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K2-MK7

Bone health and cardiovascular support

Evidence · Grade BSafety · Generally safe
Human trial evidenceInteraction risk

Vitamin K2-MK7 is a fat-soluble vitamin crucial for directing calcium to bones and teeth while preventing its accumulation in arteries, supporting both bone and cardiovascular health.

Vitamin K2, specifically the menaquinone-7 (MK-7) form, is a fat-soluble vitamin that plays a crucial role in calcium metabolism and cardiovascular health. Unlike vitamin K1, which is primarily involved in blood clotting, K2-MK7 is more active in directing calcium to appropriate areas like bones and teeth, and away from soft tissues such as arteries and kidneys. It is naturally found in fermented foods and animal products, but often in insufficient amounts in Western diets. Its primary mechanism involves activating specific proteins, notably osteocalcin and matrix Gla protein (MGP). Activated osteocalcin helps bind calcium to the bone matrix, contributing to bone mineralization. Activated MGP, on the other hand, inhibits calcium deposition in arterial walls, thereby supporting arterial flexibility and reducing the risk of calcification. This dual action makes K2-MK7 a subject of interest for both bone health and cardiovascular well-being. Research suggests that adequate intake of K2-MK7 may contribute to stronger bones and a reduced risk of fractures, particularly in postmenopausal women. Furthermore, it may play a role in maintaining arterial health and reducing the progression

Quick answer

What it is: Vitamin K2, specifically the menaquinone-7 (MK-7) form, is a fat-soluble vitamin that plays a crucial role in calcium metabolism and cardiovascular health.

May support:Joint Pain, Chronic Back Pain, Heart Failure, Vitamin D Deficiency, Osteoporosis, High Blood Pressure, Beauty & Anti-Aging, Atherosclerosis, Ankylosing Spondylitis

Evidence:Evidence · Grade B

Safety:Safety · Generally safe

Evidence Summary

Evidence · Grade B

There is a growing body of evidence, including randomized controlled trials, suggesting that K2-MK7 supplementation can improve bone mineral density and reduce arterial calcification. Its mechanism of action is well-understood, and observational studies link higher dietary K2 intake to better cardiovascular and bone outcomes. However, some studies have shown mixed results, and the optimal dosage and long-term effects still require further investigation.

Last reviewed · Jun 2026

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Why It Works

K2-MK7 activates proteins like osteocalcin and matrix Gla protein (MGP), which respectively help incorporate calcium into bones and prevent its deposition in arteries.

How it works in more detail

Vitamin K2-MK7 functions as a co-factor for gamma-glutamyl carboxylase (GGCX), an enzyme responsible for carboxylating specific vitamin K-dependent proteins (VKDPs). This carboxylation process activates these proteins, enabling them to bind calcium. Key VKDPs include osteocalcin, produced by osteoblasts, which helps integrate calcium into the bone matrix, and matrix Gla protein (MGP), found in vascular smooth muscle cells and cartilage. Activated MGP is a potent inhibitor of soft tissue calcification, preventing calcium from depositing in arterial walls and other soft tissues. By ensuring calcium is properly utilized in bones and teeth while being cleared from arteries, K2-MK7 supports skeletal integrity and cardiovascular elasticity.

How to use

Always consult a qualified clinician.

Editorial guidance

Suggested dosage
Common supplemental doses range from 90-180 mcg daily, often taken as a capsule or softgel, preferably with a meal containing fat to enhance absorption.
Research dosage range
45-180 mcg daily for bone health; 180-360 mcg daily for cardiovascular health in some studies.
Typical onset
Effects on bone density and arterial calcification are typically observed over several months to years of consistent supplementation.
Typical forms
capsule, softgel, liquid drops
Quality markers
Look for supplements specifying "menaquinone-7" or "MK-7" and a clear dosage. Products derived from natto (fermented soybeans) are a common source. Ensure third-party testing for purity and potency.
Medication interactions
  • Anticoagulants (e.g., warfarin)
Avoid if
  • Taking warfarin or other anticoagulant medications without medical supervision
Pregnancy / lactation
Limited research exists on K2-MK7 supplementation during pregnancy and lactation. Consult a healthcare professional before use.

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Suggested dosage

Common supplemental doses range from 90-180 mcg daily, often taken as a capsule or softgel, preferably with a meal containing fat to enhance absorption.

General guidance — discuss specifics with a clinician.

Active medicinal compounds

Menaquinone-7 (MK-7)

Safety

Safety warnings

Vitamin K2-MK7 is generally considered safe for most individuals when taken at recommended doses. Individuals on anticoagulant medications should consult a healthcare professional due to potential interactions.

Avoid if

  • Taking warfarin or other anticoagulant medications without medical supervision

Medication interactions

  • Anticoagulants (e.g., warfarin)

Pregnancy & lactation

Limited research exists on K2-MK7 supplementation during pregnancy and lactation. Consult a healthcare professional before use.

General guidance — discuss specifics with a clinician.

Evidence ecosystem

Scientific literature, clinical guidance, government sources, ongoing research, traditional use, and lived experience — grouped by source type and quality.

Overall grade (B)

There is a growing body of evidence, including randomized controlled trials, suggesting that K2-MK7 supplementation can improve bone mineral density and reduce arterial calcification. Its mechanism of action is well-understood, and observational studies link higher dietary K2 intake to better cardiovascular and bone outcomes. However, some studies have shown mixed results, and the optimal dosage and long-term effects still require further investigation.

Clinical Trial Registries(1)

Registered ongoing or completed trials (ClinicalTrials.gov).

Moderate Quality
  • Effects of Vitamin D3 and Vitamin K2MK7 Supplementation on Vascular Function in Overweight or Obese Adults.

    n=100 · NCT05689632 · UNKNOWN · UNKNOWN

    A prospective, randomized, placebo-controlled, double-blind study that aims to evaluate the effects of combined vitamin D3 and K2-MK7 supplementation on vascular function, sympathetic tone, metabolic biomarkers and inflammatory factors in a population of overweight or obese adults and deficient or insufficient serum levels of vitamin D.

    Clinical TrialClinicalTrials.govModerate Quality

Limitations: Many studies are relatively short-term or involve specific populations (e.g., postmenopausal women). More large-scale, long-term randomized controlled trials are needed to definitively establish its efficacy across diverse populations and for various health outcomes. The exact optimal dosage for different conditions is also still being refined.

This page is educational. Statements use phrases like "may support" and "has been studied for"because no remedy here is approved to cure, treat, or reverse any condition. Discussion happens on the ailment pages — community statistics here are derived from those reports. Always consult a qualified clinician.

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