Vitamin K1 och vitamin K2 är viktigt, speciellt om du tar höga doser D-vitamin

Dr. Mercola har intervjuat Dr. Kate Rheaume-Bleue om vitamin D3 och vitamin K2. Hon säger: ”Det är otroligt många människor som tar megadoser av D-vitamin. Dessa megadoser kan orsaka skada om man saknar vitamin K2 vilket behövs för att kalcium ska slussas dit det ska. Vi ser inte ofta D-vitaminförgiftning men när vi gör det är symptomen kalciuminlagring i mjuka vävnader. I verkligheten är det en brist på vitamin K2 som orsakar detta.”
 
K1 omvandlas till K2 i kroppen och det sker oberoende av tarmflorans status så kroppen sköter det mycket bra på egen hand som tur är. 

Phylloquinone is converted into menaquinone-4 and accumulates in extrahepatic tissues. Neither the route nor the function of the conversion is known. One possible metabolic route might be the release of menadione from phylloquinone by catabolic activity. In the present study we explored the presence of menadione in urine and the effect of vitamin K intake on its excretion. Menadione in urine was analysed by HPLC assay with fluorescence detection. Urine from healthy male volunteers was collected before and after administration of a single dose of K vitamins. Basal menadione excretion in non-supplemented subjects (n 6) was 5.4 (sd 3.2) microg/d. Urinary menadione excretion increased greatly after oral intake of the K vitamins, phylloquinone and menaquinone-4 and -7. This effect was apparent within 1-2 h and peaked at about 3 h after intake. Amounts of menadione excreted in 24 h after vitamin K intake ranged, on a molar basis, from 1 to 5 % of the administered dose, indicating that about 5-25 % of the ingested K vitamins had been catabolized to menadione. Menadione excretion was not enhanced by phylloquinone administered subcutaneously or by 2',3'-dihydrophylloquinone administered orally. In archived samples from a depletion/repletion study (Booth et al. (2001) Am J Clin Nutr 74, 783-790), urinary menadione excretion mirrored dietary phylloquinone intake. The present study shows that menadione is a catabolic product of K vitamins formed after oral intake. The rapid appearance in urine after oral but not subcutaneous administration suggests that catabolism occurs during intestinal absorption. The observations make it likely that part of the menaquinone-4 in tissues results from uptake and prenylation of circulating menadione.

Br J Nutr. 2006 Feb;95(2):260-6.
Menadione is a metabolite of oral vitamin K.
Thijssen HH1, Vervoort LM, Schurgers LJ, Shearer MJ.

To elucidate the role of intestinal bacteria in the conversion of phylloquinone into menaquinone-4 (MK-4) we investigated the tissue distribution of vitamin K in germ-free rats. The rats were made vitamin K deficient by feeding a vitamin K-free diet for 13 days. In a subsequent period of 6 days, phylloquinone and menadione were supplied via the drinking water in concentrations of 10 and 50 micromol l(-1). Menadione supplementation led to high levels of tissue MK-4, particularly in extrahepatic tissues like pancreas, aorta, fat and brain. Liver and serum were low in MK-4. Phylloquinone supplementation resulted in higher phylloquinone levels in all tissues when compared with vitamin K-deficient values. The main target organs were liver, heart and fat. Remarkably, tissue MK-4 levels were also higher after the phylloquinone supplementation. The MK-4 tissue distribution pattern after phylloquinone intake was comparable with that found after menadione intake. Our results demonstrate that the conversion of phylloquinone into MK-4 in extrahepatic tissues may occur in the absence of an intestinal bacterial population and is tissue specific. A specific function for extrahepatic MK-4 or a reason for this biochemical conversion of phylloquinone into MK-4 remains unclear thus far.
Biochim Biophys Acta. 1998 Jan 8;1379(1):69-75. Intestinal flora is not an intermediate in the phylloquinone-menaquinone-4 conversion in the rat. Ronden JE1, Drittij-Reijnders MJ, Vermeer C, Thijssen HH.