammation
- Potentially improved exercise recovery
- Balanced immune responses
Deficiency
Section titled Deficiency- Increased bleeding tendency
- Reduced bone mineralization
- Increased calcium deposition in arteries
- Compromised immune function
- Reduced glucose metabolism efficiency
- Decreased energy production
- Impaired cell signaling pathways
- Reduced cognitive performance
- Poorer cardiovascular health markers
- Increased inflammation
- Slower tissue healing
Severe Deficiency
Section titled Severe Deficiency- Hemorrhage (serious uncontrolled bleeding)
- Increased fracture risk
- Significant arterial calcification
- In infants: potentially fatal brain hemorrhage
- Severe osteoporosis
- Increased cardiovascular event risk
- Compromised cellular energetics
- Major inflammatory dysregulation
Toxicity (Excess)
Section titled Toxicity (Excess)- Natural forms of vitamin K have no known toxicity at high doses
- Synthetic vitamin K (menadione/K3) can cause hemolytic anemia, jaundice, and liver damage
- Very high supplemental doses may theoretically interfere with anticoagulant medications
- No upper limit has been established for vitamin K1 or K2 from natural sources
Energy & Cognitive Benefits
Section titled Energy & Cognitive BenefitsVitamin K plays several roles in energy production and brain function that have only recently been recognized by researchers.
Energy Metabolism
Section titled Energy Metabolism- Mitochondrial Function: Vitamin K2 is involved in electron transport chain efficiency, supporting optimal mitochondrial energy production. Research published in the Journal of Biological Chemistry shows that vitamin K2 serves as an electron carrier in the mitochondrial membrane.
- Glucose Regulation: Dr. Andrew Huberman notes that vitamin K helps maintain proper insulin sensitivity, contributing to stable energy levels throughout the day.
- Osteocalcin Activation: Vitamin K activates osteocalcin, a hormone that influences energy metabolism, insulin sensitivity, and mitochondrial proliferation.
- Cell Signaling: Supports energy-regulating signaling pathways that optimize cellular metabolism.
- ATP Production: May enhance the efficiency of ATP synthesis, particularly in conjunction with other nutrients like CoQ10.
Cognitive Function
Section titled Cognitive Function- Sphingolipid Metabolism: K2 is required for the synthesis of certain sphingolipids abundant in brain cell membranes, supporting neural signaling.
- Neuroprotection: Emerging research in the Journal of Alzheimer’s Disease suggests vitamin K may help prevent oxidative damage in the brain and reduce inflammation.
- Brain Energy Utilization: Facilitates efficient glucose utilization in brain cells.
- Anti-inflammatory Effects: Reduces neuroinflammation that can impair cognitive function.
- Growth Factor Regulation: Influence on growth factors that support neuronal health and connectivity.
- Neuronal Calcium Regulation: Helps maintain proper calcium balance in brain cells, which is crucial for neural signaling.
Recommended Dosage
Section titled Recommended DosageVitamin K intake is measured in micrograms (μg), with different recommendations for K1 and emerging recommendations for K2.
General Recommendations
Section titled General RecommendationsBy Age Group
Section titled By Age GroupAge Group | AI (μg/day K1) |
---|---|
Infants (0-6 months) | 2.0 |
Infants (7-12 months) | 2.5 |
Children (1-3 years) | 30 |
Children (4-8 years) | 55 |
Children (9-13 years) | 60 |
Adolescents (14-18 years) | 75 |
Adults (19+ years) | Males: 120, Females: 90 |
Pregnancy | 90 |
Lactation | 90 |
*Note: These are Adequate Intake (AI) levels for vitamin K1 only, as established by official dietary guidelines. No RDA has been established.
For Specific Body Types
Section titled For Specific Body TypesMale (85kg, 181cm)
- Standard AI for K1: 120 μg/day
- Emerging recommendations for K2: 100-200 μg/day (not officially established)
Female (52kg, 171cm)
- Standard AI for K1: 90 μg/day
- Emerging recommendations for K2: 100-200 μg/day (not officially established)
The AI for vitamin K1 represents the minimum amount needed to maintain adequate blood clotting. However, many researchers now believe higher intakes, particularly of K2, may be necessary for optimal bone, cardiovascular, and metabolic health.
Optimal Intake for Energy and Performance
Section titled Optimal Intake for Energy and PerformanceDr. Shawn Baker, a proponent of the carnivore diet, suggests that individuals consuming animal-based diets naturally obtain beneficial forms of K2 (especially MK-4) from grass-fed meats, eggs, and certain animal fats. However, for those looking to optimize:
- For cardiovascular health and bone support: 100-200 μg of vitamin K2 (preferably as MK-7) daily
- For athletic performance: Consider 150-300 μg of K2 daily, particularly for those engaged in high-impact or strength training activities
- For cognitive optimization: While research is emerging, 100-200 μg of K2 combined with adequate K1 from diet appears supportive
Dr. Kate Rheaume-Bleue, author of “Vitamin K2 and the Calcium Paradox,” suggests an optimal daily intake of approximately:
- Vitamin K1: 100-200 μg from leafy greens
- Vitamin K2: 100-200 μg (MK-4 and/or MK-7) from animal foods, fermented foods, or supplements
Safe Upper Limits & Toxicity
Section titled Safe Upper Limits & ToxicityMaximum Safe Dosage
Section titled Maximum Safe DosageUpper Intake Levels
Section titled Upper Intake LevelsNo Tolerable Upper Intake Level (UL) has been established for vitamin K in any form from natural sources, as no adverse effects have been consistently observed even at high doses.
The European Food Safety Authority has concluded that doses up to 1000 μg/day of K1 or natural K2 forms do not pose safety concerns.
For Specific Body Types
Section titled For Specific Body TypesMale (85kg, 181cm)
- No established upper limit: Natural forms of vitamin K1 and K2 are considered safe even at significantly higher than recommended doses
- Clinical studies have used doses up to 45 mg (45,000 μg) without reported toxicity
Female (52kg, 171cm)
- No established upper limit: Same safety profile as for males
- Doses of 1,000-10,000 μg have been used in research settings without adverse effects
Note: Synthetic vitamin K3 (menadione) should be avoided as it can cause toxicity, but this form is not available in dietary supplements for human use in most countries.
Dangerous Dose Levels
Section titled Dangerous Dose Levels- Natural K1 and K2: No known dangerous dose levels from food or supplements
- Synthetic K3: Can cause toxicity at high doses (no longer used in human supplements)
- Special Concern: Individuals taking warfarin or similar anticoagulants should maintain consistent vitamin K intake and consult healthcare providers before supplementing
Signs of Vitamin K Toxicity
Section titled Signs of Vitamin K ToxicityNatural forms of vitamin K (K1 and K2) have no known toxicity symptoms, even at very high doses. However, theoretical concerns include:
- Interference with anticoagulant medications
- Possible minor gastrointestinal distress at extremely high supplemental doses
- Skin reactions (rare, usually with synthetic forms)
Health Effects and Benefits
Section titled Health Effects and BenefitsBlood Clotting
Section titled Blood Clotting- Essential for synthesis of clotting factors II, VII, IX, and X
- Prevents excessive bleeding from injuries
- Supports proper wound healing
- Maintains normal menstrual flow
- Enables safe childbirth
Bone Health
Section titled Bone Health- Activates osteocalcin, directing calcium into bones
- Supports proper bone mineralization
- May help prevent osteoporosis
- Improves bone quality and strength
- Dr. Shawn Baker notes that vitamin K2 supplementation has been shown to reduce fracture risk by 60-80% in some studies
Cardiovascular Health
Section titled Cardiovascular Health- Activates matrix Gla protein (MGP), which prevents calcium deposition in arteries
- Reduces arterial stiffness
- May lower risk of coronary heart disease
- Supports healthy blood pressure
- Dr. Paul Saladino emphasizes that adequate K2 is crucial for preventing the “calcium paradox” where calcium supplements without K2 may increase cardiovascular risk
Metabolic Health
Section titled Metabolic Health- Influences glucose metabolism
- May improve insulin sensitivity
- Supports metabolic flexibility
- Could help reduce risk of type 2 diabetes
- Activates hormone-like proteins involved in energy regulation
- Dr. Huberman highlights vitamin K’s role in enhancing cellular metabolism, particularly when combined with other fat-soluble vitamins
Brain Health and Performance
Section titled Brain Health and Performance- Required for synthesis of sphingolipids in the brain
- May protect against oxidative stress in neural tissue
- Supports proper brain development
- Potentially reduces risk of certain neurodegenerative conditions
- Emerging research suggests roles in cognitive preservation
- Supports ATP production in brain cells
- May influence neurotransmitter function
Immune System
Section titled Immune System- Modulates inflammatory responses
- Supports proper immune cell function
- Helps maintain mucus membrane integrity
- May reduce severity of certain inflammatory conditions
- Supports overall immune resilience
Other Benefits
Section titled Other Benefits- Skin health and wound healing
- Possible anticancer properties (still being researched)
- May support dental health and reduce cavities
- Potentially improves exercise performance and recovery
- Supports reproductive health
Deficiency Symptoms
Section titled Deficiency SymptomsVitamin K deficiency can cause:
- Easy bruising and bleeding
- Prolonged bleeding from cuts or wounds
- Heavy menstrual bleeding
- Nosebleeds and bleeding gums
- Blood in urine or stool
- In severe cases, internal hemorrhaging
- Reduced bone density and increased fracture risk
- Increased arterial calcification
- Reduced energy levels due to impaired mitochondrial function
- Compromised glucose regulation
- Poor cognitive performance
- Slower wound healing
- Increased inflammatory markers
- In newborns: potentially fatal brain hemorrhage (vitamin K deficiency bleeding)
- Reduced exercise capacity
- Increased susceptibility to bone-related injuries
Primary vitamin K deficiency in adults is rare but may occur with:
- Severe malnutrition
- Fat malabsorption disorders
- Prolonged antibiotic use that disrupts gut bacteria
- Certain medications that interfere with vitamin K metabolism
- Severe liver disease
- Alcohol use disorder
Sources of Vitamin K
Section titled Sources of Vitamin KFood Sources with Amounts to Meet Requirements
Section titled Food Sources with Amounts to Meet RequirementsVitamin K1 Sources (Phylloquinone)
Section titled Vitamin K1 Sources (Phylloquinone)Food | Serving Size | Vitamin K1 Content (μg) | Amount to Reach AI (Male/Female) |
---|---|---|---|
Kale, raw | 100g (3.5 oz) | 817 | 15g/11g (0.5/0.4 oz) |
Spinach, raw | 100g (3.5 oz) | 483 | 25g/19g (0.9/0.7 oz) |
Collard greens, cooked | 100g (3.5 oz) | 440 | 27g/20g (1.0/0.7 oz) |
Swiss chard, raw | 100g (3.5 oz) | 316 | 38g/28g (1.3/1.0 oz) |
Brussels sprouts, cooked | 100g (3.5 oz) | 177 | 68g/51g (2.4/1.8 oz) |
Broccoli, cooked | 100g (3.5 oz) | 141 | 85g/64g (3.0/2.3 oz) |
Cabbage, raw | 100g (3.5 oz) | 76 | 158g/118g (5.6/4.2 oz) |
Lettuce, romaine | 100g (3.5 oz) | 103 | 117g/87g (4.1/3.1 oz) |
Asparagus, cooked | 100g (3.5 oz) | 41 | 293g/220g (10.3/7.8 oz) |
Green beans | 100g (3.5 oz) | 33 | 364g/273g (12.8/9.6 oz) |
Kiwifruit | 100g (2 medium) | 40 | 300g/225g (10.6/7.9 oz) |
Avocado | 100g (about 2/3 medium) | 21 | 571g/429g (20.1/15.1 oz) |
Olive oil | 1 Tbsp (14g) | 8 | 210g/158g (15/11.3 Tbsp) |
Vitamin K2 Sources (Menaquinones)
Section titled Vitamin K2 Sources (Menaquinones)Food | Serving Size | Vitamin K2 Content (μg) | Amount to Reach Suggested Optimal (100-200 μg) |
---|---|---|---|
Natto (fermented soybeans) | 100g (3.5 oz) | 1000+ (mostly MK-7) | 10-20g (0.35-0.7 oz) |
Goose liver | 100g (3.5 oz) | 369 (mostly MK-4) | 27-54g (1.0-1.9 oz) |
Grass-fed butter | 100g (7 Tbsp) | 21 (mostly MK-4) | 476-952g (33-67 Tbsp) |
Hard cheeses (Gouda) | 100g (3.5 oz) | 32-75 (various MKs) | 133-625g (4.7-22 oz) |
Soft cheeses (Brie) | 100g (3.5 oz) | 50 (various MKs) | 200-400g (7-14 oz) |
Egg yolk, pasture-raised | 100g (about 5 yolks) | 32 (mostly MK-4) | 313-625g (16-31 yolks) |
Chicken liver | 100g (3.5 oz) | 14 (mostly MK-4) | 714-1429g (25-50 oz) |
Chicken breast | 100g (3.5 oz) | 8.9 (mostly MK-4) | 1124-2247g (40-80 oz) |
Grass-fed beef | 100g (3.5 oz) | 7 (mostly MK-4) | 1429-2857g (50-100 oz) |
Sauerkraut | 100g (3.5 oz) | 5 (various MKs) | 2000-4000g (70-141 oz) |
Pork liver | 100g (3.5 oz) | 3 (mostly MK-4) | 3333-6667g (118-236 oz) |
Full-fat dairy | 100g (3.5 oz) | 1-2 (various MKs) | 5000-20000g (176-705 oz) |
Carnivore Diet and Vitamin K
Section titled Carnivore Diet and Vitamin KDr. Paul Saladino and Dr. Shawn Baker highlight that a properly formulated carnivore diet provides vitamin K through:
- Grass-fed meats: Contain vitamin K2 (MK-4) in the fat portions
- Organ meats: Especially liver, which is rich in both vitamin K1 and K2
- Egg yolks: A good source of vitamin K2, especially from pasture-raised chickens
- Animal fats: Grass-fed tallow, butter, and ghee contain appreciable K2
Dr. Saladino notes that the carnivore diet provides the more bioactive K2 form, which may be more important for many bodily functions beyond basic blood clotting. He emphasizes that traditional cultures consuming animal-based diets show excellent cardiovascular and bone health despite lower K1 intake than modern recommendations.
Dr. Baker suggests that the reduced need for antioxidant protection in a low-plant diet may decrease overall vitamin K requirements compared to diets high in oxidative stress.
Supplements
Section titled SupplementsTypes of Vitamin K Supplements
Section titled Types of Vitamin K Supplements- Vitamin K1 (Phylloquinone): The plant form, primarily used for blood clotting support
- Vitamin K2 (MK-4): Short-chain form, identical to the K2 produced in animal tissues
- Vitamin K2 (MK-7): Long-chain form with greater bioavailability and longer half-life in the body
- Mixed K2 (MK-4, MK-7, sometimes other MKs): Provides a spectrum of K2 forms
- Vitamin K Complex (K1 + K2 forms): Provides both major forms
- Co-supplemented forms: Combined with vitamin D3, calcium, magnesium, and/or vitamin A
Considerations When Choosing Supplements
Section titled Considerations When Choosing Supplements- Form: K2 as MK-7 has the highest bioavailability and longest half-life (3 days vs. 1-2 hours for K1 and MK-4)
- Dosage: 100-200 μg of K2 is common for general support; therapeutic doses may be higher
- Quality: Choose reputable brands with third-party testing
- Other ingredients: Look for supplements free of unnecessary fillers
- Complementary nutrients: Combinations with vitamin D3 and/or calcium may be beneficial for bone health
- Stability: Vitamin K is relatively stable but should be protected from excessive light and heat
- Origin: Natural K2 (especially from natto) may have advantages over synthetic forms
- Delivery method: Oil-based forms may have better absorption since K is fat-soluble
Special Considerations
Section titled Special ConsiderationsPregnancy and Breastfeeding
Section titled Pregnancy and Breastfeeding- Vitamin K is crucial for fetal bone and cardiovascular development
- Requirements do not increase during pregnancy (remains 90 μg/day K1)
- Vitamin K does not cross the placenta efficiently, which is why newborns typically receive vitamin K injections
- Breastmilk contains relatively low levels of vitamin K
- Supplementation is generally considered safe during pregnancy and lactation
- Pregnant women on medications should consult healthcare providers before supplementing
Medical Conditions Affecting Vitamin K
Section titled Medical Conditions Affecting Vitamin K- Malabsorption disorders: Crohn’s disease, celiac disease, cystic fibrosis reduce absorption
- Liver disease: Impairs vitamin K utilization and activation of clotting factors
- Gallbladder disease: Reduced bile production impairs absorption
- Kidney disease: May affect vitamin K metabolism
- Long-term antibiotic use: Disrupts gut bacteria that produce K2
- Bariatric surgery: May reduce absorption capacity
Medication Interactions
Section titled Medication Interactions- Anticoagulants (Warfarin/Coumadin): Function by antagonizing vitamin K; sudden changes in vitamin K intake can alter medication effectiveness
- Bile acid sequestrants: Reduce vitamin K absorption
- Certain antibiotics: Reduce vitamin K production by gut bacteria
- Orlistat and olestra: Fat-blocking agents that reduce absorption
- Phenytoin and phenobarbital: May increase vitamin K metabolism
- Certain antibiotics (cephalosporins): May cause vitamin K deficiency
Genetic Variations
Section titled Genetic VariationsRecent research has identified genetic variations that affect:
- Vitamin K metabolism (VKORC1 gene)
- Vitamin K recycling efficiency
- Response to vitamin K-dependent proteins
- Calcium metabolism and utilization
Dr. Saladino notes that genetic variations affecting vitamin K metabolism may influence optimal intake levels and may be one reason why some individuals benefit more from supplementation than others.
Optimizing Absorption and Utilization
Section titled Optimizing Absorption and UtilizationDr. Huberman highlights several factors that influence how effectively your body uses vitamin K:
- Fat consumption: Take vitamin K with a source of dietary fat to enhance absorption
- Bile production: Healthy gallbladder function is essential for optimal absorption
- Gut health: A healthy microbiome supports both K2 production and absorption
- Vitamin D status: Adequate vitamin D is necessary for vitamin K to properly regulate calcium
- Magnesium status: Works synergistically with vitamin K for bone and cardiovascular health
- Zinc adequacy: Supports enzyme systems involved in vitamin K function
- Balanced omega-3/omega-6 ratio: Excessive omega-6 may interfere with vitamin K utilization
- Avoid excessive calcium supplementation: Can overwhelm vitamin K-dependent proteins
- Minimize oxidative stress: Preserves vitamin K function
- Consider timing: Some evidence suggests taking K2 supplements with the largest meal of the day improves absorption
Personalized Recommendations
Section titled Personalized RecommendationsFor Male (85kg, 181cm)
Section titled For Male (85kg, 181cm)- Aim for at least the AI of 120 μg/day of vitamin K1 from leafy greens
- Consider 100-200 μg/day of vitamin K2 (preferably MK-7) for cardiovascular and bone health
- If following a carnivore approach, emphasize grass-fed animal fats, egg yolks, and organ meats
- For energy optimization, combine vitamin K2 with adequate magnesium (300-400mg) and vitamin D (2000-5000 IU)
- Consider a comprehensive supplement providing K2 with other synergistic nutrients
- If you have any clotting disorders or take medications, consult healthcare providers before supplementing
- For athletic performance, higher doses (up to 300 μg) may support bone density and recovery
For Female (52kg, 171cm)
Section titled For Female (52kg, 171cm)- Aim for at least the AI of 90 μg/day of vitamin K1 from leafy greens
- Consider 100-150 μg/day of vitamin K2 (preferably MK-7) for bone and cardiovascular support
- If bone density is a concern, ensure adequate vitamin D and calcium alongside vitamin K
- For cognitive benefits, combine K2 with omega-3 fatty acids and vitamin D
- If following a carnivore approach, include egg yolks and grass-fed animal products regularly
- Monitor for any unexpected bruising if supplementing
- Consider K2 supplementation especially approaching or after menopause for bone protection
For Energy Optimization
Section titled For Energy Optimization- Synergistic Approach: Dr. Huberman suggests combining vitamin K2 (100-200 μg) with CoQ10 (100-200 mg) for optimal mitochondrial function
- Morning dosing: Taking K2 in the morning with vitamin D may help optimize daytime energy
- Strategic timing: Consider higher K2 intake during periods of increased physical demands
- Companion nutrients: Include magnesium and B-vitamins for enhanced energy production
- Consistency: Maintain regular intake rather than occasional high doses for best results
- Food sources first: Emphasize food sources for the full spectrum of cofactors and subtypes
For Cognitive Enhancement
Section titled For Cognitive Enhancement- Neuroprotective dose: 100-200 μg of K2 (preferably MK-7) daily
- Combined supplementation: Take alongside DHA/EPA omega-3s and vitamin D for synergistic effects
- Long-term consistency: Benefits may develop gradually over consistent supplementation
- Consider MK-4 and MK-7: Both forms may have unique benefits for brain function
- Support with choline: Combining with adequate choline intake may enhance neurological benefits
- Monitor response: Track cognitive parameters like focus, memory, and mental clarity
Summary
Section titled SummaryVitamin K is an essential nutrient with crucial roles beyond its classic function in blood clotting, including bone metabolism, cardiovascular health, energy production, and emerging benefits for cognitive function.
- Getting Enough: Focus on leafy greens for K1 and fermented foods, animal products (especially grass-fed) for K2
- Forms Matter: K2 (especially MK-7) has unique benefits for bone, cardiovascular, and metabolic health beyond K1
- Synergistic Nutrients: Combine with vitamins D and A, magnesium, and calcium for optimal effects
- Carnivore Approach: Emphasize grass-fed meats, organ meats, and egg yolks for natural K2
- Supplementation: Consider 100-200 μg of K2 (MK-7) daily for optimal health beyond basic clotting functions
- Safety: Natural forms have no established upper limit and are considered safe even at higher doses
- Special Caution: Those on anticoagulant medications should maintain consistent vitamin K intake and consult healthcare providers
- Energy Benefits: Supports mitochondrial function, glucose metabolism, and cellular energy production
- Cognitive Protection: Emerging research suggests roles in brain health through sphingolipid metabolism and neuroprotection
Remember that individual nutritional needs can vary based on health status, medications, genetic factors, and diet. Consult with a healthcare provider before starting any supplement regimen, especially if you have underlying health conditions or take medications that may interact with vitamin K.
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