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Head-to-head evidence comparison — which supplement is right for you?
Alpha Lipoic Acid and Vitamin K2 are closely matched across evidence, studies, and safety.
Verdict
Likely helps
13 of 14 studies with measurable effects showed benefit.
Top outcomes
Verdict
Likely helps
10 of 12 studies with measurable effects showed benefit.
Top outcomes
Shared outcomes (1)
Outcomes where both Alpha Lipoic Acid and Vitamin K2 have evidence — compare verdict strength side-by-side.
300-600mg
On empty stomach for best absorption, 30-60 minutes before meals
R-Alpha Lipoic Acid (R-ALA) — the natural form
100-200mcg (MK-7)
With a meal containing fat
MK-7 (menaquinone-7)
4-12 weeks
4-8 weeks
2-4 weeks
6-12 months
1-3 years
Effects of Oral Alpha-Lipoic Acid Treatment on Diabetic Polyneuropathy: A Meta-Analysis and Systematic Review
Nutrients (2023) · Meta analysis · n=1242
ALA treatment produced favorable results for TSS (a dose-related trend was observed), NDS, and the global satisfaction score.
Effects of selected dietary supplements on migraine prophylaxis: A systematic review and dose-response meta-analysis of randomized controlled trials
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (2025) · Meta analysis
In adults, compared with placebo, these supplements did not significantly affect other outcomes, and omega-3 supplementation did not yield a statistically significant reduction in any of these outcomes.
The Effect of Dietary Supplements on Male Infertility in Terms of Pregnancy, Live Birth, and Sperm Parameters: A Systematic Review and Meta-Analysis
Nutrients (2025) · Meta analysis · n=50
This study found no convincing evidence of an effect of any dietary supplements on male infertility.
Vitamins K2 and D3 Improve Long COVID, Fungal Translocation, and Inflammation: Randomized Controlled Trial
Nutrients (2025) · Rct · n=151
The median age was 46 years; 71% were female and 29% were non-white.
The effect of vitamin K2 supplementation on bone turnover biochemical markers in postmenopausal osteoporosis patients: a systematic review and meta-analysis
Frontiers in endocrinology (2025) · Meta analysis · n=2570
Vitamin K2 (VK2) increased osteocalcin (OC; MD 1.86, 95% CI 1.17-2.56) and bone-specific alkaline phosphatase (BAP; MD 1.49, 95% CI 0.98-2.00).
Vitamin K2 in Managing Nocturnal Leg Cramps: A Randomized Clinical Trial
JAMA internal medicine (2024) · Rct · n=310
Of the 199 enrolled individuals, 108 (54.3%) were female, and the mean (SD) age was 72.3 (5.5) years.
Based on multiple meta-analyses showing dose-related trends for TSS improvement. 600mg/day most studied dose with significant benefit vs placebo in 73% of studies. Limited data on doses above 600mg.
Based on meta-analyses showing 2.17% WMD improvement in lumbar BMD. Effects primarily demonstrated with MK-7 form in postmenopausal women. Combination with vitamin D3 may enhance effects.
AI-estimated from published studies. Interpret as directional guidance.
Both Alpha Lipoic Acid and Vitamin K2 are closely matched — the best choice depends on your specific health goals.
For healthy aging, Vitamin K2 has a higher relevance score (85 vs 75).
No known interactions between Alpha Lipoic Acid and Vitamin K2 have been documented in our database. However, always consult a healthcare provider before combining supplements.