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Vitamin K — The Complete Supplement Guide

Essential for blood clotting and bone — and the one vitamin that directly clashes with warfarin. K1 vs K2, doses and safety.

Reviewed by Bodil Isaksson, Licensed Biomedical Scientist (Sweden)Last reviewed July 2026Supplement guide

SupplementsVitaminsVitamin KFat-soluble

It comes in two families — K1 from leafy greens and K2 from ferments and animal foods — with growing interest in K2 for bone and arteries. For the short dietary version, see the Vitamins page.

Read first — warfarin. If you take warfarin or another vitamin K antagonist, speak with the healthcare professional managing your anticoagulant treatment before taking vitamin K supplements or making major changes to your vitamin K intake.

Key takeaways

  • K1 (leafy greens) covers clotting; K2 (MK-7, ~90–180 µg) is studied for bone and arteries.
  • Adults: about 70–120 µg/day (adequate intake).
  • No upper limit — but on warfarin, keep vitamin K intake steady and talk to your doctor.

Function

Vitamin K activates proteins that handle clotting and calcium:

  • Blood clotting: essential to activate several clotting factors — without it, blood cannot clot properly.
  • Bone: activates osteocalcin, which binds calcium into the bone matrix.
  • Artery protection: activates matrix Gla-protein (MGP), which helps keep calcium out of artery walls (the basis of interest in K2 for vascular health).
  • Cell regulation: further roles in cell growth and signalling.

Different forms — and which to choose

K1 (phylloquinone)From green leafy vegetables; the main dietary form, chiefly used for clotting.
K2 (menaquinones)From fermented foods and animal products; MK-7 (e.g. from natto) has a long half-life and is the form studied for bone and arteries.
K3 (menadione)A synthetic form not used in human supplements (toxicity concerns).

Absorption in the body

How muchFat-dependent; K1 from greens is poorly absorbed unless eaten with fat. K2 (MK-7) is well absorbed and stays in the blood longer.
NoteGut bacteria make some K2, but not enough to rely on.

Deficiency symptoms

SymptomsEasy bruising and bleeding; poor bone mineralisation over time.
NewbornsBabies are born low and are given vitamin K at birth to prevent serious bleeding.
Who's at riskFat-malabsorption, liver disease, long-term antibiotics, and newborns.

Recommended intake

Adults AI ≈ 70–120 µg/day

An adequate-intake figure:

  • Adults: ~70 µg/day (EFSA) · 90 µg ♀ / 120 µg ♂ (US)

Best sources: kale, spinach, broccoli and other greens (K1); natto, some cheeses and animal foods (K2).12

Therapeutic use

MedicalReverses dangerous over-thinning from warfarin (hospital use); routine newborn vitamin K.
Bone & vascularK2 (MK-7 ~90–180 µg/day) is studied for bone density and arterial calcification — promising, not yet definitive.

Therapeutic doses

K2 (MK-7): ~90–180 µg/day studied
EverydayGreens supply plenty of K1; K2 supplements are optional.
WarfarinIf on warfarin, do not change vitamin K intake without medical advice.

Toxicity & upper limit

No UL — low toxicity
Upper limitNo formal UL; vitamin K1/K2 have very low toxicity.1
Key interactionIt counteracts warfarin — the one situation where vitamin K matters clinically. Keep intake steady and coordinate with your doctor.

Bottom line: eat your greens for K1; a K2 (MK-7) supplement is a reasonable optional add-on for bone/artery health, often paired with vitamin D. The one hard rule: if you take warfarin, don't change your vitamin K without medical advice.

References

Reference and upper-limit values are general adult figures from official bodies; individual needs vary. Therapeutic doses describe clinical/research use, not prescriptions.

  1. US NIH Office of Dietary Supplements. Vitamin K — Health Professional Fact Sheet (function, forms, intakes, food sources, deficiency, therapeutic uses, upper limit, interactions). ods.od.nih.gov
  2. EFSA. Dietary Reference Values & Tolerable Upper Intake Levels for vitamins (European reference intakes and ULs). efsa.europa.eu

This article summarizes nutrition science from official health authorities and peer-reviewed sources for education. It is not a substitute for individual medical advice, and the doses given are not prescriptions — always consult a professional before therapeutic supplement use, in pregnancy, or alongside medication.

Bodil Isaksson, Licensed Biomedical Scientist (Sweden)

At Food Health Lab we explain what the science says in plain language, and we cite our sources so you can check for yourself.

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