Vitamin K

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    Last Updated: August 8, 2024

    Vitamin K is a fat-soluble vitamin that plays a key role in blood coagulation, bone metabolism, and vascular health. Vitamin K1 is found in many leafy greens and soy, while vitamin K2 is found in meat and fermented foods and is synthesized by intestinal bacteria. Supplementation with vitamin K improves markers of bone health, and vitamin K is administered to newborns to prevent vitamin K deficiency bleeding.

    Overview

    Dosage information

    Formulations:

    • Phylloquinone (vitamin K1)
    • Menaquinone-4 and menaquinone-7 (vitamin K2)
    • Menadione (vitamin K3) is rarely used in supplements.

    Range of dosages studied:

    • Phylloquinone (vitamin K1): 0.1–10 mg per day (mg/day), equivalent to 100–10,000 micrograms (μg) per day.
    • Menaquinone-4 (vitamin K2): 1–90 mg/day (1,000–90,000 μg/day).
    • Menaquinone-7 (vitamin K2): 0.09–2 mg/day (90–2,000 μg/day).

    Safety information:

    Vitamin K interacts with several drugs, including blood-thinning (anticoagulant) drugs like warfarin and drugs that affect the intestinal absorption of dietary fat, such as colesevelam and orlistat. Vitamin K absorption and metabolism can be impaired in people with hepatobiliary dysfunction. A tolerable upper intake level (UL) for vitamin K has not been set, because there is insufficient data assessing the risk.[1][2] This does not mean that taking an amount higher than the recommended dose is safe, just that current data does not find adverse effects.

    Dosage recommendation:

    The dosages that have been found to improve markers of bone health are 0.1–5 mg/day (100–5000 μg/day) of phylloquinone (vitamin K1), 15–45 mg/day of menaquinone-4 (vitamin K2), or 100–375 μg/day of menaquinone-7 (vitamin K2).[3][4][5]

    The adequate intake (AI) — the daily intake that ensures nutritional adequacy in most people — in micrograms (µg) per day for vitamin K is shown below.[1][2] Note that the AI for vitamin K varies slightly between countries; the data below are for the US.

    AgeMaleFemalePregnancyLactation
    0–6 months2.0 µg/day2.0 µg/day----
    7–12 months2.5 µg/day2.5 µg/day----
    1–3 years30 µg/day30 µg/day----
    4–8 years55 µg/day55 µg/day----
    9–13 years60 µg/day60 µg/day----
    14–18 years75 µg/day75 µg/day75 µg/day75 µg/day
    Older than 18 years120 µg/day90 µg/day90 µg/day90 µg/day

    Vitamin K is found in several foods. High amounts per serving are found in spinach, broccoli, kale, Brussels sprouts, collards, soybeans, etc.[6][7][8][9] Consult the FoodData Central database to check the amounts of vitamin K in the foods you eat.

    Take with food: Yes. Intestinal absorption of vitamin K appears to be improved in the presence of dietary fat.[10]

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