Tier B

Vitamin K2 · Menaquinone (MK-4 · MK-7)

Also known as: Menaquinone-7 · MK-7 · MK-4 · Menatetrenone

2 PMID anchor · MUSCULOSKELETAL · CARDIO · Last reviewed 2026-06-04

Mechanism of action

  • Cofactor for γ-glutamyl carboxylase activating Gla-proteins
  • Carboxylates osteocalcin (bone matrix incorporation of calcium)
  • Carboxylates matrix Gla protein (inhibits vascular calcification)

Molecular + tissue targets

  • Osteocalcin γ-carboxylation
  • Matrix Gla protein
  • Vascular calcification

Dosage range

90 μg/day NRV (men) · 90 μg/day (women); typical MK-7 supplement dose 90-200 μg/day. Geleijnse 2004 PMID 15514282 J Nutr Rotterdam Study cohort (n = 4,807) reported the highest tertile of dietary menaquinone intake associated with lower CHD mortality (RR 0.43, 95% CI 0.24-0.77) and severe aortic calcification (OR 0.48). Rønn 2021 PMID 33030563 Osteoporos Int 3-year RCT (n = 142 postmenopausal women with osteopenia, 375 μg MK-7/day + D3 + Ca) found osteocalcin carboxylation improved but bone mineral density and microarchitecture did not differ vs. placebo — honest mixed signal

Safety notes

Contraindicated in patients on vitamin K antagonist therapy (warfarin); inform clinician before starting MK-7 if on anticoagulants; otherwise excellent safety profile within typical supplement doses

Cross-market regulatory status

🇺🇸 FDA

GRAS · DSHEA dietary supplement · NDI for MK-7 cleared

🇪🇺 EFSA

Authorized claims Reg 432/2012 bone maintenance + normal coagulation (vitamin K source threshold required); NRV 75 μg

🇧🇷 ANVISA

RDC 243/2018 dietary supplement · IN 28/2018 Anexo V alegação funcional verbatim: "A vitamina K auxilia na coagulação do sangue." Bone claim not separately authorized — vitamina K within bone-health stack must rely on Anexo V coagulação claim only

Authorized claims · verbatim (3)

Direct quotes from each jurisdiction's framework · never paraphrased · with framework reference and conditions of use.

🇪🇺 EFSA · 2 claims

Reg 432/2012

Vitamin K contributes to the maintenance of normal bones.

Conditions: Reg 1924/2006 art 10(2) + Annex: claim may only be used for food which is at least a "source of vitamin K" as referred to in the Annex to Reg 1924/2006

Authorized 2012

Reg 432/2012

Vitamin K contributes to normal blood clotting.

Conditions: Reg 1924/2006 art 10(2) + Annex: claim may only be used for food which is at least a "source of vitamin K" as referred to in the Annex to Reg 1924/2006

Authorized 2012

🇧🇷 ANVISA · 1 claim

IN 28/2018 Anexo V alegação funcional

A vitamina K auxilia na coagulação do sangue.

Conditions: IN 28/2018 Anexo V: alegação restrita a suplementos cujo aporte diário do nutriente atenda à quantidade mínima do Anexo II

Authorized 2018

Common use cases

  • bone health framework
  • arterial calcification mitigation adjunct
  • maintenance of normal blood coagulation when K1 intake low
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