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Vitamin K1 · low result

What does a low Vitamin K1 mean?

Short answer

Low vitamin K1 (phylloquinone) reflects low intake of leafy greens or fat malabsorption — celiac or Crohn's disease, cystic fibrosis, cholestatic liver disease, bariatric surgery — and prolonged antibiotic courses that wipe out gut bacteria. Warfarin does not lower the level but blocks its use. The functional consequence is a prolonged PT/INR and bleeding tendency; the blood level itself swings with the last day's meals.

Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026

What is the normal range for Vitamin K1?

  • age 18+: 0.100 – 2.20 ng/mL

Can reflect fat-malabsorption disorders, antibiotic use, or anticoagulant therapy.

Full reference table, citations and testing options: Vitamin K1 biomarker page.

What are the common causes of low Vitamin K1?

  1. Low intake of leafy green vegetables
  2. Fat malabsorption: celiac disease, Crohn's, cystic fibrosis, pancreatic insufficiency, cholestasis
  3. Prolonged broad-spectrum antibiotics
  4. Bariatric surgery, very low-fat diets
  5. Newborns (routine vitamin K at birth prevents this)

What symptoms go with low Vitamin K1?

  • Easy bruising, nosebleeds, bleeding gums, heavy periods
  • Often none

What do clinicians usually check next?

  • PT/INR — the test that shows whether the deficiency matters
  • Fat-soluble vitamins A, D and E; celiac antibodies, stool fat if malabsorption is suspected
  • Dietary correction; supplementation under clinician guidance (and never without the prescriber's input if you take warfarin)

Follow-up tests available at TestWell: PT and PTT (Prothrombin & Partial Thromboplastin Time) ($54.99).

How do you recheck Vitamin K1?

Prices are cash-pay; every order adds one $6 lab processing fee. Physician authorization is included; no insurance or referral needed.

Test or panelTypePriceFastingResults
Vitamin KTest$36.99No5–7 business days

Common questions

Does a low vitamin K level mean I'll bleed?

Only if the PT/INR is prolonged. The blood level is a snapshot of recent intake; clotting tests show whether the body has enough to work with.

Educational content, not a diagnosis. Lab results are one input; a clinician interprets them with your history and exam.