Vitamin K2 and Testosterone: The Overlooked Vitamin for Hormonal Balance

Vitamin K2 and Testosterone: The Overlooked Vitamin for Hormonal Balance

Vitamin K2 has a fascinating connection to testosterone that most men don't know about. Low testosterone affects between 10-40% of men across the globe, with the UK reporting two million diagnosed cases. Natural solutions have become more important than ever.

Most people don't pay attention to vitamin K2's role in hormone health. The daily intake averages just 24 mcg, while research shows we need at least 300 mcg to get the full benefits. Research on rats showed something interesting - those that ate foods rich in MK-4 (a type of vitamin K2) had much higher testosterone levels after five weeks. The nutrient helps testosterone production by boosting testicular function and hormone-producing enzymes. It also activates osteocalcin, a hormone from bones that helps regulate testosterone.

Let me get into how vitamin K2 boosts testosterone production through direct and indirect ways. You'll learn about its effects on heart health, calcium metabolism, and bone density. The piece also covers practical ways to get enough of this nutrient through food and supplements.

What is Testosterone and Why It Matters

Illustration showing gradual testosterone decline with age from 20 to 80, including chemical structure and hormone levels.

Image Source: Dreamstime.com

Testosterone is the life-blood of male physiology—a powerful hormone that shapes almost every part of masculine development and wellbeing. The testicles produce most of this hormone that regulates many bodily functions beyond sexual characteristics.

The role of testosterone in male health

Testosterone acts as the main male sex hormone that regulates sex differentiation, produces male characteristics, supports spermatogenesis, and maintains fertility [1]. This vital hormone does much more than control reproductive function. It plays a key role in:

  • Developing and maintaining muscle mass and strength

  • Supporting healthy bone density

  • Regulating red blood cell production

  • Affecting mood, cognitive function, and sense of wellbeing

  • Managing fat distribution throughout the body

This hormone affects metabolism, psychological wellbeing, immune function, and heart health by a lot [2]. Its influence lasts throughout a man's life. It starts before birth by helping shape male genitalia and continues through puberty. During puberty, it guides the development of secondary sexual characteristics like facial hair, deeper voice, and increased muscle mass [1].

Symptoms and causes of low testosterone

Low testosterone (hypogonadism) can demonstrate through various symptoms at different times. Adult men might notice these telling signs:

  • Reduced sexual desire and erectile dysfunction [3]

  • Decreased muscle mass and increased body fat [4]

  • Fatigue and low energy levels [5]

  • Mood changes including irritability, depression, and anxiety [6]

  • Problems with concentration and memory [7]

Men who experience testosterone deficiency before or during puberty might have slower growth, less pubic hair development, less voice deepening, and lower-than-normal strength and endurance [8].

Many factors can lead to low testosterone levels. Primary hypogonadism comes from testicular disorders, while secondary hypogonadism results from problems in the pituitary gland or hypothalamus [8]. Here are other common causes:

  • Age-related decline

  • Obesity and metabolic disorders

  • Type 2 diabetes

  • Certain medications including opioid painkillers and antidepressants

  • Injury or damage to the testicles

  • Genetic conditions such as Klinefelter syndrome

Research shows that about 30% of overweight men have low testosterone, compared to only 6.4% of men with normal weight [9]. About 24.5% of men with diabetes deal with testosterone deficiency, versus 12.6% of non-diabetic men [9].

How testosterone changes with age

Men's testosterone levels drop slowly over time, unlike women who experience sudden hormonal changes during menopause. This gradual decline, known as "andropause" or late-onset hypogonadism, usually starts between ages 30-35 [5].

Total serum testosterone drops about 0.4-1% each year in men over 30. Free testosterone shows an even steeper decline of about 1.3% yearly [2]. Many men notice the effects of this hormonal reduction between ages 40-70 [2].

Age-related testosterone decline happens because of changes in the hypothalamic-pituitary-testicular axis. The ageing process reduces gonadotropin-releasing hormone (GnRH) secretion and makes Leydig cells less responsive to luteinizing hormone stimulation [2].

This gradual decrease is normal, and only 10-25% of older men have clinically low testosterone levels [3]. All the same, when combined with other health issues like obesity or diabetes, falling testosterone levels can affect quality of life substantially. These changes might increase the risk of cardiovascular disease and reduce bone density [2].

Understanding Vitamin K2: The Overlooked Nutrient

Comparison of Vitamin K2 MK-4 and MK-7 showing chemical structures, absorption times, and cost indicators in a formulator's guide.

Image Source: Oclean Nutra

People often lump "vitamin K" into one category, but this essential nutrient comes in two different forms that affect your body differently. Research over the last several years has zeroed in on vitamin K2's unique benefits, especially when it comes to men's hormonal balance and heart health.

Vitamin K1 vs K2: Key differences

The body processes two main forms of vitamin K differently, despite their similar chemical makeup [10]. Leafy greens and plant foods give us vitamin K1 (phylloquinone), while animal products and fermented foods provide vitamin K2 (menaquinones) [11].

These forms work differently in your body because of their structural differences. Blood clotting gets support from both types, but K1 heads straight to the liver. K2 stays in your bloodstream longer and reaches more parts of your body effectively [12].

Your body can take in only 4-17% of vitamin K1 from foods like spinach [10]. K2 gets absorbed better because it dissolves in fat and shows up naturally in fatty foods [1].

K2 does more than help blood clot. Studies show it's a vital part of calcium metabolism. It guides calcium away from arteries and into bones, which could help both heart and bone health [11]. This process can affect your hormone balance too.

Forms of K2: MK-4 vs MK-7

Scientists have identified several subtypes of vitamin K2, called menaquinones (MK), ranging from MK-4 to MK-13 based on their structure [10]. MK-4 and MK-7 stand out as the most studied and readily available forms.

Animal products like meat, eggs, and dairy from grass-fed animals provide MK-4 [2]. Your body can make this form from vitamin K1 [13], but it doesn't stick around long in your bloodstream [10].

MK-7 comes from bacterial fermentation. Natto, a traditional Japanese fermented soybean dish, packs an impressive 10,985 ng/g of K2 [14]. This form stays in your system for days instead of hours [12], which might make its effects last longer.

These forms differ in how well they work. Long-chain menaquinones like MK-7 outperform both vitamin K1 and MK-4 in maintaining normal blood clotting [15]. Clinical research shows that MK-7 works in tiny amounts (micrograms), while MK-4 needs larger doses (milligrammes) [15].

Why K2 is often missing in modern diets

Green vegetables give us plenty of K1, but K2 rarely shows up in typical Western meals. Current research shows we don't get enough K2-producing bacteria from our food to support healthy bones and hearts [16].

Modern food production has stripped K2 from many foods. To cite an instance, see how grass-fed animals produce meat and dairy with more MK-4 than grain-fed ones [8].

Traditional diets worldwide used to include lots of fermented foods, but that's changed [8]. Natto contains the most K2 of any food, but few people outside Japan eat it. Western diets lack good K2 sources.

Most people get only about 25% of their total vitamin K from K2 [14]. That's nowhere near what research suggests we need for optimal health benefits.

Research [12] suggests that while most people won't develop bleeding disorders from vitamin K deficiency, they might not get enough to support their bone health, heart function, and possibly their testosterone levels properly.

How Vitamin K2 Supports Testosterone Production

Science has started to uncover how vitamin K2 affects testosterone production at the cellular level. This essential nutrient can boost male hormone production through both direct and indirect mechanisms. The process works through its effects on testicular cells.

Leydig cells and testosterone synthesis

Leydig cells sit in the interstitial tissue of the testes and produce about 95% of the body's testosterone [7]. These special cells react to luteinizing hormone (LH) from the pituitary gland. LH binds to receptors on their surface and kicks off testosterone production [9].

The binding of LH makes Leydig cells activate adenylate cyclase. This increases cyclic adenosine monophosphate (cAMP) levels inside the cell [17]. This vital second messenger then activates protein kinase A (PKA). The result is a cascade of reactions that turns cholesterol into testosterone [18].

The process needs cholesterol to move from the outer to inner mitochondrial membrane. This happens through steroidogenic acute regulatory protein (StAR) [19]. This step limits the rate of testosterone production and needs proper cell signalling and nutrients.

MK-4 and MK-7 effects in animal studies

MK-4, a form of vitamin K2, has shown promising results for testosterone production. A study of rats on an MK-4 supplemented diet for five weeks showed much higher testosterone levels in both plasma and testicular tissue compared to the control group [20].

The hormone increases happened without changing luteinizing hormone levels. This suggests MK-4 works right on the testes rather than through the brain's hypothalamic-pituitary-gonadal axis [6]. This direct effect on the testes shows a unique way vitamin K2 might help male hormonal health.

Research on MK-7's direct effects on testosterone isn't as extensive as MK-4. In spite of that, both forms help maintain overall vitamin K2 status, which seems good for hormone balance.

Enzyme activation and mitochondrial support

Vitamin K2 boosts testosterone production by activating key enzymes in Leydig cells. It increases CYP11A (also called P450scc) expression. This enzyme limits how fast cholesterol changes to pregnenolone—which starts the creation of all steroid hormones [21].

Lab studies showed MK-4 treatment substantially raised CYP11A levels in testis-derived cells in just 1-3 hours [21]. On top of that, vitamin K2 helps improve mitochondrial efficiency in testicular cells. This might lead to more energy production and better steroid-making ability [6].

Studies suggest vitamin K2 helps protect Leydig cells from oxidative damage. This keeps them working even during inflammation. Yes, it is true that vitamin K deficiency made lipopolysaccharide-induced reduction in testicular testosterone synthesis worse [22].

The PKA pathway and CYP11A enzyme

The protein kinase A (PKA) pathway is the main way vitamin K2 boosts testosterone production. MK-4's presence makes PKA phosphorylation levels in Leydig cells rise substantially within 2-3 hours [21]. This turns on downstream factors including the cAMP response element-binding protein (CREB) [23].

The activated pathway stimulates steroidogenic enzymes—especially CYP11A1. This enzyme changes cholesterol to pregnenolone at the inner mitochondrial membrane [9]. This first step in steroidogenesis sets the limit for possible testosterone production.

Scientists found that blocking the PKA pathway with H89 compound stopped vitamin K2's testosterone-boosting effects completely [20]. This proves vitamin K2 works mainly through this signalling cascade to increase male hormone production.

As research keeps exploring the connection between vitamin K2 and testosterone, we might find more ways this nutrient helps hormone health and overall wellbeing in men.

The Indirect Pathways: Heart Health and Hormone Delivery

3D medical illustration showing the heart and ribcage with highlighted arteries for bone and heart health.

Image Source: Nutritional Outlook

Vitamin K2 boosts testosterone production not just through its effects on testicular cells, but also by improving cardiovascular health and blood flow to hormone-producing tissues. This vital connection links heart health to men's hormonal balance.

Vitamin K2 and calcium metabolism

Scientists call it the "calcium paradox" - calcium builds up in arteries while bones lose it [24]. This paradox happens because your body lacks vitamin K2, which acts as a vital traffic director for calcium.

Vitamin K2 activates two proteins that control where calcium goes [3]:

  1. Osteocalcin – attracts calcium to bones and teeth

  2. Matrix Gla Protein (MGP) – keeps calcium from building up in vessel walls

Your body needs enough vitamin K2 to activate these proteins. Without it, calcium ends up in soft tissues instead of bones [2]. This misplacement weakens your skeleton and makes blood vessels less flexible [5].

Lab and animal studies show that vitamin K2 fights inflammation by blocking the NF-κB pathway [25]. This means K2 supplements help prevent blood vessel calcification through multiple ways - they manage calcium directly and control inflammation.

Preventing arterial calcification

Calcium buildup inside artery walls leads to arterial calcification, which can seriously damage your cardiovascular system [3]. This process harms blood vessels as smooth muscle cells in the media layer start acting like bone-forming cells and create hydroxyapatite crystals [26].

Research strongly supports vitamin K2's protective benefits. The Rotterdam Study showed that men who consumed 32 micrograms or more of vitamin K2 daily cut their risk of dying from hardened-artery heart disease by half [3]. A smaller study of 30 patients with coronary artery disease revealed that 46.6% of those taking K2 saw decreased coronary calcium scores after six months. The control group didn't fare as well - 80% showed more calcification [27].

A complete analysis revealed significant differences between groups taking and not taking vitamin K supplements. The supplements reduced dp-ucMGP levels - a key marker that shows vitamin K deficiency and risk of blood vessel calcification [25].

K2's main job involves activating MGP, one of nature's strongest weapons against vascular calcification [26]. Activated MGP blocks hydroxyapatite crystals from making blood vessels stiff [26].

Improved blood flow to the testes

Blood flow plays a crucial role in hormone production. Calcium ions help develop and activate sperm in the testes, and good blood circulation delivers these ions effectively [26].

K2 keeps your arteries flexible and free from calcium buildup. This allows blood to reach the testes more easily, bringing oxygen and nutrients needed for testosterone production [28]. Stiff arteries restrict this blood flow and can limit hormone production.

Scientists have found that VKDPs (Vitamin K-Dependent Proteins) GGCX and MGP help mature sperm in the epididymis. MGP levels are ten times higher in reproductive tissue [26]. This shows vitamin K matters throughout the male reproductive system.

Good circulation helps Leydig cells make testosterone and ensures the hormone reaches all parts of your body. K2 helps your sexual health in multiple ways - it promotes blood vessel dilation for better erections while supporting hormone production [3].

K2 creates perfect conditions for balanced testosterone production by keeping your bones strong and heart healthy. This shows how nutrients like K2 and magnesium work together to support men's hormonal health.

Bone Health, Osteocalcin, and Hormonal Balance

Scientists have discovered an interesting link between bone health and male hormones, and vitamin K2 plays a key role in this relationship. The skeleton does more than just support our body - it acts as an endocrine organ that can affect testosterone levels through specific bone-derived hormones.

Vitamin K2 and bone density

Vitamin K2 plays a crucial role in bone metabolism by activating osteocalcin, a protein that bone-building cells (osteoblasts) produce. When vitamin K2 properly carboxylates osteocalcin, it binds well with hydroxyapatite to boost bone mineralization and make bones stronger [4].

Research backs up these bone-strengthening benefits. Studies show that vitamin K2 supplements boost lumbar spine bone mineral density (BMD) by a lot compared to placebo [29]. This happens because vitamin K2:

  • Gets more bone-building cells (osteoblasts) working

  • Slows down bone-breaking cells (osteoclasts)

  • Helps turn osteocalcin into its active form to bind calcium

Research shows that 90 μg/day of vitamin K2 works well to reduce bone loss, especially when you have postmenopausal women [30].

Osteocalcin's role in testosterone regulation

The connection between bone health and male hormones gets even more fascinating. Osteocalcin—particularly its undercarboxylated form—works like a hormone that gets the testes to produce more testosterone [31].

Research reveals that osteocalcin connects to a G protein-coupled receptor in Leydig cells and controls the enzymes needed to make testosterone [32]. Men who have more osteocalcin typically show higher testosterone levels [33]. This creates a direct connection between bone density and hormone health.

This bone-testis connection works separately from the usual hypothalamic-pituitary pathway, offering another way to support testosterone production [14].

Synergy with vitamin D and magnesium

Good hormone health needs more than just vitamin K2. The collaborative effort of vitamin K2, vitamin D3, and magnesium creates powerful effects on bone health and testosterone production [4].

Vitamin D helps absorb calcium, while K2 makes sure it goes to bones instead of soft tissues. Magnesium works as an essential helper for both vitamins. Low levels of any of these nutrients can make the others less effective [4].

Studies confirm that taking these supplements together boosts their effects, helping not just bone strength but also cardiovascular health and hormone balance [12]. These three nutrients are a great way to get natural support for both bone and hormone health.

How to Get Enough Vitamin K2 Safely

Natural sources of vitamin K2 include natto, cheese, and sauerkraut with their respective K2 content per 100g.

Image Source: Spices - Alibaba

You need the right food choices and maybe supplements to get enough vitamin K2 that supports optimal testosterone. Here's how you can add this vital nutrient to your daily routine safely.

Top food sources: natto, cheese, egg yolks

Natto ranks as the richest known source of vitamin K2 and gives up to 1,000 micrograms per 100-gramme serving [1]. Aged cheeses pack substantial amounts—Gouda, Brie, and Edam contain between 50-75 micrograms per ounce [1]. Pasture-raised chicken's egg yolks provide about 32 micrograms per yolk [1]. You can also find good amounts in organ meats and chicken, especially dark meat.

Choosing between MK-4 and MK-7 supplements

MK-7 works better in the body and lasts by a lot longer than MK-4 [34]. MK-4 needs doses of 1,500 μg or more to boost osteocalcin carboxylation, while MK-7 works at just 45-90 μg daily [34]. Your blood levels rise steadily with MK-7 supplements, but MK-4 supplements barely affect circulating MK-4 levels [34].

Recommended dosage and absorption tips

Your body absorbs vitamin K2 best with fatty foods since it's fat-soluble [35]. Daily doses typically range from 90-200 mcg for MK-7 [28]. The best results come when you combine it with vitamin D and magnesium, creating a collaborative effort to boost testosterone levels.

Safety considerations and blood thinners

Blood thinner warfarin users must keep their vitamin K intake steady [15]. Changes can throw off the medication's effectiveness [15]. Make sure to ask your healthcare provider before starting K2 supplements, especially when you have blood thinners [36]. Both MK-4 and MK-7 forms are safe to use, unlike synthetic vitamin K3 [10].

Conclusion

Vitamin K2 is a vital yet overlooked nutrient that helps men support their hormonal health naturally. This piece shows how this powerful vitamin boosts testosterone production in several ways. K2 affects hormone synthesis by activating Leydig cells and key enzymes like CYP11A. It also helps with calcium metabolism, which keeps the cardiovascular system healthy and ensures proper blood flow to testosterone-producing tissues.

The sort of thing i love is the bone-testis connection. K2 activates osteocalcin, a bone-derived hormone that directly boosts testosterone production. This pathway works differently from regular hormone systems and helps maintain healthy testosterone levels as men age.

Modern diets are nowhere near rich enough in vitamin K2. People consume about 24 mcg daily on average, which falls short of the 300 mcg needed for optimal health. Men worried about declining testosterone levels should think over adding more K2-rich foods to their diet. Good sources include natto, aged cheeses, and egg yolks from pasture-raised chickens.

K2 works best with other nutrients to support hormones. When combined with vitamin D3 and magnesium, it creates cooperative effects that boost both bone health and testosterone production. This nutrient combination supports cardiovascular function and bone density - areas that directly relate to testosterone health.

Men who choose supplements should look for MK-7. It stays in the body longer and absorbs better, with typical doses between 90-200 mcg daily taken with fatty foods. All the same, men on blood thinners must check with their healthcare providers before starting supplements.

Vitamin K2 is everything in men's health that doesn't get enough attention. While most people focus on other nutrients and lifestyle changes, growing evidence shows this vitamin should be part of an all-encompassing approach to keeping testosterone levels healthy throughout life.

Key Takeaways

Discover how vitamin K2, an often-overlooked nutrient, could be the missing piece in your hormonal health puzzle, offering multiple pathways to support natural testosterone production.

• Vitamin K2 directly boosts testosterone by activating key enzymes in testicular cells, with animal studies showing significant hormone increases within five weeks of supplementation.

• Most men consume only 24 mcg of K2 daily, far below the 300 mcg needed for optimal benefits—creating a widespread deficiency affecting hormonal health.

• K2 supports testosterone indirectly by preventing arterial calcification, improving blood flow to hormone-producing tissues and reducing cardiovascular disease risk by 50%.

• The bone-testis connection reveals that K2-activated osteocalcin acts as a hormone that directly stimulates testosterone production, independent of traditional pathways.

• MK-7 form offers superior absorption at 90-200 mcg daily doses, whilst natto provides the richest natural source with up to 1,000 mcg per serving.

• Combining K2 with vitamin D3 and magnesium creates synergistic effects that enhance both bone density and testosterone levels more effectively than single nutrients alone.

This research highlights vitamin K2's potential as a natural approach to supporting male hormonal health, particularly relevant given that low testosterone affects 10-40% of men worldwide. The nutrient's multiple mechanisms—from direct cellular activation to cardiovascular support—make it a valuable addition to any comprehensive testosterone support strategy.

FAQs

Q1. Can vitamin K2 boost testosterone levels? Research suggests that vitamin K2 may help increase testosterone production. Animal studies have shown significant increases in testosterone levels after supplementation with vitamin K2, particularly the MK-4 form. It appears to work by activating enzymes in testicular cells that are involved in hormone synthesis.

Q2. How does vitamin K2 support cardiovascular health in men? Vitamin K2 plays a crucial role in preventing arterial calcification by activating proteins that direct calcium to bones instead of blood vessels. This helps maintain arterial flexibility and improves blood flow, which is essential for overall cardiovascular health and may indirectly support testosterone production.

Q3. What are the best dietary sources of vitamin K2? The richest dietary source of vitamin K2 is natto, a fermented soybean dish, providing up to 1,000 micrograms per 100-gramme serving. Other good sources include aged cheeses like Gouda and Brie, egg yolks from pasture-raised chickens, and organ meats. However, many Western diets are often deficient in this nutrient.

Q4. How does vitamin K2 interact with bone health and testosterone? Vitamin K2 activates osteocalcin, a protein involved in bone mineralization. Interestingly, osteocalcin also acts as a hormone that stimulates testosterone production in the testes. This creates a direct link between bone health and hormonal balance in men, with vitamin K2 playing a central role.

Q5. What's the recommended dosage for vitamin K2 supplementation? For supplementation, the MK-7 form of vitamin K2 is often recommended due to its superior bioavailability. Typical dosages range from 90-200 micrograms daily. It's best absorbed when taken with fatty foods. However, individuals on blood thinners should consult their healthcare provider before starting any vitamin K2 supplement.

References

[1] - https://www.citizenshospitals.com/blogs/top-food-sources-of-vitamin-k-for-a-stronger-heart
[2] - https://womensinternational.com/blog/vitamin-k2-missing-link-western-diet/
[3] - https://healthnatura.com/blog/the-hidden-benefits-of-vitamin-k2-a-doctor-reveals-what-you-need-to-know/
[4] - https://www.drberg.com/blog/magnesium-and-vitamin-d-interesting-relationship
[5] - https://pmc.ncbi.nlm.nih.gov/articles/PMC4566462/
[6] - https://www.noophoric.com/blogs/articles/how-vitamin-k2-helps-testosterone-levels?srsltid=AfmBOooZ5Ga-B4mhhMF4q_x1-c-wfuQcFQDpNe-8OsFjNPyTS3H5cCE6
[7] - https://www.nature.com/articles/s41598-021-97961-6
[8] - https://www.nyrture.com/blog/natto-and-vitamin-k2
[9] - https://pmc.ncbi.nlm.nih.gov/articles/PMC6044347/
[10] - https://ods.od.nih.gov/factsheets/VitaminK-HealthProfessional/
[11] - https://www.webmd.com/diet/foods-high-in-vitamin-k2
[12] - https://www.droracle.ai/articles/9278/what-are-the-effects-of-combining-magnesium-vitamin-d3
[13] - https://uk.huel.com/pages/the-role-of-vitamin-k2-in-the-human-diet
[14] - https://pmc.ncbi.nlm.nih.gov/articles/PMC3850748/
[15] - https://health.clevelandclinic.org/vitamin-k-can-dangerous-take-warfarin
[16] - https://lifespa.com/herbs-supplements/vitamins-minerals/k2-deficiency/
[17] - https://www.tandfonline.com/doi/full/10.1080/09168451.2015.1123612
[18] - https://www.mdpi.com/1420-3049/26/6/1697
[19] - https://pmc.ncbi.nlm.nih.gov/articles/PMC9266724/
[20] - https://pubmed.ncbi.nlm.nih.gov/21914161/
[21] - https://pmc.ncbi.nlm.nih.gov/articles/PMC3180407/
[22] - https://pubmed.ncbi.nlm.nih.gov/21894328/
[23] - https://www.intechopen.com/chapters/50958
[24] - https://link.springer.com/article/10.1186/s13018-021-02728-4
[25] - https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2023.1115069/full
[26] - https://pmc.ncbi.nlm.nih.gov/articles/PMC7926526/
[27] - https://academic.oup.com/qjmed/article/117/Supplement_2/hcae175.927/7904157
[28] - https://maleexcel.com/blog/health/how-vitamin-k2-impacts-testosterone-levels/
[29] - https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.979649/full
[30] - https://pubmed.ncbi.nlm.nih.gov/32060566/
[31] - https://www.sciencedirect.com/science/article/abs/pii/S0303720713004486
[32] - https://www.cell.com/fulltext/S0092-8674(11)00118-8
[33] - https://academic.oup.com/jcem/article/98/8/3463/2834322
[34] - https://pmc.ncbi.nlm.nih.gov/articles/PMC3502319/
[35] - https://examine.com/supplements/vitamin-k/?srsltid=AfmBOoqag6aiFlEMmozL1ThmCjmEb4fu9U_GqhYmzzLVEFkvfqQWlzga
[36] - https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/ask-the-experts/heart-medication-vitamins

Leave a comment

Please note, comments need to be approved before they are published.

1 of 3