Nattokinase is a serine protease that works through four parallel anticoagulant mechanisms: (1) directly cleaves and dissolves fibrin — the structural protein of blood clots; (2) converts prourokinase to urokinase — enhancing the body's natural clot dissolution system; (3) increases tissue plasminogen activator (tPA) — the enzyme that activates plasminogen to plasmin; (4) degrades plasminogen activator inhibitor-1 (PAI-1) — removing the brake on your clot-dissolving system. This multi-target approach is why nattokinase is so potent — it's not just a blood thinner, it's actively dissolving existing clots while preventing new ones.
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated:
Not medical advice. Based on published clinical research and systematic reviews.