NAC (N-Acetyl Cysteine) vs Vitamin K2 (MK-7)

Immune vs Vitamin · evidence-backed comparison

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

Side-by-side traits

TraitNAC (N-Acetyl Cysteine)Vitamin K2 (MK-7)
Category
ImmuneVitamin
Active compound
N-acetyl L-cysteineMenaquinone-7
Form available
Capsule, PowderSoftgel, Capsule
Source
syntheticmicrobial
Typical dose
600–1800 mg daily100–200 mcg daily
Dose range
600–1800 mg100–200 mcg
Loading protocol
Best taken with
empty stomach or with foodfat-containing meal
Best time of day
anyany
Bioavailability
How efficiently the body absorbs and utilizes the compound.
Moderate (3/5)High (4/5)
Onset time
Acute and cumulativeCumulative: 4–12 weeks
Half-life
~6 hours~72 hours
Evidence level
Quality and quantity of human research.
Strong (multiple RCTs / meta-analyses)Moderate (some RCTs)
Overall effect
Subjective effect magnitude.
Moderate (3/5)Low (2/5)
Muscle / strength
Low (2/5)Very Low (1/5)
Physical energy
Low (2/5)Very Low (1/5)
Focus / cognition
Low (2/5)Very Low (1/5)
Mood / stress
Moderate (3/5)Very Low (1/5)
Sleep quality
Very Low (1/5)Very Low (1/5)
Immunity
High (4/5)Low (2/5)
Recovery
Post-exercise recovery support.
Moderate (3/5)Low (2/5)
Longevity / healthspan
High (4/5)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 NAC (N-Acetyl Cysteine)

Glutathione precursor used clinically for liver protection (acetaminophen overdose). Strong evidence for OCD, COPD, and PCOS.

Active compound: N-acetyl L-cysteine
Forms: Capsule, Powder
Onset: Acute and cumulative
glutathioneliverlungOCD

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

NAC (N-Acetyl Cysteine) safety

Common side effects:

  • Sulfur smell
  • GI upset
  • Headache

Avoid if:

  • Asthma (rare bronchospasm)

Drug interactions:

  • Nitroglycerin
  • Anticoagulants
  • Activated charcoal

Vitamin K2 (MK-7) safety

Common side effects:

  • Generally none

Avoid if:

  • Warfarin therapy

Drug interactions:

  • Warfarin (major)
  • Other anticoagulants

Common uses

  • Liver protection
  • Lung health
  • OCD / mental health
  • PCOS

Stacks well with: Vitamin C, Selenium (Selenomethionine)

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.