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Vitamin D3 and Vitamin K2 can be taken together. Any benefit from combining them rests on limited evidence. Optional. They can be taken together and there may be a small benefit, but the evidence is limited and K2 is not needed for vitamin D to work. Anyone on warfarin or another vitamin K antagonist should not start K2 without their prescriber.
A 2020 meta-analysis of 8 trials found vitamin K plus vitamin D slightly raised total bone density and lowered undercarboxylated osteocalcin. The trials used different vitamin K forms and doses, one of them high-dose MK-4 with alfacalcidol, an active vitamin D drug, so they are not direct evidence for ordinary vitamin D3 with a consumer dose of MK-7. No trial has shown that adding K2 to vitamin D prevents arterial calcification.
Vitamin D raises calcium absorption and osteocalcin production. K2 is the cofactor that carboxylates osteocalcin and matrix Gla protein
What to do: Optional. They can be taken together and there may be a small benefit, but the evidence is limited and K2 is not needed for vitamin D to work. Anyone on warfarin or another vitamin K antagonist should not start K2 without their prescriber.
This information is for educational purposes only. It is not a substitute for professional medical advice. Always consult a qualified healthcare provider before starting, stopping, or changing any supplement or medication.