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Dr. Grey AI

Protocol · Musculoskeletal

Bone Health Protocol

Vitamin D3, Vitamin K2 (MK-7) and Calcium (Citrate preferred) are the core of this stack, with 4 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Bone Health.

We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.

The stack

7 supplements · 4 graded · 3 confirmed studies

Amount listed in this protocol; not a recommendation.

Supplements in the Bone Health protocol, with the amount the protocol lists, the grade on file and confirmed studies
GradeSupplementAmount listedWhy it’s in the stackEvidence on fileShop
Primary stackThe core of this protocol
Vitamin D3Amount listed: 2,000–4,000 IU daily (adjust based on blood levels)

Enhances intestinal calcium absorption and regulates osteoblast/osteoclast balance

  • Bone turnover markers: improves
  • Calcium Absorption: improves
  • Fracture Risk: changes; see studies
  • Parathyroid Hormone: improves
Grade C for Bone turnover markers1 study · 91 people
Vitamin K2 (MK-7)Amount listed: 180–200 mcg daily

Activates osteocalcin to direct calcium into bone matrix and prevent arterial deposition

  • Bone Mineral Density: improves
  • C-Reactive Protein (CRP): studied
  • Weight: improves
  • Fracture Risk: changes; see studies
  • Interleukin 6: improves
Grade B for Bone Mineral Density18 studies · 1,049 people

Confirmed studies for Vitamin K2 (MK-7) (titles as PubMed lists them)

Calcium (Citrate preferred)Amount listed: 500–600 mg twice daily (with meals)

Provides substrate for hydroxyapatite crystal formation in bone matrix

  • Bone Mineral Density: improves
Not graded yet

Confirmed studies for Calcium (Citrate preferred) (titles as PubMed lists them)

Supporting stackListed as additions to the core
MagnesiumAmount listed: 300–400 mg daily

Required for vitamin D activation and bone crystal formation; 60% of body magnesium is in bone

  • Bone Mineral Density: improves
  • Osteocalcin: improves
Grade C for Bone Mineral Density1 study · 44 people
Collagen PeptidesAmount listed: 5–10 g daily

Provides amino acids for bone organic matrix and stimulates osteoblast activity

Not graded yet

Confirmed studies for Collagen Peptides (titles as PubMed lists them)

BoronAmount listed: 3–6 mg daily

Enhances vitamin D and estrogen metabolism; reduces urinary calcium excretion

  • Serum Calcium: studied
  • Serum Magnesium: improves
Grade D for Serum Calcium28 people
Silicon (Orthosilicic Acid)Amount listed: 6–12 mg daily

Essential for collagen cross-linking in bone matrix

Not graded yet

Shop the evidence-backed picks

Fullscript collectionJoints and bones: evidence-graded picksOpen on Fullscript

Or shop one supplement

The supplement in this protocol graded A or B. Each opens third-party tested products, matched to the dose above where we can.

  • Grade B

We earn from purchases made in our Fullscript store, and links to Fullscript, iHerb or Thorne carry our referral, so we may earn a commission at no extra cost to you. Grades come from the research and never change based on what we earn. Full disclosure

How this protocol works

In plain language

Bone is living tissue that constantly remodels—osteoclasts break down old bone while osteoblasts build new bone. This protocol supports both the mineral and organic components of bone.

  • Vitamin D3 is essential—without adequate D, you absorb only 10-15% of dietary calcium. Most people need 2000-4000 IU daily to reach optimal blood levels (40-60 ng/mL).
  • Vitamin K2 works synergistically with D. It activates osteocalcin, a protein that binds calcium and incorporates it into bone. Without K2, calcium may deposit in arteries instead of bones.
  • Calcium provides the raw material for bone. Citrate form is preferred—it's better absorbed and doesn't require stomach acid (important for older adults).
  • Magnesium is required to convert vitamin D to its active form and is itself a component of bone mineral.
  • Collagen peptides support the organic matrix that gives bone its flexibility and resistance to fracture.
  • Boron and silicon are trace minerals involved in bone metabolism that many diets lack.

Expected timeline: Bone is slow to change—expect DEXA improvements over 12-24 months. Reduced fracture risk may occur sooner through improved bone quality.

Printed from drgrey.ai/protocols/bone-health. For education only; not medical advice. Talk to a clinician before starting any supplement.