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The population spectrum represented in the curated corpus introduces meaningful concerns about external validity. Several sources focus on highly specific clinical populations that may not generalize to the broader aging adult demographic for whom vitamin K2 supplementation is commercially marketed. Vries 2025 restricted enrollment to post-menopausal women, and Lithgow 2026 separated young and older adults, meaning that middle-aged men and pre-menopausal women are virtually absent from interventional evidence. The synthesis therefore cannot speak confidently to the effect of vitamin K2 on vascular aging in the general population of adults who lack major comorbidities.

Evidence grade: exploratory

Contradiction status: none

Publication: 465c8fd4-570f-4fb2-9b87-1059b5787f6b

Provenance: Derivation Web chain

Citation Support

  • source_1 Peng 2025
  • source_2 Xu 2025
  • source_3 Placencia 2026
  • source_4 Zhao 2024
  • source_5 Vries 2025

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