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Vitamin D3 and K2 supplements for bone health
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Vitamin D3 + K2: The Perfect Pair

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By Dr. Sarah Johnson
Published Feb 15, 2026
Updated Feb 24, 2026
2 min read
Quick Summary / AI OverviewVitamin D3 helps your body absorb calcium, but without K2, that calcium might end up in your arteries instead of your bones. Here's why taking them together matters for heart and bone health.
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💡 Key Takeaways

  • Vitamin D3 and K2 work synergistically to ensure calcium is deposited in bones rather than arteries.
  • Higher intake of vitamin K2 is associated with a significantly lower risk of cardiovascular disease.
  • Choose supplements with the MK-7 form of vitamin K2 for better absorption and longer-lasting effects.

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The Problem: D3 Without K2 is Like a GPS Without Directions

Here's what happens when you take vitamin D3 alone: your body absorbs calcium from food really well. Great, right? Not quite. Without vitamin K2, your body doesn't know where to send all that calcium. It's like having packages delivered to your neighborhood with no house numbers.

That calcium might end up hardening in your arteries, settling in your joints, or forming kidney stones—anywhere except where you actually need it: your bones and teeth.

Vitamin K2 is the traffic cop that directs calcium to the right places.

What the Research Shows

A landmark study from Rotterdam followed over 4,800 people for seven years. Those who ate the most vitamin K2 had a 57% lower risk of dying from heart disease compared to those who ate the least. That's a huge difference.

Another study on postmenopausal women with osteoporosis found that taking D3 and K2 together significantly increased bone mineral density in the lumbar spine—better than taking either vitamin alone.

A 2025 study on patients undergoing spinal fusion showed that combined K2 and D3 therapy improved fusion outcomes and bone metabolism better than standard treatment.

How D3 and K2 Work as a Team

Vitamin D3's job:

  • Tells your intestines to absorb more calcium from food
  • Supports your immune system (important for fighting infections)
  • Helps regulate mood and may reduce depression
  • Promotes strong bones by maintaining calcium levels

Vitamin K2's job:

  • Activates proteins (like osteocalcin) that pull calcium into bones
  • Activates another protein (Matrix Gla-protein) that removes calcium from arteries
  • Keeps calcium out of soft tissues where it can cause problems
  • Protects your cardiovascular system from calcification

Think of it this way: D3 is the crane that lifts the calcium, K2 is the construction worker who places it exactly where it needs to go.

How Much Should You Take?

For 1,000 IU of D3, many experts suggest at least 45 mcg of K2 (in the MK-7 form). A common daily dose for heart and bone support is 5,000 IU of D3 paired with 100-200 mcg of K2.

How We Researched This

Our editorial team includes registered dietitians and board-certified physicians who review emerging research before publication.

Real-World Experience

Our editorial team tests recommendations and reviews scientific evidence to ensure practical, effective guidance.
Affiliate Disclosure:This article contains carefully selected product recommendations. If you purchase through our links, we may earn a small commission at no extra cost to you.

Medical Disclaimer:The information on NourishVibes is for educational purposes only. Our content does not constitute medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or dietary supplement.

Initial publication with comprehensive research review.

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