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Vitamin K deficiency bleeding is a serious bleeding disorder caused by insufficient vitamin K levels needed for proper blood clotting. It is caused by inadequate dietary intake, malabsorption disorders, liver disease, or prolonged antibiotic use that disrupts vitamin K synthesis by gut bacteria. The Prothrombin (Factor II) test is the most important test for diagnosis because it directly measures one of the key vitamin K-dependent clotting factors.
Vitamin K deficiency bleeding is caused by insufficient vitamin K in the body, which prevents the liver from producing adequate clotting factors. Common causes include poor dietary intake of vitamin K-rich foods like leafy greens, malabsorption disorders such as celiac disease or Crohn's disease, liver disease that impairs clotting factor synthesis, and prolonged antibiotic use that kills vitamin K-producing gut bacteria. Newborns are particularly vulnerable because they have low vitamin K stores at birth and limited gut bacteria to produce it. People taking blood thinners like warfarin can also experience vitamin K-related bleeding issues.
The Prothrombin (Factor II) test is the most important test for vitamin K deficiency bleeding because it directly measures prothrombin levels, one of the primary clotting factors that depends on vitamin K for synthesis. When vitamin K is deficient, prothrombin levels drop significantly, leading to prolonged bleeding times and increased hemorrhage risk. This test provides clear evidence of vitamin K deficiency and helps healthcare providers monitor how well treatment with vitamin K supplementation is working. Low prothrombin results combined with bleeding symptoms confirm the diagnosis and guide appropriate vitamin K replacement therapy.
You should get tested if you experience unexplained bruising, prolonged bleeding from minor cuts, blood in urine or stool, heavy menstrual bleeding, or frequent nosebleeds. Testing is especially important for newborns with any bleeding issues, people with malabsorption conditions like celiac disease or cystic fibrosis, those taking antibiotics for extended periods, individuals with liver disease, and anyone on blood-thinning medications experiencing unusual bleeding. Early detection through blood testing allows for prompt vitamin K supplementation to prevent serious bleeding complications.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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