Menaquinone
What the research shows
Mostly no concerns
most studies in people found no harm or a benefit
One of three types of vitamin K, usually found in animal products or fermented foods.1
- May not be vegan
- May not be vegetarian
What research says
Studies in people
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Benefit
Bone health2
Eating natto with extra menaquinone-7 helped a bone protein work better in people.
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Benefit
Blood sugar control3
Menaquinone-7 may help blood sugar control, but scientists say more good research is needed.
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Benefit
Bone strength after fractures4
In women with broken bones from weak bones, menaquinone lowered a blood marker tied to bone strength.
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Benefit
Body weight and fat5
In adults with low vitamin K, a year of menaquinone-7 led to small BMI drops, mostly in women.
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No harm found
Blood clotting in patients on warfarin6
Eating low-menaquinone natto did not change blood clotting test results in warfarin patients.
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Open question
Bone and artery health9
In people, taking menaquinone-7 helped activate bone and artery proteins, but whether that protects against age-related disease is unknown.
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Open question
Bone mineralisation10
In people, olive oil enriched with menaquinone raised blood levels and changed a bone protein marker.
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Benefit
Heart artery hardening11
In post-menopausal women, eating more menaquinone was linked to less hardening of the heart arteries.
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Open question
Children's height growth12
In children, daily menaquinone-7 seemed linked to slightly faster height gain over time, but it may not truly cause this.
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No harm found
Artery hardening in the heart13
In people, menaquinone-4 did not stop heart artery calcium from rising over a year.
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Benefit
Artery stiffness in older women14
In postmenopausal women, taking menaquinone (MK-7) for three years improved artery stiffness, especially in those whose arteries were already stiff.
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Concern
Blood clotting with blood thinners15
In people on blood thinners, taking menaquinone-7 supplements weakened the drug's effect, so clotting time dropped.
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Benefit
Heart disease risk in women16
In women, eating more menaquinone was linked to slightly fewer heart problems, but scientists say more research is needed.
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Benefit
Heart and artery health17
In adults, eating more menaquinone was linked to fewer deaths from heart disease and less severe artery hardening.
-
Benefit
Blood pressure after menopause18
In post-menopausal women with low vitamin K and stiff arteries, a year of menaquinone-7 improved blood pressure and vascular markers.
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Benefit
Artery stiffness in dialysis patients19
In dialysis patients with diabetes, menaquinone-7 led to less artery stiffening over 24 weeks.
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Benefit
Blood sugar and inflammation in diabetes20
In people with type 2 diabetes, menaquinone lowered one blood marker but not inflammation or body fat.
How it’s made and used
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Diet and blood levels7
In people on dialysis, eating less menaquinone-4 from meat was linked to lower levels of it in the blood.
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Vitamin K levels in blood8
In women, menaquinone-4 taken by mouth did not show up in blood, while menaquinone-7 did.
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Vitamin K in cheese21
Cheese and curd are the richest sources of menaquinone in Western diets, though amounts vary by type, fat and ripening.
The signal at the top counts the findings in people and in animal and lab studies. A concern in studies of people outranks animal and lab studies, and “No concerns” needs at least one finding in people. When most findings in people point one way, the page leans that way (“Mostly”), and every finding is still shown. Findings whose study type is not stated are shown but not counted. This page is a reference, not medical advice. It describes what regulators and published research say. Talk to a doctor or dietitian about your own diet.
Products
The 6 most-scanned of 122 products on Open Food Facts that list menaquinone.
- Huel Black Edition Powder - Chocolate Huel · 1 pouch 5 additives
- Cherry and Raspberry Daily A-Z Vitamins (with caffeine) Huel · 330 ml 4 additives
- Black edition powder Huel · 1 pouch 5 additives
- Huel Black Edition Powder - Vanilla Huel · 1 pouch 5 additives
- Vitamin D3+K2 Daily Oral Spray Better You · 12 ml 4 additives
- Superfoods Greens Gummies grüns · 20 unit 0 additives
References
- 1Vitamin K2. Wikipedia. Accessed September 30, 2026. CC BY-SA 4.0.
- 2Takemura H. [Prevention of osteoporosis by foods and dietary supplements. "Kinnotsubu honegenki": a fermented soybean (natto) with reinforced vitamin K2 (menaquinone-7)]. Clin Calcium. 2006;16(10):1715-22.
- 3Nikpayam O, Jafari A, Faghfouri A, et al. Effect of Menaquinone-7 (MK-7) Supplementation on Anthropometric Measurements, Glycemic Indices, and Lipid Profiles: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Prostaglandins Other Lipid Mediat. 2025;177:106970. doi:10.1016/j.prostaglandins.2025.106970
- 4K Giri T, Newton D, Chaudhary O, et al. Maximal dose-response of vitamin-K2 (menaquinone-4) on undercarboxylated osteocalcin in women with osteoporosis. Int J Vitam Nutr Res. 2020;90(1-2):42-48. doi:10.1024/0300-9831/a000554
- 5Bittner R, de Vries F, Machuron F, Maresz K, Gåserød O, Schurgers L. Sex-Specific Effects of Menaquinone-7 (MK-7) Supplementation on Body Composition and Adiposity Markers. Nutrients. 2026;18(11). doi:10.3390/nu18111699
- 6Nakajima T, Taya Y, Nishikawa T, et al. First Clinical Trial of a Newly Developed, Low Menaquinone-7, Fermented Soybean Natto in Warfarin-Dependent Patients. J Med Food. 2021;24(8):860-865. doi:10.1089/jmf.2021.0036
- 7Wyskida K, Żak-Gołąb A, Łabuzek K, et al. Daily intake and serum concentration of menaquinone-4 (MK-4) in haemodialysis patients with chronic kidney disease. Clin Biochem. 2015;48(18):1246-51. doi:10.1016/j.clinbiochem.2015.08.011
- 8Sato T, Schurgers LJ, Uenishi K. Comparison of menaquinone-4 and menaquinone-7 bioavailability in healthy women. Nutr J. 2012;11:93. doi:10.1186/1475-2891-11-93
- 9Theuwissen E, Cranenburg EC, Knapen MH, et al. Low-dose menaquinone-7 supplementation improved extra-hepatic vitamin K status, but had no effect on thrombin generation in healthy subjects. Br J Nutr. 2012;108(9):1652-7. doi:10.1017/S0007114511007185
- 10Brugè F, Bacchetti T, Principi F, Littarru GP, Tiano L. Olive oil supplemented with menaquinone-7 significantly affects osteocalcin carboxylation. Br J Nutr. 2011;106(7):1058-62. doi:10.1017/S0007114511001425
- 11Beulens JW, Bots ML, Atsma F, et al. High dietary menaquinone intake is associated with reduced coronary calcification. Atherosclerosis. 2009;203(2):489-93. doi:10.1016/j.atherosclerosis.2008.07.010
- 12Nguyen ND, Nguyen HX, Nguyen NH, et al. Longitudinal Height Growth Patterns Among Children Receiving Menaquinone-7 Supplementation. Nutrients. 2026;18(12). doi:10.3390/nu18121979
- 13Ikari Y, Torii S, Shioi A, Okano T. Impact of menaquinone-4 supplementation on coronary artery calcification and arterial stiffness: an open label single arm study. Nutr J. 2016;15(1):53. doi:10.1186/s12937-016-0175-8
- 14Knapen MH, Braam LA, Drummen NE, Bekers O, Hoeks AP, Vermeer C. Menaquinone-7 supplementation improves arterial stiffness in healthy postmenopausal women. A double-blind randomised clinical trial. Thromb Haemost. 2015;113(5):1135-44. doi:10.1160/TH14-08-0675
- 15Theuwissen E, Teunissen KJ, Spronk HM, et al. Effect of low-dose supplements of menaquinone-7 (vitamin K2 ) on the stability of oral anticoagulant treatment: dose-response relationship in healthy volunteers. J Thromb Haemost. 2013;11(6):1085-92. doi:10.1111/jth.12203
- 16Gast GC, de Roos NM, Sluijs I, et al. A high menaquinone intake reduces the incidence of coronary heart disease. Nutr Metab Cardiovasc Dis. 2009;19(7):504-10. doi:10.1016/j.numecd.2008.10.004
- 17Geleijnse JM, Vermeer C, Grobbee DE, et al. Dietary intake of menaquinone is associated with a reduced risk of coronary heart disease: the Rotterdam Study. J Nutr. 2004;134(11):3100-5. doi:10.1093/jn/134.11.3100
- 18de Vries F, Bittner R, Maresz K, et al. Effects of One-Year Menaquinone-7 Supplementation on Vascular Stiffness and Blood Pressure in Post-Menopausal Women. Nutrients. 2025;17(5). doi:10.3390/nu17050815
- 19Naiyarakseree N, Phannajit J, Naiyarakseree W, et al. Effect of Menaquinone-7 Supplementation on Arterial Stiffness in Chronic Hemodialysis Patients: A Multicenter Randomized Controlled Trial. Nutrients. 2023;15(11). doi:10.3390/nu15112422
- 20Karamzad N, Faraji E, Adeli S, Sullman MJM, Pourghassem Gargari B. The effect of menaquinone-7 supplementation on dp-ucMGP, PIVKAII, inflammatory markers, and body composition in type 2 diabetes patients: a randomized clinical trial. Nutr Diabetes. 2022;12(1):15. doi:10.1038/s41387-022-00192-5
- 21Vermeer C, Raes J, van 't Hoofd C, Knapen MHJ, Xanthoulea S. Menaquinone Content of Cheese. Nutrients. 2018;10(4). doi:10.3390/nu10040446