vitamin k

18 interactions related to vitamin k

parsley + warfarin

Fresh parsley is extraordinarily dense in vitamin K1 - about 1,640 mcg per 100 grams, or roughly 62 mcg per tablespoon - so although typical garnish-sized servings are small, large culinary uses (tabbouleh, chimichurri, parsley smoothies, juicing) can deliver enough vitamin K to oppose warfarin and lower the INR.

moderate
parsleywarfarinvitamin kphylloquinoneanticoagulantinrherbstabboulehcoumadin

matcha + warfarin

Matcha is powdered whole green tea leaf, so each serving delivers far more vitamin K than a normal brewed cup. Vitamin K is the cofactor warfarin antagonises, so large or fluctuating matcha intake can lower INR and reduce the anticoagulant effect, similar to the documented green tea-warfarin case report.

moderate
matchawarfarincoumadinvitamin kinranticoagulantgreen teableeding

fat-soluble vitamins + dietary fat

Vitamins A, D, E, and K depend on bile acid micelle formation in the small intestine for absorption, and that process requires dietary fat as a trigger for bile secretion. Taking these vitamins without fat reduces absorption efficiency substantially, with studies on vitamin D showing roughly 30-50% greater absorption when taken with a meal containing fat.

moderate
fat-soluble vitaminsvitamin avitamin dvitamin evitamin kdietary fatabsorptionsynergy

noni juice + warfarin

Noni juice (Morinda citrifolia) products vary substantially in vitamin K content - one published case of warfarin resistance was attributed to a high-vitamin K noni preparation. Noni has also been linked to drug-induced liver injury and may induce CYP2C9, both of which can destabilize warfarin in unpredictable directions.

moderate
noni juicemorinda citrifoliawarfarinvitamin kinrcyp2c9hepatotoxicitydrug interaction

green tea + warfarin

Green tea leaves contain vitamin K, which is a cofactor for hepatic synthesis of the clotting factors that warfarin inhibits. Large or fluctuating intake of green tea can lower INR and reduce the anticoagulant effect of warfarin, as documented in a published case report.

moderate
green teawarfarincoumadinvitamin kinranticoagulantbleedingclotting

collard greens + warfarin

Collard greens are one of the highest-vitamin-K vegetables available, with roughly 836 mcg of vitamin K1 per cup cooked - more than seven times the daily adequate intake for adults. Sudden increases or decreases in consumption directly antagonize warfarin and can push the INR out of its therapeutic range.

high
collard greenswarfarinvitamin kphylloquinoneanticoagulantinrleafy greenscoumadinsoul food

spinach + warfarin

Spinach is one of the highest dietary sources of vitamin K1 (phylloquinone), with roughly 145 mcg per cup raw and 889 mcg per cup cooked. Because warfarin works by blocking vitamin K-dependent clotting factor synthesis, large or fluctuating spinach intake antagonizes warfarin and can drop the INR into a sub-therapeutic range, raising clot risk.

high
spinachwarfarinvitamin kphylloquinoneanticoagulantinrleafy greenscoumadinblood thinner

turnip greens + warfarin

Turnip greens contain about 529 mcg of vitamin K1 per cup cooked - roughly five times the daily adequate intake. Because warfarin works by blocking vitamin K-dependent clotting factor synthesis, large or fluctuating servings can drop the INR into a sub-therapeutic range and raise clot risk.

high
turnip greenswarfarinvitamin kphylloquinoneanticoagulantinrleafy greenscoumadinsouthern cooking

romaine + warfarin

Romaine lettuce contains roughly 48 to 60 mcg of vitamin K1 per cup shredded - lower than dark cooking greens but still meaningful at multi-cup salad servings. Large daily salads or romaine-heavy juices can supply enough phylloquinone to oppose warfarin and drift the INR downward.

moderate
romainelettucewarfarinvitamin kphylloquinoneanticoagulantinrsaladcoumadin

microgreens + warfarin

Microgreens - the immature seedlings of vegetables and herbs harvested 7 to 21 days after germination - concentrate nutrients on a per-gram basis. Phylloquinone content varies widely by species, from roughly 0.6 to 4.1 mcg per gram, with brassica and amaranth microgreens highest. Daily handfuls or smoothie additions can supply enough vitamin K to oppose warfarin and shift the INR.

moderate
microgreenswarfarinvitamin kphylloquinoneanticoagulantinrleafy greenscoumadinblood thinner

broccoli + warfarin

Broccoli is rich in vitamin K1 (phylloquinone), the very cofactor warfarin blocks to suppress clotting factor synthesis. Large or wildly inconsistent intake can lower the INR and reduce warfarin's anticoagulant effect, raising clot risk.

moderate
broccoliwarfarinvitamin kanticoagulantinrblood thinnercruciferousfood drug interaction

sauerkraut + warfarin

Sauerkraut is fermented green cabbage and contains roughly 18 to 70 micrograms of vitamin K1 per cup, depending on whether the brine is consumed and how the cabbage was prepared. Vitamin K1 supplies the cofactor for the very clotting factors warfarin blocks, so changing sauerkraut intake can shift INR and weaken anticoagulation control.

moderate
warfarinsauerkrautvitamin kinrfermented foodcabbageanticoagulationdiet consistency

brazil nuts + warfarin

Brazil nuts contain no detectable vitamin K (phylloquinone) per USDA analysis, so they do not antagonize warfarin's mechanism. Their main concern is the very high selenium content, which has no established direct interaction with warfarin metabolism.

low
brazil nutswarfarinseleniumvitamin kanticoagulantinrnutsblood thinner

walnuts + warfarin

Walnuts contain only trace amounts of vitamin K (about 2.7 mcg per 100 g) and small quantities of plant-based omega-3 (alpha-linolenic acid). Typical servings are unlikely to meaningfully shift INR, but dramatic changes in intake or very large daily portions could theoretically nudge anticoagulation in either direction.

low
walnutswarfarinvitamin komega-3alaanticoagulantinrblood thinner

swiss chard + warfarin

Swiss chard delivers approximately 299 mcg of vitamin K1 per cup raw and over 570 mcg per cup cooked - several times the adult adequate intake. As a direct vitamin K antagonist, warfarin's effect is reduced when dietary phylloquinone rises, so sudden increases in swiss chard intake can lower the INR into a sub-therapeutic, clot-prone range.

high
swiss chardwarfarinvitamin kphylloquinoneanticoagulantinrleafy greenscoumadinblood thinner

pumpkin seeds + warfarin

Pumpkin seeds (pepitas) contain a moderate amount of vitamin K, with about 54 mcg per half-cup of dried roasted seeds. Large or fluctuating intakes can shift INR through the standard vitamin K mechanism, while typical snack portions are unlikely to cause problems.

low
pumpkin seedspepitaswarfarinvitamin kanticoagulantinrblood thinnersnack

mustard greens + warfarin

Mustard greens are a dark leafy green packed with vitamin K1, providing roughly 419 mcg per cup cooked - several times the adult daily adequate intake. Because warfarin works by blocking vitamin K-dependent clotting factor synthesis, large or fluctuating intake can lower the INR and reduce clot protection.

high
mustard greenswarfarinvitamin kphylloquinoneanticoagulantinrleafy greenscoumadinsoul food

kimchi + warfarin

Kimchi is fermented Napa cabbage and contains roughly 65 micrograms of vitamin K1 per cup, which provides the cofactor for the very clotting factors warfarin blocks. Inconsistent kimchi intake can lower the INR and reduce warfarin's anticoagulant effect, increasing clot risk.

moderate
warfarinkimchivitamin kinrfermented foodanticoagulationfood interactiondiet consistency