NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Supplement·Evidence index

Calcium and Vitamin K2 MK-4: what the published research says

PubMed indexes 8 records that name Calcium and Vitamin K2 MK-4 together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Calcium and Vitamin K2 MK-4. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Calcium and Vitamin K2 MK-4.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Prevention of bone loss in children receiving long-term glucocorticoids with calcium and alfacalcidol or menatetrenone.

Journal of pediatric endocrinology & metabolism : JPEM · 2012 · PMID 22768661

Comparative StudyRandomized Controlled Trial

“Administration of long-term glucocorticoids in children justifies an intervention to preserve bone mass. Calcium supplementation along with alfacalcidol can prevent further bone loss to a greater extent than menatetrenone in this group of patients.”

Rianthavorn et al. · Authors' conclusion

Names both Calcium and Vitamin K2 MK-4 in its title.

The prevention of hip fracture with menatetrenone and risedronate plus calcium supplementation in elderly patients with Alzheimer disease: a randomized controlled trial.

The Kurume medical journal · 2011 · PMID 21778673

Randomized Controlled TrialRetracted Publication15 participants

“Elderly AD patients with hypovitaminosis K and D are at increased risk for hip fracture. The study medications were well tolerated with relatively few adverse events and effective in reducing the risk of a fracture in elderly patients with AD.”

Sato et al. · From the abstract

Names both Calcium and Vitamin K2 MK-4 in its title.

Effects of vitamin K2 (menatetrenone) on calcium balance in ovariectomized rats.

Japanese journal of pharmacology · 2002 · PMID 11855678

Animal study

“The administration of vitamin K2 significantly inhibited an OVX-induced decrease in cortical area and cortical thickness in the femur. These findings suggest that the poor Ca balance observed in ovariectomized rats may be improved by vitamin K2; vitamin K2 may be involved in preventing bone loss in vivo.”

Kobayashi et al. · From the abstract

Names both Calcium and Vitamin K2 MK-4 in its title.

Effects of menatetrenone on the decrease in calcium balance induced by vitamin K-deficient diet and sodium loading in rats.

Japanese journal of pharmacology · 1994 · PMID 8089928

Animal study

“Calcium transport was reduced by the high sodium, vitamin K-deficient diet, and this reduction was restored by MK-4 administration (10 mg/kg). These results suggest that MK-4 improves the reduced calcium balance by increasing intestinal calcium absorption in these rats.”

Tomiuga et al. · From the abstract

Names both Calcium and Vitamin K2 MK-4 in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Calcium, Vitamin K2 MK-4, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

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.