Methylfolate (5-MTHF) vs Vitamin K2 (MK-7)

Vitamin vs Vitamin · evidence-backed comparison

Quick take
  • Methylfolate (5-MTHF) has the stronger evidence base (strong (multiple rcts / meta-analyses)).
  • Methylfolate (5-MTHF) has the broader effect profile across the 9 effect categories.
  • Vitamin K2 (MK-7) is cheaper per serving ($0.18 vs $0.22).
  • Methylfolate (5-MTHF) has higher bioavailability (better absorption).

Side-by-side traits

TraitMethylfolate (5-MTHF)Vitamin K2 (MK-7)
Category
VitaminVitamin
Active compound
L-5-methyltetrahydrofolateMenaquinone-7
Form available
Capsule, TabletSoftgel, Capsule
Source
syntheticmicrobial
Typical dose
400–1000 mcg daily100–200 mcg daily
Dose range
400–1000 mcg100–200 mcg
Loading protocol
Best taken with
with foodfat-containing meal
Best time of day
morningany
Bioavailability
How efficiently the body absorbs and utilizes the compound.
Very High (5/5)High (4/5)
Onset time
Cumulative: 4–8 weeksCumulative: 4–12 weeks
Half-life
~3 hours~72 hours
Evidence level
Quality and quantity of human research.
Strong (multiple RCTs / meta-analyses)Moderate (some RCTs)
Overall effect
Subjective effect magnitude.
Low (2/5)Low (2/5)
Muscle / strength
Very Low (1/5)Very Low (1/5)
Physical energy
Moderate (3/5)Very Low (1/5)
Focus / cognition
Moderate (3/5)Very Low (1/5)
Mood / stress
High (4/5)Very Low (1/5)
Sleep quality
Very Low (1/5)Very Low (1/5)
Immunity
Low (2/5)Low (2/5)
Recovery
Post-exercise recovery support.
Very Low (1/5)Low (2/5)
Longevity / healthspan
Moderate (3/5)High (4/5)
Safety rating
5 = exceptionally well-tolerated; 1 = significant risk profile.
High (4/5)High (4/5)
Price per serving
Approximate USD per typical daily dose.
$0.22$0.18
Vegan friendly
YesYes
Gluten free
YesYes
3rd-party tested
YesYes

About Methylfolate (5-MTHF)

Pre-methylated folate that bypasses MTHFR variants. Essential during pregnancy and for treatment-resistant depression with low folate.

Active compound: L-5-methyltetrahydrofolate
Forms: Capsule, Tablet
Onset: Cumulative: 4–8 weeks
moodMTHFRpregnancyhomocysteine

About Vitamin K2 (MK-7)

Activates osteocalcin and matrix-Gla protein to direct calcium into bones rather than arteries. Most evidence comes from the 3-year Rotterdam study.

Active compound: Menaquinone-7
Forms: Softgel, Capsule
Onset: Cumulative: 4–12 weeks
bonearterial-healthcalcium-regulationlongevity

Methylfolate (5-MTHF) safety

Common side effects:

  • Anxiety / irritability (over-methylation)
  • Insomnia (PM use)

Avoid if:

  • Bipolar disorder

Drug interactions:

  • Methotrexate
  • Antiseizure meds

Vitamin K2 (MK-7) safety

Common side effects:

  • Generally none

Avoid if:

  • Warfarin therapy

Drug interactions:

  • Warfarin (major)
  • Other anticoagulants

Common uses

  • Pregnancy
  • MTHFR variants
  • Depression
  • Homocysteine

Stacks well with: Vitamin B12 (Methylcobalamin), Betaine Anhydrous

Common uses

  • Bone density
  • Arterial health
  • Calcium routing

Stacks well with: Vitamin D3, Magnesium Glycinate

Medical disclaimer

SupplementDuel is for educational purposes only and is not medical advice. Consult a physician before starting, stopping, or combining supplements — especially if you are pregnant, breastfeeding, take prescription medication, or have a chronic condition.