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Although lack of vitamin K is rare, because it is present in green leafy vegetables and synthesized by intestinal bacteria, it may occur with a combination of poor diet and long-term use of antibiotics. Deficiency may also occur because of malabsorption secondary to other conditions such as coeliac disease, or due to lack of bile secretion as in obstructive jaundice. Deficiency is treated with oral vitamin K or synthetic analogues such as phytomenadione. In the absence of bile, vitamin K replacement has to be given by intramuscular or intravenous injection. Vitamin K can be used to counteract the effects of warfarin in the event of excessive bleeding.

Authored by Dr. Cory Alfers, DO

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