Androgen Deprivation Therapy Induces Vitamin K Loss in Men

Im going to lump a few studies together here. One will also show why you cant supplement this directly when it comes to k2 or menaquinone.

Vitamin K epoxide reductase regulation of androgen receptor activity

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5355141/

Reduced vitamin K synthesis linked to heart disease
https://www.scientificwellness.com/blog-view/gut-bacterial-overgrowth-linked-to-heart-disease--609
Vitamin K2 intake from diet did not appear to contribute to subclinical atherosclerosis, suggesting that small intestinal dysbiosis and low bacterial vitamin synthesis were fundamental.

One example of possible dysbiosis, how microbes compete.

Reduction of vitamin K concentration by salivary Bifidobacterium strains and their possible nutritional competition with Porphyromonas gingivalis