PhilosophyTutor comments on Announcing the Quantified Health Prize - Less Wrong
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I didn't research it for more than five minutes, but I suspect someone on such a diet could easily develop a vitamin K deficiency. The DRI for males/females is 120/90 mcg/day, and I found no breakfast cereal, milk or bread that had anything close to that. There are too many lunchmeats to check, but the highest values I saw were in the 3 mcg / 28 oz range.
This source indicates that vitamin k uptake is very poorly understood, but that vitamin k deficiency is rare in practice and that you have to put people on a very low vitamin k diet for an extended period to show any negative effect at all. This would be very weird except that our gut flora is known to produce vitamin k, so we're probably producing a fair chunk of what we need internally.
From that article:
Based on that article there's certainly grounds for adding some green salad to that sandwich to be on the safe side, but it seems likely that your gut flora would keep you going regardless.
I was pretty sure that vitamin k deficiency was practically unknown (and a vitamin k overdose relatively dangerous), and so for that reason making vitamin k supplements available was generally seen as a bad idea, but I learned a bit more about the whys of that because you raised that question, so thank you.