Vitamin K1, or phylloquinone, is the main form of vitamin K in food, found mostly in green leafy vegetables. The body needs vitamin K to make blood-clotting proteins and some bone proteins. Vitamin K2 (menaquinones) is a related group with its own page.
Also known as: vitamin K, phylloquinone, phytonadione, phytomenadione.
ODS lists Adequate Intakes of 90 to 120 mcg a day for adults, depending on sex. Bone trials used 500 mcg a day for 3 years (Booth 2008) and 5 mg a day for 2 to 4 years (Cheung 2008). These are study protocols, not a recommendation.
The NIH Dietary Supplement Label Database lists vitamin K1 products such as Vitamin K1 100 mcg from Swanson as a dietary supplement. Under the 1994 dietary supplement law (DSHEA), FDA does not approve dietary supplements before they are marketed, and the maker, not FDA, is responsible for safety and labeling. Phytonadione, the drug name for vitamin K1, is also an FDA-approved prescription drug (Drugs@FDA). ODS says most people in the US get enough vitamin K from food; severe deficiency, which causes bleeding, is very rare in healthy adults. Newborns not given vitamin K at birth and people with problems absorbing fat or who have had bariatric surgery are more at risk.
What studies show: ODS says it is not clear whether vitamin K supplements affect osteoporosis risk. In 452 adults aged 60 to 80 taking calcium and vitamin D, 500 mcg a day of K1 for 3 years did not change bone density (Booth 2008). In 440 postmenopausal women with low bone density, 5 mg a day for 2 to 4 years did not change bone density either; fewer women on K1 had fractures (9 versus 20), but the trial was not designed to test fractures (Cheung 2008). ODS says trials on vitamin K and artery calcification have been inconclusive.
Safety, per ODS: there is no upper limit because vitamin K has a low potential for toxicity. Warfarin (Coumadin) and similar blood thinners work against vitamin K, so people taking them need to keep their vitamin K intake steady. Antibiotics, bile acid sequestrants and orlistat can lower vitamin K levels.
We could not find a single published half-life or time to peak for vitamin K1 that applies to a supplement dose, so we do not list one. ODS says vitamin K is quickly broken down and excreted, so only low levels are found in blood and tissues.
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