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Nattokinase

Enzyme from fermented soybeans with fibrinolytic activity; early evidence for cardiovascular & blood pressure benefits.

longevitycardiometabolic

Evidence last reviewed: 04 Apr 2026

Evidence
1 record
1 recordBest grade:Moderate
Biomarkers
Blood Pressure

Current evidence suggests nattokinase may lead to modest reductions in blood pressure and improvements in blood viscosity markers, but the studies are small and lack large-scale trials. More research is needed to confirm these benefits and establish optimal dosing.

Blood pressure / blood viscosity
Adults with hypertension or cardiovascular risk · RCTs (small)
Moderate

Modest reductions in SBP/DBP; some improvements in fibrinolytic markers. Limited large-scale trial data.

Dose: 100 mgDuration: 8–12 weeks
Caution with anticoagulants; do not combine with blood thinners without medical supervision.
Stacks containing Nattokinase
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metaboliccardiovascularlongevity

NAD+ precursors & nattokinase are combined to support metabolic health & cardiovascular function. NAD+ precursors enhance cellular energy production, while nattokinase supports cardiovascular health by reducing blood clot formation.

NAD+ Precursors (NMN/NR)
250mg
Nattokinase
100mg
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Forms & usage
How to take it

Take 100-200 mg daily, preferably on an empty stomach.

Nattokinase (2000 FU per capsule)
Dosed in fibrinolytic units (FU).
Safety & trade-offs2
Interaction

Significant fibrinolytic (blood-thinning) activity — do NOT combine with warfarin, heparin, or antiplatelet drugs without medical supervision

Interaction

Vitamin K2 content in natto-derived products may counteract vitamin K antagonists (warfarin)

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