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Supplements/Compound

Nattokinase

Fermented soy serine protease with fibrinolytic activity.

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Overview

Fermented soy serine protease with fibrinolytic activity.

Natural sources
  • Endogenously produced or biosynthesized molecule
  • Standardized pharmaceutical- or food-grade supplement
  • Combined with cofactors that improve absorption or activity
Common forms
  • Capsule or softgel
  • Powder
  • Sublingual or buccal
  • Liposomal liquid

Mechanism of action

Degrades fibrin directly and activates plasminogen activators.

Pathways
  • · Degrades fibrin directly
  • · activates plasminogen activators

Effects on the body

Decreases
blood pressure and fibrinogen

Organ system effects

Cardiovascular

Nattokinase supports endothelial function, lipid profile, or blood-pressure regulation in cardiovascular trials.

Evidence-based benefits

Lowers blood pressure and fibrinogen

Moderate evidence

Potential side effects

Common
  • · GI upset
Rare
    Serious
    • · Bleeding risk if combined with anticoagulants

    Drug interactions

    Anticoagulants/Antiplatelets
    Major bleeding risk; do not combine.
    severe

    Supplement interactions

    Pairs well with
    • Omega-3
      Anti-inflammatory cardiovascular synergy.
    • CoQ10
      Supports mitochondrial energetics in cardiac tissue.
    Avoid combining with

    No specific avoidances listed.

    Dosing & bioavailability

    Typical dose
    2000 FU (≈100 mg)
    Best form
    Most evidence is based on the capsule or softgel form.
    Timing
    Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
    With food?
    Either

    Where to buy

    Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

    Scientific evidence8Show studies
    RCTHypertens Res · 2008

    Nattokinase for HTN

    Kim JY, et al.

    8-week DB-RCT in 86 HTN patients.

    Key findings

    2000 FU/day reduced SBP/DBP vs placebo.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Nattokinase — Lowers blood pressure and fibrinogen

    Live PubMed search

    Live results for "Nattokinase Lowers blood pressure and fibrinogen" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Nattokinase and "Lowers blood pressure and fibrinogen". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Nattokinase — randomized controlled trial

    Live PubMed search

    Live results for "Nattokinase randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Nattokinase and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Nattokinase — meta-analysis

    Live PubMed search

    Live results for "Nattokinase meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Nattokinase and "meta-analysis". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Nattokinase — pharmacokinetics

    Live PubMed search

    Live results for "Nattokinase pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Nattokinase and "pharmacokinetics". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Nattokinase — safety adverse events

    Live PubMed search

    Live results for "Nattokinase safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Nattokinase and "safety adverse events". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewPubMed (NLM) · 1970

    PubMed: Nattokinase — dose response

    Live PubMed search

    Live results for "Nattokinase dose response" across the PubMed/MEDLINE peer-reviewed index.

    Key findings

    Opens current human and preclinical literature matching Nattokinase and "dose response". Filter by RCT, meta-analysis, or year on the results page.

    Open study
    Systematic reviewGoogle Scholar · 1970

    Google Scholar: Nattokinase — clinical evidence

    Live Scholar search

    Cross-database citation index for Nattokinase as it relates to "clinical evidence".

    Key findings

    Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

    Open study
    Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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