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Written by: Medical Affairs Team

Length: 4 minute read

Posted:

  • Bone Health
  • Nutritional Supplements

Better Together? Combining Vitamin D3 with K2

Better Together? Combining Vitamin D3 with K2

Laura Lewis, MS

Vitamin D3 and Vitamin K2 are a dynamic duo when it comes to cardiovascular and bone health.  

While each vitamin can be effective when supplemented on its own, however, these two nutrients work best in tandem. Together, they ensure that the calcium we consume is properly utilized by our bodies. [1] In this article, we’ll explore the unique roles of Vitamin D3 and K2 and the research backing their combined use 

The Essential Roles of Vitamin D3

Vitamin D3, also known as cholecalciferol, is a fat-soluble vitamin that is critical for numerous bodily functions. The skin synthesizes vitamin D upon exposure to sunlight, yet approximately half of the global population suffers from vitamin D inadequacy. [2] Due to the role of melanin in vitamin D production and other lifestyle factors, these prevalences tend to be higher in communities of people with darker skin tones and lower economic status. [2] 

Recommending that everyone spends more time in the sun is problematic for numerous reasons.  

Vitamin D is essential to many health-supporting processes in the body. These include immune health, metabolic health, and mood. Today we are addressing its benefits to bone health.* One of the primary roles of Vitamin D3 is to enhance the absorption of calcium and phosphorus from the gut. This process is vital for maintaining strong and healthy bones.* [3] 

Vitamin D3 and Bone Health

The link between Vitamin D3 and bone health is well-established. Without adequate levels of Vitamin D3, the body cannot absorb sufficient calcium.  Individuals with higher levels of Vitamin D3 typically have greater bone mineral density compared to those with lower levels. [3] This fact underscores its importance in bone health.* 

Beyond Bones: The Broader Benefits of Vitamin D3

In addition to bone health, Vitamin D3 has roles in immune function, mood regulation, and cardiovascular health.* [4,5] Research has shown that adequate levels of Vitamin D3 can help modulate the immune system.* [4] It assists in lending balance to immune function.* [4] Furthermore, there is a link between Vitamin D3 levels and a better mood and mental wellness.* [5] 

The Overlooked Importance of Vitamin K2

While Vitamin D3 garners much attention, Vitamin K2 is a potentially lesser-known yet vital nutrient when it comes to calcium metabolism and cardiovascular health.* Vitamin K2 is part of the Vitamin K family, which plays a key role in blood clotting and bone health. However, Vitamin K2, specifically in the form of menaquinone (MK-7), has a unique function that sets it apart from other forms of Vitamin K. 

Vitamin K2 and Calcium Utilization

Vitamin K2 is essential for the activation of osteocalcin, a protein that binds calcium to the bone matrix. It ensures that calcium ends up where we need it—in the bones and teeth.*  

When the body deposits calcium in soft tissues it can lead to stiffness and hardening. This is especially problematic in arteries, which need to be flexible and supple to maintain optimal blood flow.[6] When K2 is present, it works by activating matrix Gla-protein (MGP), which inhibits calcium deposits in the arteries. [6] Adequate intake of Vitamin K2 can support cardiovascular health, while also supporting the proper calcification of bones and teeth.* [6] 

The Complementary Relationship Between Vitamin D3 and K2

While both Vitamin D3 and K2 are vital on their own, their combination also supports overall health.* [1] This is particularly important in terms of calcium management and cardiovascular protection. [1] Taken together, these vitamins ensure that calcium absorbed by Vitamin D3 is directed to the bones by Vitamin K2. [1] Otherwise, calcium can accumulate in soft tissues. [1] 

Several studies have highlighted the benefits of combining Vitamin D3 with K2. Clinical research has found that postmenopausal women who supplement with both Vitamin D3 and K2 have greater improvements in bone mineral density compared to those who took Vitamin D3 alone.* [7]  

Why High-Dose Vitamin D3 Requires K2

For individuals taking high doses of Vitamin D3adding Vitamin K2 is especially important. High levels of Vitamin D3 increase calcium absorption, which can be beneficial for bone health, but may pose risks if not properly managed. [8] Sufficient Vitamin K2, helps ensure excess calcium may be deposited in the bones rather than soft tissues.* 

Disclaimer:
The information provided is for educational purposes only. Consult your physician or healthcare practitioner if you have specific questions before instituting any changes in your daily lifestyle including changes in diet, exercise, and supplement use.

Laura Lewis is a clinical researcher and science communicator with a Master of Science degree and a background in nutrition science and integrative health. She brings a decade of experience translating complex clinical data into accessible insights for healthcare practitioners and patients alike.

Laura has contributed to educational programming and strategic content development across the integrative and functional medicine space. Her strengths lie in evidence synthesis, practitioner engagement, and crafting communications that bridge the gap between scientific rigor and real-world application. At ARG, Laura supports clinical content development and educational initiatives that elevate practitioner confidence and product credibility.

1. Aaseth JO, et al. Nutrients. 2024;16(15):2420.
2. Cashman KD. Calcif Tissue Int. 2020;106(1):14-29.
3. Fleet JC. Nutrients. 2022;14(16):3351.
4. Bishop E, et al. J Bone Miner Res Plus. 2021;5(1):e10405.
5. Huiberts LM, Smolders KCHJ. Sleep Med Rev. 2021;55:101379.
6. Khalil Z, et al. Nutrients. 2021;13(2):691.
7. Rusu ME, et al. Nutrients. 2024;16(14):2356.
8. Guía-Galipienso FDL, et al. Clin Nutr. 2021;40(5):2946-57.

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