Vitamin K1 (Phylloquinone) & K2 (Menaquinone)
Function
Vitamin K is a fat-soluble
vitamin made up of 25 percent Phylloquinone (K1), which is derived from dietary
sources. Vitamin K1 is important for maintaining bone density and coagulation
of the blood. Important to injury and wound healing, K1 is key to the
mineralization of bone.
The remaining 75 percent is made
up of Menaquinone (K2), a small portion of which is converted from K1 into K2
by bacteria in the colon (large intestine), the balance is derived from food
sources. Vitamin K2 is an immune system booster, it protects cells against
oxidative damage, regulates blood sugar levels and the calcification of soft
tissues, and has been demonstrated to promote heart health.
May Require Supplementation
Oral K1 drops are recommended for
infants to thwart possible Vitamin K1 deficiency bleeding (VKDB) a condition
formerly known as "classic hemorrhagic disease of the newborn." This
can occur up to 12 weeks in exclusively breast-feed infants due to the low
Vitamin K1 content of breastmilk or in infants with malabsorption issues or
where the newborn may not have a fully functional Vitamin K cycle. Infants
whose mothers take anticonvulsant medication should also be supplemented.
Those with liver damage/disease,
fat malabsorption and other gastrointestinal disorders including IBS, cystic
fibrosis, celiac disease, ulcerative colitis, and short bowel syndrome may not
absorb Vitamin K properly and should be considered for supplementation.
Antibiotics eliminate
K2-producing bacteria in the intestines. Additionally, cephalosporin antibiotics
may also inhibit the action of Vitamin K throughout the body. Bile acid
sequestrants, such as cholestyramine and colestipol, reduce the absorption of
Vitamin K and other fat- soluble vitamins as well as the intended effect of
reducing cholesterol. When used in conjunction with warfarin (a blood thinner)
blood clotting ability may be delayed. Warfarin and Other anticoagulant
medications antagonize the activity of Vitamin K, depleting its ability to clot
blood.
It is important to maintain a
consistent intake of Vitamin K from food and supplements because sudden changes
can increase or decrease the blood’s ability to clot effectively. Vitamin K is also
damaged by salicylates (aspirin) and barbiturates.
Symptoms of Nutrient Deficiency
• Bleeding Gums, Nose Bleeds
• Easily Bruises
• Anemia
• Increased Menstrual Bleeding
Food Sources
High K1, Low K2 – Dark green
leafy vegetables, basil, scallions, endive, olive oil,
Low K1, High K2 – Meat, liver,
poultry, eggs, cheese, and butter
Toxicity and/or Side Effects
Vitamin K has no reported
toxicity.
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