Why You Need Vitamin K2 for a Healthy Heart + Strong Bones

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Did you know:

….supplementing with high doses of calcium and vitamin D—without vitamin K2­—increases your risk for calcium-related osteoporosis and arthrosclerosis?

In her book Vitamin K2 and the Calcium Paradox,  Dr. Kate Rheaume-Bleue, a naturopathic physician and Canadian radio and television health expert, describes this phenomenon as “The Calcium Paradox”: “a mysterious concurrent calcium deficiency (in the skeleton) and calcium excess (in the arteries) that underlies two major health concerns of our time, osteoporosis and heart disease.”

Why Vitamin K Matters

There are two forms of Vitamin K: K1 and K2.

Vitamin K1, or phylloquinone, is used by the liver and plays an important role in maintaining healthy blood clotting function. Vitamin K1 is found primarily in plant-based sources, like dark leafy greens. Top sources of Vitamin K1 include kale, spinach, mustard greens, collard greens, Swiss chard, turnip greens, parsley, broccoli, Brussels sprouts and romaine lettuce.

Vitamin K2, also called menaquinone, goes straight to vessel walls, bones and soft tissues. Produced by grass-fed animals and lactic acid bacteria, Vitamin K2 is naturally present in fermented foods such as sauerkraut, cheese and Japanese natto (soybeans fermented with bacillus subtilis, a soil bacterium), an exceptionally high source of K2 (about 1,103 mcg per 3-1/2 oz serving).

Studies suggest that Vitamin K2 plays a significant role in cardiovascular health, preventing osteoporosis (it helps form strong bones), and helping reduce risk of prostate cancer.  It may also be beneficial in preventing wrinkles and premature aging.

An intimate relationship:  Vitamin K2, Vitamin D and Calcium

How it works

Vitamin D promotes bone health by helping you absorb calcium. However, you need Vitamin K2 to get calcium to where your body needs it—and to prevent it from being deposited in the wrong places. In this way, Vitamin K2 serves as a metaphorical “traffic cop”, directing calcium to the right places and preventing calcium from depositing in the wrong places, all the while working synergistically with Vitamin D. For example, K2 activates a special protein called osteocalcin, which directs the calcium to the “right” places, like your bones and teeth. K2 also activates another protein called Matrix Gla Protein (MGP), which sweeps calcium out of the “wrong” places, such as soft tissues, including veins and arteries, thereby preventing calcification, or “hardening” of the arteries.

Adequate consumption of K2 ensures strong bones and clear arteries—Rheames-Bleue suggests about 180-200 micrograms of K2 for the “average healthy person”.  (More K2 may be required if you are supplementing with high doses of vitamin D). Without enough K2 in our diet to activate K2 proteins, like osteocalcin and MGP, we are—over time—susceptible to “the calcium paradox”, increasing our risk for osteoporosis, heart disease and cancer.

Under Study: Vitamin K2

Heart health

In the Rotterdam study, researchers in the Netherlands tracked the vitamin K intakes of subjects between 1990 and 1993 and measured the extent of heart disease and failure (death from heart disease) in each subject, and how it related to K2 intake and arterial calcification. Researchers found calcification of the arteries to be the best predictor of heart disease.  Those in the highest third of vitamin K2 intakes were 52 percent less likely to develop severe calcification of the arteries, 41 percent less likely to develop heart disease, and 57 percent less likely to die from it.  Intake of vitamin K1 had no effect on any cardiovascular outcome (1).

Bone health

Vitamin K2 helps to activate vitamin K-dependent proteins responsible for healthy tissues and bones.  Several Japanese trials have shown that K2 prevent further bone loss in postmenopausal women and, in some cases, increase bone mass in women with osteoporosis (2).

Prostate cancer

Study results of the European Prospective Investigation into Cancer and Nutrition (EPIC) suggest that increased intake of vitamin K2 may reduce the risk of prostate cancer by 35 percent (3).

The X Factor

In 1945, Dr. Weston Price, a dentist and author of the landmark book Nutrition and Physical Degeneration, described a new vitamin-like activator—which he called “Activator X”—that played an important role in the assimilation of minerals, protecting against tooth decay and preventing calcification of the arteries leading to heart disease.  It is also an important component of the brain.  His testing revealed that “Activator X” was present in butterfat, the organs and in the fat of animals grazing on green grass.

Activator X was later identified as Vitamin K2.

Why are grass-fed animals an important source of K2?

Because vitamin K1 is found in the green tissues of rapidly growing green plants, including grass.  When animals eat grass, their tissues, including mammary glands (think dairy), convert part of K1 into vitamin K2 (though the ability to make this conversion varies between species).

As a fat-soluble vitamin, K2 works synergistically, and is most effective when consumed with two other fat-soluble activators: vitamins A and D. For example, Price found the combination of cod liver oil (high in vitamins A and D) and grass-fed butter (high in vitamin K2) to be superior to that of taking just cod liver oil.

Best food sources of vitamin K2

According to researcher Christopher Masterjohn, the following fermented foods and grass-fed animal or dairy products contain the highest amounts of vitamin K2 (4):


–Goose liver pate

–Hard cheeses: Gouda contains the highest amount

–Egg yolk (from pastured chickens)

–Butter from grass-fed or pasture-raised cows.  *Note: *Commercial butter from grain-fed cows will contain notably lower levels of K2.

–Chicken liver (ideally, from free-roaming all-natural chickens)


–Chicken breast

–Chicken leg

–Ground beef (medium-fat)


–Calf liver


Unfortunately, our modern, convenience-based lifestyle finds many of us falling short on consuming traditional food sources of Vitamin K2 and few foods contain significant amounts of Vitamin D3.

If you choose to supplement, I recommend this brand of Vitamin D3 with K2, a liquid form that I have found to be highly bioavailable and effective. You measure out the amount of D3 you intend to take (the liquid comes out in meted drops—and the K2 is proportionate to the amount of Vitamin D consumed. No higher math required!




1  The Journal of Nutrition, Volume 134, Issue 11, November 2004, Pages 3100–3105.

2  European Journal of Nutrition. 2004 Dec; 43(6):325-35

3  American Journal of Clinical Nutrition. 2008 Apr; 87(4):985-92

4  Masterjohn, C. 2008, Feb. 14, On the Trail of the Elusive X Factor. westonaprice.org,

Hi, I’m Kathryn Matthews. As a Board Certified Functional Health Coach, I help clients reclaim their energy, vitality and well-being. I want you to feel empowered about taking charge of YOUR health! To learn more, see About Kathryn.

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