From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
SynergyEmerging evidence
What is happening. Vitamin K2 is sometimes used to support calcium-handling proteins, but it does not prevent calcitriol-induced hypercalcemia.
Mechanism. Vitamin K-dependent proteins participate in bone and vascular mineral biology while calcitriol controls calcium and phosphate absorption.
Recommendation. Use only as adjunctive nutrition support and keep calcium monitoring unchanged.
Stack Score
How it moves the number.
Effect on the composite score
If both Calcitriol and Vitamin K2 are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1KDIGO. CKD-MBD Guideline Update. Kidney International Supplements. 2017.Needs sourceNo link