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Medical Forum / General / Nutrition / December 2007

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Vitamin K1 vs K2

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Ron Peterson - 01 Dec 2007 06:03 GMT
Is there a need to take vitamin K1 if one is taking vitamin K2?

What vitamin K2 doses are needed for cardiovascular health and bone
building? Can vitamin K1 substitute for K2 for either of those
functions?

--
  Ron
Juhana Harju - 01 Dec 2007 10:14 GMT
> Is there a need to take vitamin K1 if one is taking vitamin K2?

I am not aware of any need to take vitamin K1 in addition to vitamin K2.
However, leafy vegetables are rich in vitamin K1, and intake of these foods
is associated with better vascular and bone health, which is a good reason
to include these foods to the diet even if you supplement with vitamin K2
(or eat /natto/, rich in vitamin K2).

> What vitamin K2 doses are needed for cardiovascular health and bone
> building? Can vitamin K1 substitute for K2 for either of those
> functions?

The doses needed to prevent illnesses are much lower than the therapeutic
doses needed to treat them. Vitamin K1 is a poor substitute of vitamin K2
(much like vitamin D2 compared to vitamin D3), IMHO.

I suggest that you watch this in-depth lecture presented by Dr. Leon
Schurgers,
Assistant Professor of Biochemistry, Cardiovascular Research Institute,
University of Maastricht. Please notice that the lecture has a tricky
structure, each section (Nr.) has many sub-sections (e.g. 1/6, 2/6, 3/6 and
so on).

http://vitamink2.org/

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mike V - 01 Dec 2007 16:04 GMT
>> Is there a need to take vitamin K1 if one is taking vitamin K2?
>
[quoted text clipped - 20 lines]
>
> http://vitamink2.org/

Suggest you also note the vitamin K2  MK-4 versus MK-7 version differences.
http://www.menaq7.com/index.php?s=Links

FWIW Carson offers the MK-4 menatetrenone version. (5mg)
MikeV
Ron Peterson - 18 Dec 2007 23:17 GMT
> Suggest you also note the vitamin K2  MK-4 versus MK-7 version differences.http://www.menaq7.com/index.php?s=Links

> FWIW Carson offers the MK-4 menatetrenone version. (5mg)

I finally found a source of natto at a nearby asian grocery store. The
cost was $2.99 for 3 frozen containers of natto containing 90 g per
container.

The appearance was similar to tempeh, a firm soybean product with a
mold culture, but the natto was slimy after it was thawed. I didn't
notice any strong smell although my SO noticed a slight smell and a
small packet of soy sauce and a horseradish sauce were included. The
flavor was bland and not salty.  I ate it on a thin lavosh cracker.

Since natto has been reported to contain 700 mcg of vitamin K2, one
container should supply enough vitamin K2 for a week. Some vitamin K2
is available for under $0.25 for 100 mcg, it looks like a the
supplements are a convenient and reasonable alternative to natto as a
source of vitamin K2.

--
  Ron
Juhana Harju - 19 Dec 2007 07:00 GMT
>> Suggest you also note the vitamin K2  MK-4 versus MK-7 version
>> differences.http://www.menaq7.com/index.php?s=Links
[quoted text clipped - 16 lines]
> supplements are a convenient and reasonable alternative to natto as a
> source of vitamin K2.

It is likely that the supplement contains menaquinone-4. It is not entirely
comparable to menaquinone-7 (contained in natto) as the former has shorter
half life. Even in the Japanese osteoporosis trials the dose have been 15 mg
of vitamin K2 (MK-4) three times daily.

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Ron Peterson - 19 Dec 2007 16:39 GMT
> It is likely that the supplement contains menaquinone-4. It is not entirely
> comparable to menaquinone-7 (contained in natto) as the former has shorter
> half life. Even in the Japanese osteoporosis trials the dose have been 15 mg
> of vitamin K2 (MK-4) three times daily.

Source Naturals and Jarrows are two vendors that supply vitamin K2
(MK-7) in doses comparable to 100 mcg. Natto is edible and has a high
protein content, but I don't think that I would like to eat it twice a
week. One Japanese company has a natto bacteria that produces twice as
much MK-7 as the regular natto bacteria.

--
  Ron
Juhana Harju - 19 Dec 2007 20:03 GMT
> One Japanese company has a natto bacteria that produces twice as
> much MK-7 as the regular natto bacteria.

Do you remember the name of that natto company?

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Ron Peterson - 19 Dec 2007 20:47 GMT
> > One Japanese company has a natto bacteria that produces twice as
> > much MK-7 as the regular natto bacteria.
>
> Do you remember the name of that natto company?

See http://cat.inist.fr/?aModele=afficheN&cpsidt=13376979 which says:

"Titre du document / Document title
Construction of a Bacillus subtilis (natto) with high productivity of
vitamin K[2] (menaquinone-7) by analog resistance

Auteur(s) / Author(s)
TSUKAMOTO Yoshinori (1) ; KASAI Makoto (1) ; KAKUDA Hiroyuki (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)
(1) Central Research Institute, Mitsukan Group Corporation, 2-6
Nakamura-cho, Handa-shi, Aichi 475-8585, JAPON

Résumé / Abstract
To invent a functional natto promoting bone formation, the
construction of a strain with high productivity of vitamin K[2]
(menaquinone-7: MK-7), which is important in the carboxylation of a
kind of bone protein participating in bone formation, osteocalcin, was
investigated. To screen for a strain appropriate to making natto (a
Japanese traditional fermented soybean food) with high productivity of
MK-7, a combination of analog resistance to the compounds on the
biosynthetic pathway of menaquinones with mutation was done.
Consequently, strain OUV23481, with 2-fold higher productivity (1,719
μg/100 g natto) of MK-7 than that of a commercial strain, was
constructed as a mutant with analog resistance to 1-hydroxy-2-
naphthoic acid (HNA), p-fluoro-D,L-phenylalanine (pFP), m-fluoro-D,L-
phenylalanine (mFP), and β-2-thienylalanine (βTA). This strain was
classified as Bacillus subtilis (natto). The natto made using this
strain was evaluated to have a good quality as natto in all the
viewpoints of appearance, flavor, taste, texture, and stringiness."

--
   Ron
Juhana Harju - 20 Dec 2007 07:16 GMT
>>> One Japanese company has a natto bacteria that produces twice as
>>> much MK-7 as the regular natto bacteria.
[quoted text clipped - 31 lines]
> strain was evaluated to have a good quality as natto in all the
> viewpoints of appearance, flavor, taste, texture, and stringiness."

Thanks! :-)

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Bob Arnold - 19 Dec 2007 07:09 GMT
In article
<1daf8af3-4fe5-4d2b-9b35-049f1ab6f1a7@s12g2000prg.googlegroups.com>,

> > Suggest you also note the vitamin K2  MK-4 versus MK-7 version
> > differences.http://www.menaq7.com/index.php?s=Links
[quoted text clipped - 16 lines]
> supplements are a convenient and reasonable alternative to natto as a
> source of vitamin K2.

Twinlab D3+K2 Dots from iHerb are $0.1333 for 90mcg MK-7 (and 1000IU
D3). It says "from soy" which I assume means natto.

I just found out that LEF's Super K has only 20 mcg MK-7 (along with
980mcg MK-4 and 9mg K1).
Ron Peterson - 19 Dec 2007 16:45 GMT
> Twinlab D3+K2 Dots from iHerb are $0.1333 for 90mcg MK-7 (and 1000IU
> D3). It says "from soy" which I assume means natto.

Are Dots a sublingual or other strange alternative to a pill?

> I just found out that LEF's Super K has only 20 mcg MK-7 (along with
> 980mcg MK-4 and 9mg K1).

LEF seems to be an expensive way to buy nutritional supplements.

There is one company making bulk vitamin K2 (MK-7) at a low cost, but
I don't know how difficult it would be to fill capsules with an
accurate amount of vitamin K2.

--
  Ron
Bob Arnold - 20 Dec 2007 01:58 GMT
In article
<4ff0d08f-00aa-4ec9-8a27-239faef31e34@t1g2000pra.googlegroups.com>,

> There is one company making bulk vitamin K2 (MK-7) at a low cost, but
> I don't know how difficult it would be to fill capsules with an
> accurate amount of vitamin K2.

Really? Who? Please share.
Ron Peterson - 20 Dec 2007 03:26 GMT
> In article
> <4ff0d08f-00aa-4ec9-8a27-239faef31...@t1g2000pra.googlegroups.com>,

> > There is one company making bulk vitamin K2 (MK-7) at a low cost, but
> > I don't know how difficult it would be to fill capsules with an
> > accurate amount of vitamin K2.

> Really? Who? Please share.

See http://www.vitalprimelabs.com/

--
  Ron
Bob Arnold - 20 Dec 2007 04:58 GMT
In article
<43a31bc4-1bfd-44cd-a74d-fae8572f8ba8@i12g2000prf.googlegroups.com>,

> > In article
> > <4ff0d08f-00aa-4ec9-8a27-239faef31...@t1g2000pra.googlegroups.com>,
[quoted text clipped - 6 lines]
>
> See http://www.vitalprimelabs.com/

Cool. Thanks Ron. So...

Vital Prime Labs sells 100grams of 2500ppm K2 powder for $125
2500ppm = 0.25%
100gm x 0.0025 = 0.25gm = 250mg = 250,000mcg
= $0.50/mg

At 100mcg per serving, that's 2500 servings.
That's a 6.8 year supply for $125

The Twinlab K2+D3 dots (if we ignore the D3) cost $8 for 5.4mg K2
= $1.48/mg
A 6.8 year supply costs $370. (costs about 3 times more)

For the price of a 2.3 year supply of Twinlab dots, you can get a 6.8
years supply from Vital Prime Labs.
mike V - 19 Dec 2007 12:39 GMT
>> Suggest you also note the vitamin K2  MK-4 versus MK-7 version
>> differences.http://www.menaq7.com/index.php?s=Links
[quoted text clipped - 19 lines]
> --
>   Ron

Hi Ron:
Thanks for the info.
While I have been interested in this topic for some time, I have not yet
convinced myself that I need a source.
A recent CTA scan revealed no detectable plaque. (I can tell you that this
was good news, at 71, since my father died of  heart attacks at 76)
I assume that either I am eating enough cheese to supply my needs, or the
little friends in my lower bowel have been doing the job, or both.
I also take vitamin D3 and fish oil, among others.
I suspect that a favorable status could easily be damaged for people who
need to take a lot of anti-biotics, or who are convinced that cheese
elevates their cholesterol ?  :-) .

For anyone interested:
I shall continue to follow the research and reports such as yours with
interest. I have a friend (a wounded Vietnam vet) who has had long term
renal dialysis, followed by transplant surgery.
He, and I think most such patients, suffer major calcium disturbances, with
a considerable risk of calcium being reabsorbed from the bones and
redeposited in arteries (he survived a heart attack, and has had some
suspicious (osteoporotic?) fractures).
The k2/D3 news does not appear to have reached renal therapists yet, but I
hope he will work with his caregivers to give them a try.

FWIW, I like to think of calcium homeostasis like your family economy.
Income from the bowel (diet, D3 for absorption) a good budget (functional
parathyroid glands, regulate blood levels of calcium and phosphorus, sending
excess for deposit  in the bank account (bones), and carefully monitoring
expenditures (kidney outflows, and avoiding careless deposits in soft
tissues). Naturally, the metabolism occasionally requires budgeted
withdrawals.
Apparently adequate D3 levels are require in all of the above transactions,
and only a small amount of K2.
I suspect that cholecalciferol (D3) may turn out to be one of the biggest
"new" discoveries of the 21st century. (if the drug companies don't suppress
it. ;-))
I request input on these topics from anyone interested, especially those
with a less amateur knowledge than my own.
Thanks, and Happy Holidays! Don't worry about the diet or politics until Jan
1.
MikeV
Ron Peterson - 19 Dec 2007 16:57 GMT
> While I have been interested in this topic for some time, I have not yet
> convinced myself that I need a source.
[quoted text clipped - 3 lines]
> little friends in my lower bowel have been doing the job, or both.
> I also take vitamin D3 and fish oil, among others.

I was hoping that blue cheese would be high in vitamin K, but it looks
like Edam is the leader and it's not MK-7 and the amount is small.

One can eat a lot of broccoli, kale, and other greens to keep vitamin
K1 intake high.

> I suspect that a favorable status could easily be damaged for people who
> need to take a lot of anti-biotics, or who are convinced that cheese
> elevates their cholesterol ?  :-) .

Cheese has lots of protein and calcium, but it's high in saturated
fat. I can't give up cheese, so I buy low fat varieties which I find
tasty. I even found a low fat blue cheese.

> For anyone interested:
> I shall continue to follow the research and reports such as yours with
[quoted text clipped - 4 lines]
> redeposited in arteries (he survived a heart attack, and has had some
> suspicious (osteoporotic?) fractures).

Renal problems require phosphate to be kept low to avoid calcification
of the arteries. I haven't been able to find any study that recommends
lower phosphate intake for otherwise healthy individuals.

> I suspect that cholecalciferol (D3) may turn out to be one of the biggest
> "new" discoveries of the 21st century. (if the drug companies don't suppress
> it. ;-))

I don't think that it will completely eliminate the need for drugs
like Fosamax (one dosage actually includes vitamin D).

--
  Ron
Juhana Harju - 19 Dec 2007 19:39 GMT
>> While I have been interested in this topic for some time, I have not
>> yet convinced myself that I need a source.
[quoted text clipped - 19 lines]
> fat. I can't give up cheese, so I buy low fat varieties which I find
> tasty. I even found a low fat blue cheese.

I think that your concern of the high saturated fat in cheese is unfounded.
In the study below the subjects got there vitamin K2 mainly from cheese.

J Nutr. 2004 Nov;134(11):3100-5.
Dietary intake of menaquinone is associated with a reduced risk of coronary
heart disease: the Rotterdam Study.
Geleijnse JM, Vermeer C, Grobbee DE, Schurgers LJ, Knapen MH, van der Meer
IM, Hofman A, Witteman JC.
Department of Epidemiology & Biostatistics, Erasmus Medical Center
Rotterdam, Rotterdam, The Netherlands.

Vitamin K-dependent proteins, including matrix Gla-protein, have been shown
to inhibit vascular calcification. Activation of these proteins via
carboxylation depends on the availability of vitamin K. We examined whether
dietary intake of phylloquinone (vitamin K-1) and menaquinone (vitamin K-2)
were related to aortic calcification and coronary heart disease (CHD) in the
population-based Rotterdam Study. The analysis included 4807 subjects with
dietary data and no history of myocardial infarction at baseline (1990-1993)
who were followed until January 1, 2000. The risk of incident CHD, all-cause
mortality, and aortic atherosclerosis was studied in tertiles of
energy-adjusted vitamin K intake after adjustment for age, gender, BMI,
smoking, diabetes, education, and dietary factors. The relative risk (RR) of
CHD mortality was reduced in the mid and upper tertiles of dietary
menaquinone compared to the lower tertile [RR = 0.73 (95% CI: 0.45, 1.17)
and 0.43 (0.24, 0.77), respectively]. Intake of menaquinone was also
inversely related to all-cause mortality [RR = 0.91 (0.75, 1.09) and 0.74
(0.59, 0.92), respectively] and severe aortic calcification [odds ratio of
0.71 (0.50, 1.00) and 0.48 (0.32, 0.71), respectively]. Phylloquinone intake
was not related to any of the outcomes. These findings suggest that an
adequate intake of menaquinone could be important for CHD prevention. PMID:
15514282

http://www.tinyurl.dk/2569

>> For anyone interested:
>> I shall continue to follow the research and reports such as yours
[quoted text clipped - 8 lines]
> of the arteries. I haven't been able to find any study that recommends
> lower phosphate intake for otherwise healthy individuals.

I suspect that the key would be to increase the intake of vitamin K2 to
prevent calcification.

>> I suspect that cholecalciferol (D3) may turn out to be one of the
>> biggest "new" discoveries of the 21st century. (if the drug
>> companies don't suppress it. ;-))
>
> I don't think that it will completely eliminate the need for drugs
> like Fosamax (one dosage actually includes vitamin D).

I am quite sure that vitamin K2 is as important in fracture prevention and
even more important in preventing arterial and aortic calcification than
vitamin D3. When used concomitantly they are even more efficient than either
of these vitamins alone.

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Ravintoblogini:
http://ruohikolla.blogspot.com/

mike V - 19 Dec 2007 21:03 GMT
>>> While I have been interested in this topic for some time, I have not
>>> yet convinced myself that I need a source.
[quoted text clipped - 83 lines]
> vitamin D3. When used concomitantly they are even more efficient than
> either of these vitamins alone.

My conclusions have been similar to Juhana's.
I have essentially ignored sat fat for about 10 years, concentrating on
lowering carbs. My heart scan result speaks for itself.
FWIW my HDL has moved from low 30's mg/dL in my 40's to 48 in my 70's.
Triglycerides have also fallen significantly. I do not take statins. Avoid
drugs where possible, especially long term.
I think that an obvious but important consideration is that prevention
usually takes less drastic improvements in nutrition or activity levels than
achieving a reversal or "cure" after the fact..
Mike
Juhana Harju - 20 Dec 2007 07:37 GMT
>>>> While I have been interested in this topic for some time, I have
>>>> not yet convinced myself that I need a source.
[quoted text clipped - 95 lines]
> usually takes less drastic improvements in nutrition or activity
> levels than achieving a reversal or "cure" after the fact..

Hi Mike,

I have not made as far reaching conclusions about saturated fat, yet. I
think that it depends on the person. If one has problems with blood sugar,
insulin resistance and visceral fat controlling carbs is more important than
for lean people, such as me. Personally I try to avoid refined grains. I
also do not drink soft drinks nor do I use any products containing fructose
syrup. But I do eat some whole grains and potatoes, and I am quite convinced
that fruits are healthy for most people and should not be discarded from the
diet.

There is some evidence that all dairy products are not equal in their health
effects. While whole milk has been associated with cardiovascular disease
cheese has not.

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Ron Peterson - 20 Dec 2007 00:20 GMT
> > Cheese has lots of protein and calcium, but it's high in saturated
> > fat. I can't give up cheese, so I buy low fat varieties which I find
> > tasty. I even found a low fat blue cheese.

> I think that your concern of the high saturated fat in cheese is unfounded.
> In the study below the subjects got there vitamin K2 mainly from cheese.

The K2 probably reduced the calcification of the atherosclerotic
plaques, but it didn't prevent the formation of the plaques.

http://ndt.oxfordjournals.org/cgi/content/full/15/9/1272 indicates
that formation of  arterial plaques and calcification are two
different processes.

--
   Ron
mike V - 20 Dec 2007 02:25 GMT
>> > Cheese has lots of protein and calcium, but it's high in saturated
>> > fat. I can't give up cheese, so I buy low fat varieties which I find
[quoted text clipped - 13 lines]
> --
>    Ron

Ron: Here are several pieces of evidence (but not yet clinical proof) that
K2 is preventive of arterial calcification. I hope this reformats in a
legible fashion
MikeV

Am J Health Syst Pharm. 2005 Aug 1;62(15):1574-81. Links
Vitamin K in the treatment and prevention of osteoporosis and arterial
calcification.
Adams J, Pepping J.
Castle Medical Center, Kailua, HI 96814, USA.
PURPOSE: The role of vitamin K in the prevention and treatment of
osteoporosis and arterial calcification is examined. SUMMARY: Vitamin K is
essential for the activation of vitamin K-dependent proteins, which are
involved not only in blood coagulation but in bone metabolism and the
inhibition of arterial calcification. In humans, vitamin K is primarily a
cofactor in the enzymatic reaction that converts glutamate residues into
gamma-carboxyglutamate residues in vitamin K-dependent proteins. Numerous
studies have demonstrated the importance of vitamin K in bone health. The
results of recent studies have suggested that concurrent use of menaquinone
and vitamin D may substantially reduce bone loss. Menaquinone was also found
to have a synergistic effect when administered with hormone therapy. Several
epidemiologic and intervention studies have found that vitamin K deficiency
causes reductions in bone mineral density and increases the risk of
fractures. Arterial calcification is an active, cell-controlled process that
shares many similarities with bone metabolism. Concurrent arterial
calcification and osteoporosis have been called the "calcification paradox"
and occur frequently in postmenopausal women. The results of two
dose-response studies have indicated that the amount of vitamin K needed for
optimal gamma-carboxylation of osteocalcin is significantly higher than what
is provided through diet alone and that current dosage recommendations
should be increased to optimize bone mineralization. Few adverse effects
have been reported from oral vitamin K.
CONCLUSION: Phytonadione and menaquinone may be effective for the prevention
and treatment of osteoporosis and arterial calcification.
PMID: 16030366 [PubMed - indexed for MEDLINE]
*****************
Dietary Intake of Menaquinone Is Associated with a Reduced Risk of
Coronary Heart Disease: The Rotterdam Study
Vascular tissue and calcified plaques contain MGP, a vitamin K-dependent
protein known to prevent excessive calcium deposition in bone (1- 4,7,8).
Lack of vascular MGP resulted in excessive aortic and coronary calcification
in knockout mice (9). The inverse association of menaquinone with aortic
calcification and CHD in our study may be explained by undercarboxylation of
vascular MGP and consequently enhanced calcification of atherosclerotic
lesions. Calcified plaques are more prone to rupture, which will elicit a
thrombotic response, thereby increasing the risk of a coronary event (29).
Another vitamin K-dependent protein found in the vessel wall is protein S
(30). Together with activated protein C, this anticoagulant plays an
important role in preventing clot formation at the inner surface of the
vessel wall. However, the quantitative contribution of extrahepatic protein
S synthesis to hemostasis is probably small. There is evidence for a
differential effect of vitamin K subtypes in the cardiovascular system. Rats
at our laboratory were fed diets containing ylloquinone, menaquinone, or
both after treatment with high doses of warfarin. Despite similar in vitro
cofactor activity for -carboxylase, menaquinone but not phylloquinone
supplementation revented warfarin-induced arterial calcification (31). The
tissue-specific use of phylloquinone and menaquinone in rats was assessed by
measuring the ratios of quinone over epoxide (K:KO ratios) during warfarin
treatment. In the arterial vessel wall, K:KO ratios were substantially lower
for phylloquinone than for menaquinone whereas the reverse was observed for
the liver, suggesting a tissue-specific utilization of vitamin K subtypes
(31). In a recent trial in humans, phylloquinone was almost exclusively
incorporated into the triacylglycerol-rich lipoprotein (TGRLP) fraction
after intestinal absorption, whereas a substantial part of the menaquinones
was recovered from the LDL fraction (32). The TGRLP fraction is mainly
cleared by the liver, whereas LDL forms a transport system to extrahepatic
tissues. Menaquinone supplementation lowered serum cholesterol levels in a
study of 17 dialysis patients (33). In our population of healthy older
subjects, we confirmed the favorable effect of menaquinone on blood lipids
but effects were small and could not explain the inverse relation that we
observed between dietary menaquinone and CHD.
In conclusion, our findings suggest a protective effect of menaquinone
intake against CHD, which could be mediated by inhibition of arterial
calcification. Adequate intake of foods rich in menaquinones, such as curds
and (low-fat) cheese, may contribute to CHD prevention.
extracted from:
http://jn.nutrition.org/cgi/reprint/134/11/3100

***Geleijnse JM, Vermeer C, Grobbee DE, et al. Dietary intake of menaquinone
is associated with a reduced risk of
coronary heart disease: the Rotterdam Study. J Nutr. Nov
2004;134(11):3100-3105

*********************************************************************************************

Vermeer C, Braam L. Role of K vitamins in the regulation of tissue
calcification. J Bone Miner Metab. 2001;19(4):201-6.
Shearer MJ, Bach A, Kohlmeier M. Chemistry, nutritional sources, tissue
distribution and metabolism of vitamin K with special reference to bone
health. J Nutr. 1996 Apr;126(4 Suppl):1181S-1186S.
Shearer MJ. Vitamin K. Lancet. 1995 Jan 28;345(8944):229-34.
Vermeer C, Jie KS, Knapen MH. Role of vitamin K in bone metabolism. Annu Rev
Nutr. 1995;15:1-22.
Juhana Harju - 20 Dec 2007 07:27 GMT
>>> Cheese has lots of protein and calcium, but it's high in saturated
>>> fat. I can't give up cheese, so I buy low fat varieties which I find
[quoted text clipped - 6 lines]
> The K2 probably reduced the calcification of the atherosclerotic
> plaques, but it didn't prevent the formation of the plaques.

It seems that you did not notice that higher vitamin K2 (mainly from cheese)
was also associated with lower cardiovascular and all-cause mortality in the
same study, no matter what.

According to renowned professor Serge Renaud cheese is "a 9000 year old
invention not linked to coronary disease".

http://www.thelancet.com/journals/lancet/article/PIIS0140673605719905/fulltext

> http://ndt.oxfordjournals.org/cgi/content/full/15/9/1272 indicates
> that formation of  arterial plaques and calcification are two
> different processes.

I am aware of that. Ideally one should try to prevent both processes.

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Juhana Harju - 21 Dec 2007 07:56 GMT
> I was hoping that blue cheese would be high in vitamin K, but it looks
> like Edam is the leader and it's not MK-7 and the amount is small.

Have you found some database on vitamin K2 content in foods?

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mike V - 21 Dec 2007 14:40 GMT
>> I was hoping that blue cheese would be high in vitamin K, but it looks
>> like Edam is the leader and it's not MK-7 and the amount is small.
>
> Have you found some database on vitamin K2 content in foods?

Juhana and Ron:

This is not exactly a database, but it may be something to "ruminate" on:
(pun intended)

Some people seem to think that the source of the saturated fat may determine
its Vitamin K/K2 content.
Fat from grass fed beef and dairy products are known to have differing
fat/nutrient contents, and the fermentation in the rumen of grass fed cattle
is known to be the source of vaccinic acid and CLA. Why not Vitamin K2 as
well?
Here is an extract from a westonprice.org article:

"From Seafood to Sunshine--
A New Understanding of Vitamin D Safety"
By Chris Masterjohn
http://www.westonaprice.org/basicnutrition/vitamin-d-safety.html

"Sources of Vitamin K"
There are two forms of vitamin K: vitamin K1 is found in green vegetables
and plant oils, especially olive oil; vitamin K2, which is produced by
intestinal bacteria in small and probably inconsequential amounts, is found
in animal foods and fermented plant foods.87
Although vitamin K1 is most abundant in the diet, it is very poorly
absorbed. Even the addition of two tablespoons of butter88 or corn oil87 to
spinach could only increase absorption of vitamin K1 to between 10 and 15
percent. By contrast, the absorption of vitamin K2 is close to 100
percent.87
The two forms of vitamin K are not physiologically equivalent: vitamin K1 is
preferentially used by the liver to activate clotting factors, while vitamin
K2 is preferentially used by bone to activate osteocalcin and by soft
tissues to activate MGP.85 vitamin K1 offers no protection against
Warfarin-induced soft tissue calcification, while vitamin K2 offers complete
protection.85 Likewise, in over 4,500 men and women enrolled in the
Rotterdam Study, intake of vitamin K2 was strongly associated with a reduced
risk of arterial calcification and heart disease, while vitamin K1 had no
relationship to either variable at all, even though it constituted a full 90
percent of the dietary vitamin K.79 It is therefore vitamin K2, and not
vitamin K1, that we would expect to simultaneously enhance the effectiveness
of and increase the safety of vitamin D.
Since vitamin K2 is produced by lactic acid bacteria,89 lacto-fermented
foods are an excellent source of vitamin K2. Sauerkraut contains more than
four times as much vitamin K2 as beef and more than twice as much as pork,
although natto, a Japanese fermented soy food, contains the most vitamin K2
of any food measured. The K2 in lacto-fermented foods, however, is not the
exact same form as the K2 in animal products. Whether or not the difference
is important is unclear. Egg yolks, butterfat, and goose meat, especially
goose liver, are excellent sources.87 Among organ meats, brain, pancreas,
and salivary glands contain the highest amounts, while bone contains less
but is substantially richer than muscle meat.90 Chicken and duck are decent
sources, followed by beef and pork.87
By contrast, fat-free animal foods do not contain any vitamin K2 at all, and
low-fat animal foods contain less vitamin K2 than their full-fat
counterparts.91 Although sourdough bread is fermented partly by lactic acid
bacteria, it does not contain vitamin K2.87 Surprisingly, vitamin K2 is
nearly or completely absent from most seafood that has been measured,
including wild Alaskan fish such as salmon and halibut87,91 although the
eggs of fish have not been analyzed. By contrast, seafood is an excellent
source of vitamin D. That these two vitamins are distributed in the food
supply so differently underscores the need for a balanced and varied diet."
See also a piece in Nina Planck's blog.
http://www.ninaplanck.com/index.php?article=vitamin_k2
Juhana Harju - 21 Dec 2007 15:37 GMT
>>> I was hoping that blue cheese would be high in vitamin K, but it
>>> looks like Edam is the leader and it's not MK-7 and the amount is
[quoted text clipped - 12 lines]
> cattle is known to be the source of vaccinic acid and CLA. Why not
> Vitamin K2 as well?

The data from a Finnish database does not support those assumptions.

*Vitamin K content in cheese*                               µg/ 100 g

1  Hard cheese, edam type, 24-27 g fat                  49.41
2  Cheese fondue                                                  32.61
3  Mould-ripened soft cheese, 40 g fat                   10.32
4  Cheese average                                                10.00
5  Cheese emmental , 27-30 g fat, blue-label           7.78
6  Cream cheese, 30 g fat                                       7.05
7  Cheese, tilsit type, 25-35 g fat                            6.48
8  Cheese, cheddar type                                         4.70
9  Semi-hard cheese, edam, 15-18 g fat                  3.40
10 Blue cheese, 17 g fat                                         2.54
11 Blue cheese, 27-30 g fat                                     2.54
12 Goat cheese, 20-25 g fat, hard cheese                2.54
13 Camembert, 26-30 g fat                                     2.38
14 Semi-hard cheese, edam, 9-11 g fat, low-fat       2.35
15 Cheese, gouda type, 28-30 g fat                         2.06
16 Fetacheese, fat 10-13 g                                      1.80
17 Fetacheese in oil                                                1.50
18 Feta cheese in brine, cow milk, 18 g fat              1.49
19 Beestings in oven                                               0.73
20 Semi-hard cheese, 5 g fat, low-fat                      0.50
21 Camembert, 16 g fat                                               0
22 Feta cheese in brine, goat milk, 25 g fat                  0

http://www.tinyurl.dk/2583

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mike V - 22 Dec 2007 04:14 GMT
>>>> I was hoping that blue cheese would be high in vitamin K, but it
>>>> looks like Edam is the leader and it's not MK-7 and the amount is
[quoted text clipped - 41 lines]
>
> http://www.tinyurl.dk/2583

How sad to waste all that fantastic fermentation, that glorious global
warming! :-)
mikeV
Ron Peterson - 21 Dec 2007 15:03 GMT
> > I was hoping that blue cheese would be high in vitamin K, but it looks
> > like Edam is the leader and it's not MK-7 and the amount is small.

> Have you found some database on vitamin K2 content in foods?

I was using http://www.fineli.fi/index.php?lang=en , which I thought
you gave me.

--
  Ron
Juhana Harju - 21 Dec 2007 15:37 GMT
>>> I was hoping that blue cheese would be high in vitamin K, but it
>>> looks like Edam is the leader and it's not MK-7 and the amount is
[quoted text clipped - 4 lines]
> I was using http://www.fineli.fi/index.php?lang=en , which I thought
> you gave me.

Thanks, I just found the same source again.

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trigonometry1972@gmail.com - 02 Dec 2007 11:36 GMT
> Is there a need to take vitamin K1 if one is taking vitamin K2?
>
[quoted text clipped - 4 lines]
> --
>    Ron

It looks like it takes about one milligram of K1 to optimize the
formation of the bone matrix protein. Some vitamin K1
is converted into K2 in the gut.
And I recall that  K2 MK-7 has a longer biological half life
than K2  MK-4. I'd suppose a K2 supplement could be
smaller and get the same effect a one milligram K1 supplement
dose.

Nonetheless, K1 maybe good as antioxidant.

I
Ron Peterson - 03 Dec 2007 05:47 GMT
On Dec 2, 5:36 am, trigonometry1...@gmail.com wrote:

> It looks like it takes about one milligram of K1 to optimize the
> formation of the bone matrix protein. Some vitamin K1
[quoted text clipped - 3 lines]
> smaller and get the same effect a one milligram K1 supplement
> dose.

> Nonetheless, K1 maybe good as antioxidant.

Thanks everyone, from http://jn.nutrition.org/cgi/reprint/134/11/3100.pdf
it looks like K2 helps reduce severe cvd calcification, but not
moderate calcification in normal dietary intake of about 40 mcg.
Apparently cheese is a source at that level and other documents claim
that cheese doesn't contribute to cvd because of the vitamin K2
content.

Since the osteoporosis experiments used a therapeutic dose of 45 mg of
K2, it may be difficult or expensive to get supplements of that
dosage.

--
  Ron
Juhana Harju - 03 Dec 2007 07:31 GMT
> On Dec 2, 5:36 am, trigonometry1...@gmail.com wrote:
>
[quoted text clipped - 15 lines]
> that cheese doesn't contribute to cvd because of the vitamin K2
> content.

According to some sources chicken and turkey are also rather good sources of
vitamin K (apparently they contain K2).

http://www.tinyurl.dk/2394

> Since the osteoporosis experiments used a therapeutic dose of 45 mg of
> K2, it may be difficult or expensive to get supplements of that
> dosage.

There is already plenty of evidence showing that high dose (45 mg/day)
vitamin K2 supplementation reduces fractures very efficiently. It is urgent
that high dose vitamin K2 supplementation should be covered by insurance for
people with osteoporosis.

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Ron Peterson - 14 Dec 2007 04:14 GMT
> > Thanks everyone, from
> >http://jn.nutrition.org/cgi/reprint/134/11/3100.pdfit looks like K2
> > helps reduce severe cvd calcification, but not
> > moderate calcification in normal dietary intake of about 40 mcg.

> > Since the osteoporosis experiments used a therapeutic dose of 45 mg of
> > K2, it may be difficult or expensive to get supplements of that
> > dosage.

> There is already plenty of evidence showing that high dose (45 mg/day)
> vitamin K2 supplementation reduces fractures very efficiently. It is urgent
> that high dose vitamin K2 supplementation should be covered by insurance for
> people with osteoporosis.

Reading a few of the papers and abstracts, I get the distinct
impression that vitamin K works by carboxylating certain proteins
(e.g. osteocalcin). Since high levels of under carboxylated
osteocalcin are correlated with medical problems, it seems that all
that is required that sufficient vitamin K be delivered to reduce UC
osteocalcin to minimal levels and not that vitamin K be continuously
available or ingested in very high doses (e.g. 45 mg).

Since 1 mg of vitamin K1 seems to be adequate for some conditions, I
assume that it adequately carboxylates the relevant proteins.

Is there any comparison of K1 and the various types of K2 on their
ability to carboxylate proteins?

--
  Ron
Juhana Harju - 14 Dec 2007 08:02 GMT
>>> Thanks everyone, from
>>> http://jn.nutrition.org/cgi/reprint/134/11/3100.pdfit looks like K2
[quoted text clipped - 20 lines]
> Since 1 mg of vitamin K1 seems to be adequate for some conditions, I
> assume that it adequately carboxylates the relevant proteins.

That is sound reasoning but I don't quite agree with it. 1 mg of vitamin K1
is sufficient for prevention, not for the treatment of osteoporosis, IMHO.
If I recall correctly in the Japanese osteoporosis interventions high
vitamin K2 (45 mg/day) has increased bone mineral density. Vitamin K1 has
never been shown to increase BMD, it only reduces fractures. I suspect the
benefits of vitamin K2 for bone can not be be explained by its capacity to
carboxylate osteocalcin only.

> Is there any comparison of K1 and the various types of K2 on their
> ability to carboxylate proteins?

K2 is definitely better in carboxylating matrix Gla protein needed to
prevent arterial calcification. Vitamin K1 does very little in that respect.

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Bob Arnold - 18 Dec 2007 01:38 GMT
> >>> Thanks everyone, from
> >>> http://jn.nutrition.org/cgi/reprint/134/11/3100.pdfit looks like K2
[quoted text clipped - 34 lines]
> K2 is definitely better in carboxylating matrix Gla protein needed to
> prevent arterial calcification. Vitamin K1 does very little in that respect.

The high dose K2 that you are talking about is always MK-4. MK-7 has a
much longer half-life and so (according to the marketing hype) you
need much less of it. See:

http://www.menaq7.com/index.php?s=Links
Juhana Harju - 18 Dec 2007 04:20 GMT
>>>>> Thanks everyone, from
>>>>> http://jn.nutrition.org/cgi/reprint/134/11/3100.pdfit looks like
[quoted text clipped - 42 lines]
>
> http://www.menaq7.com/index.php?s=Links

That is correct. In the Japanese osteoporosis trials menaquinone-4 (MK-4)
has been used with good results as has been explained in this review.

http://www.tinyurl.dk/2551

Menaguinone-7 is probably the ideal form of vitamin K2 as you suggested.
There have been at least some animal trials using this form.

http://www.tinyurl.dk/2552

Also the regular use of /natto/, containing menaquinone-7, has been
associated with better bone mineral density and lower fracture rate.

http://www.tinyurl.dk/2553

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Juhana Harju - 18 Dec 2007 04:33 GMT
>>>>>> Thanks everyone, from
>>>>>> http://jn.nutrition.org/cgi/reprint/134/11/3100.pdfit looks like
[quoted text clipped - 58 lines]
>
> http://www.tinyurl.dk/2553

An excerpt from a study:

"MK-7 has probably a comparable effect as MK-4 [35], but it has a halflife
in the circulation of 3 days, resulting in more constant plasma levels and
accumulation in the blood and various tissues. Therefore, MK-7 is the most
logical choice for use as a low-dose food supplement, because even at low
intake relatively high blood and tissue levels can be obtained. Clinical
trials in which the efficacy of MK-7 is tested are, however, lacking at this
time."

Stated in Knapen et al. Vitamin K2 supplementation improves hip bone
geometry and bone strength indices in postmenopausal women. Osteoporos Int.
2007 July; 18(7): 963-972.

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1915640

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