Interaction databaseSupplement × SupplementReviewed May 2026

Calcium and Vitamin K2, a synergy.

K2 activates osteocalcin to direct calcium to bones and matrix GLA protein to prevent arterial calcification. Essential when supplementing calcium.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

Sourcing standards·Evidence tiers

From the interaction database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Calcium and Vitamin K2
Pair type
Synergy
Evidence (highest tier)
Strong
Source citations
4 sources
Stack Score effect
+2 to your Stack Score (per scored synergy row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Synergy · Strong evidence

Synergy

What is happening. K2 activates osteocalcin to direct calcium to bones and matrix GLA protein to prevent arterial calcification. Essential when supplementing calcium.

Mechanism. K2-dependent carboxylation of osteocalcin enables it to bind calcium and deposit it in bone matrix. MGP carboxylation by K2 prevents calcium deposition in arterial walls.

Recommendation. Always take K2 (MK-7, 100-200mcg) when supplementing calcium to ensure proper calcium deposition in bones, not arteries.

Sources (4)
  1. Knapen MH et al. Menaquinone-7 supplementation improves arterial stiffness. Thromb Haemost. 2015
  2. Kuang X, Liu C, Guo X, Li K, Deng Q, Li D. The combination effect of vitamin K and vitamin D on human bone quality: a meta-analysis of randomized controlled trials. Food & Function. 2020. PMID 32219282
  3. Liu C, Kuang X, Li K, Guo X, Deng Q, Li D. Effects of combined calcium and vitamin D supplementation on osteoporosis in postmenopausal women: a systematic review and meta-analysis of randomized controlled trials. Food & Function. 2020. PMID 33237064
  4. Yao P, Bennett D, Mafham M et al.. Vitamin D and Calcium for the Prevention of Fracture: A Systematic Review and Meta-analysis. JAMA Network Open. 2019. PMID 31860103

Stack Score

How this pair moves the number.

Effect on the composite score

If both Calcium 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 documented at /methodology/stack-score.

Check your full routine

One pair was the worked example. NutriStack runs every pair in your stack at once.

Drop in your supplements and prescriptions and the public database surfaces every interaction, synergy, timing rule, and contraindication, every one linked to its primary source.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.