Why take vitamin D3 with K2?

By Dr. Mohammed HamaaminOctober 14, 20262 min read

Quick answer

  1. Vitamin D3 increases the calcium you absorb from food; vitamin K2 switches on proteins that matter for bone and help keep calcium out of artery walls. Trials in people suggest K2 may slow calcium build-up in blood vessels.

Vitamin D3 helps your body absorb calcium from food [1]. Vitamin K2 switches on proteins that matter for bone and that help keep calcium out of artery walls [2]. This is why the two are often taken together, and some studies in people show that K2 can slow calcium build-up in the arteries [3][4].

Why take vitamin D at all?

We at Nutrizy, consider vitamin D an essential supplement for anyone who needs to correct low vitamin D or cover their daily needs. One of vitamin D3's main jobs is to increase how much calcium your intestines absorb from food [1].

Can vitamin D cause calcium build-up in your arteries?

The real risk is too much vitamin D. Taking very high doses for a long time can push the calcium in your blood too high, a condition called hypercalcemia [5]. In animal studies, toxic doses of vitamin D caused calcium deposits in the arteries [6].

How does vitamin K2 help?

This is where K2 comes into the game. Vitamin K2 activates proteins that only work once vitamin K has switched them on [2]. One is called osteocalcin, the most common protein in bone after collagen [8]. Another is called matrix Gla protein, and it helps stop calcium from settling in artery walls [9].

Vitamin D makes the body produce more of these proteins, and they need vitamin K to work [2]. Researchers think this is why the two vitamins may work better together than either one alone [2].

What do studies in people show for the arteries?

A 2019 review of 13 trials found that vitamin K supplements reduced calcium build-up in blood vessels [3].

A 2026 Danish trial gave 398 people with severe calcium in their heart arteries vitamin K2 (720 mcg) with vitamin D3 (25 mcg, or 1,000 IU) every day for 2 years. On heart scans, their calcium score rose by 196 points, compared with 248 in the group on placebo [4].

Which products combine D3 and K2?

Nutrizy stocks the products below.

Vitamin D3 + K245,000 IQDViewVitamin D3K235,000 IQDView

This article is general information, not a diagnosis. Talk to your doctor before changing any medicine.

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About the author

Dr. Mohammed HamaaminGeneral Physician

General Physician and Supplement Expert at Nutrizy.

Sources

  1. 1Intestinal Regulation of Calcium: Vitamin D and Bone PhysiologyAdvances in Experimental Medicine and Biology, 2017
  2. 2The Synergistic Interplay between Vitamins D and K for Bone and Cardiovascular Health: A Narrative ReviewInternational Journal of Endocrinology, 2017
  3. 3Vitamin K status, supplementation and vascular disease: a systematic review and meta-analysisHeart, 2019
  4. 4Vitamin K2 and D3 Supplementation in Patients With Severe Coronary Artery Calcification: The DANCODE TrialCirculation, 2026
  5. 5Vitamin D Toxicity-A Clinical PerspectiveFrontiers in Endocrinology, 2018
  6. 6The amino bisphosphonate ibandronate prevents vitamin D toxicity and inhibits vitamin D-induced calcification of arteries, cartilage, lungs and kidneys in ratsThe Journal of Nutrition, 2001
  7. 7Scientific opinion on the tolerable upper intake level for vitamin D, including the derivation of a conversion factor for calcidiol monohydrateEFSA Journal, 2023
  8. 8Vitamin K and bone healthJournal of Clinical Densitometry, 2013
  9. 9Vitamin K2 and D in Patients With Aortic Valve Calcification: A Randomized Double-Blinded Clinical TrialOsteoporosis International, 2019
  10. 10Effect of vitamin K on bone mineral density and fractures in adults: an updated systematic review and meta-analysis of randomised controlled trialsOsteoporosis International, 2019