Vitamin K2 + D3

[Lulu]

He is a specialist so he would know

Don't be so sure! Sadly most doctors know very little about nutrition. My haematologist had not heard of the vitamin K/D studies. I suspect that there is a subset of MDS which is caused by malabsorption of those vitamins due to gut damage/gallbladder malfunction, which bumps up the requirements dramatically. There is some detailed information about one of the trials here:
http://www.sciencedirect.com/science...45212610002080

Interestingly, this trial excluded patients with known malabsorption issues, and I wonder if they ran the trial again on those patients whether the response rate would actually have been higher? I responded very well to it, although I would not have been eligible for the trial.
There is a summary table here of research that has been done so far:
http://www.nbihealth.com/t-MK4research.aspx

It would be impossible to get 45mg of vitamin K through diet, however juicing green vegetables like kale might help.

[tom30]

Hi, The way I understand these studies are based on Vit K2 not K1 which would be found in kale. K2 is found is small amounts in eggs, meats and some other items which would be difficult to consume in the required qty. I prefer to rely on food for vitamins which makes sense to me but I take b12, k2 and d3 in pill form.

[Lulu]

Hi Tom, yes the vitamin K in vegetables is a different form to what is found in animal products. From what I understand, in a healthy person K1 is supposed to convert to menatetrenone, but some people do not convert it as well as others. This may be a reason why some people do better on paleo-style diets.

Ideally it would be good to get all vits from food, but I get very ill if I do not take supplements. Have just had a vitamin D test back and it was 44 (should be 50+) despite supplementing 3000mg daily for 18 months.

Apparently Natto is one of the most bioavailable sources of vitamin K, but you cannot get it in the UK and it sounds disgusting!